CMS Price Transparency Data
Total knee replacement
Facility: Southern Ohio Medical Center
Billing Code: 27447 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,894
about 0.3× the $13,117 Medicare rate · typically $1,226–$9,328
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,894 Cash price $2,377 Hospital's list price $4,753
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 | $1,664 - $4,183 | 13% |
| Blue Cross Blue Shieldmajor | $1,374 - $11,889 | 10% |
| Aetnamajor | $2,325 - $12,146 | 18% |
| Cignamajor | $2,508 - $3,945 | 19% |
| Humanamajor | $1,374 - $11,889 | 10% |
| Ambetter (Centene) | $1,218 | 9% |
| CareSource | $1,461 - $16,050 | 11% |
| Medical Mutual | $1,218 - $3,897 | 9% |
| Molina | $1,218 - $14,266 | 9% |
| WellCare | $1,218 - $1,388 | 9% |
| + 6 smaller / regional plans | $1,218 - $16,644 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Southern Ohio Medical Center
Compare: Total knee replacement at other OH hospitals
- Henry County Hospital, Inc · Napoleon $3,045
- Akron General Medical Center · Akron $3,277
- Cleveland Clinic · Cleveland $3,898
- Nationwide Children's Hospital · Columbus $4,313
- Adena Pike Medical Center · Waverly $6,905
- Berger Hospital · Circleville $7,833
- Bellevue Hospital · Bellevue $10,128
- Lodi Community Hospital · Lodi $10,169
Insurance negotiated median for the same procedure, sorted lowest first.