CMS Price Transparency Data

Total knee replacement

Facility: Mercy Hospital of Buffalo

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,330
about 0.1× the $13,117 Medicare rate · typically $876–$2,215
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,330 Cash price $4,138 Hospital's list price $4,138

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $856 - $1,474 7%
Blue Cross Blue Shieldmajor $623 - $1,754 5%
Aetnamajor $1,223 - $1,284 9%
Cignamajor $1,039 - $1,773 8%
Humanamajor $1,100 - $1,284 8%
Amerigroup $749 - $1,179 6%
Fidelis Care $1,100 - $1,467 8%
Independent Health $637 - $1,602 5%
MagnaCare $1,223 9%
Molina $1,685 - $2,654 13%
MVP Health Care $1,417 - $1,667 11%
UPMC Health Plan $2,045 - $2,201 16%
WellCare $1,143 - $1,345 9%
+ 16 smaller / regional plans $749 - $3,941
Government programs also on file: Medicare, Medicaid, 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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals