CMS Price Transparency Data

Total knee replacement

Facility: Upper Valley Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$21,519
about 1.6× the $13,117 Medicare rate · typically $13,846–$24,801
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,745
Below the fair price — a good deal
about $4,774 under the fair price · 1.3× Medicare
Medicare pays $13,117 Fair price $21,519 This hospital $16,745

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $3,045 Priciest $16,745

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

A fair price for a Total knee replacement is about $21,519 (about 1.6× the $13,117 Medicare rate). Upper Valley Medical Center charges insurers about $16,745 — below the fair price — a good deal. Located in Troy, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $16,745 128%
Blue Cross Blue Shieldmajor $18,132 - $38,847 138%
+ 1 smaller / regional plan $18,874
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 3130 N Dixie Highway, Troy, OH 45373
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals