CMS Price Transparency Data

Total knee replacement

Facility: Elmhurst Hospital Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,408
about 0.6× the $13,117 Medicare rate · typically $4,492–$15,164
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,883
Below the fair price — a good deal
about $3,525 under the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $8,408 This hospital $4,883

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $2,599 Priciest $4,883

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $8,408 (about 0.6× the $13,117 Medicare rate). Elmhurst Hospital Center charges insurers about $4,883 — below the fair price — a good deal. Located in Elmhurst, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $957 - $5,195 7%
Blue Cross Blue Shieldmajor $4,156 - $15,226 32%
Aetnamajor $15,226 116%
Fidelis Care $2,095 - $21,621 16%
Oscar Health $22,839 174%
WellCare $1,571 12%
+ 10 smaller / regional plans $1,164 - $30,452
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals