CMS Price Transparency Data

Total knee replacement

Facility: St Anthony Community Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,728

about 1.2× the $13,117 Medicare rate · typically $8,149–$16,886

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $15,728 Hospital's list price $5,744

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$11,623 - $14,658	89%
Blue Cross Blue Shieldmajor	$12,974 - $16,411	99%
Aetnamajor	$11,514 - $12,793	88%
Cignamajor	$5,853	45%
Geisinger	$52,628	401%
MagnaCare	$8,264 - $8,760	63%
Molina	$16,745	128%
MVP Health Care	$11,742 - $15,948	90%
+ 7 smaller / regional plans	$6,503 - $15,948

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27447.

Insurance Before you use insurance

Call your insurance company to confirm St Anthony Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 27447.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Other Procedures at St Anthony Community Hospital

Compare: Total knee replacement at other NY hospitals

Brooks-Tlc Hospital System, Inc · Dunkirk $2,599
Nassau University Medical Center · East Meadow $2,954
Arnot Ogden Medical Center · Elmira $3,804
Metropolitan Hospital Center · New York $4,237
Harlem Hospital Center · New York $4,254
Jacobi Medical Center · Bronx $4,265
South Brooklyn Health · Brooklyn $4,323
Memorial Hospital for Cancer and Allied Diseases · New York $4,587

Insurance negotiated median for the same procedure, sorted lowest first.