CMS Price Transparency Data

Total knee replacement

Facility: Cleveland Clinic

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$6,987

about 0.5× the $13,117 Medicare rate · typically $2,701–$12,257

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,898

Below the fair price — a good deal

about $3,089 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $6,987 This hospital $3,898 Cash price $4,587 Hospital's list price $7,057

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $3,045 Priciest $11,547

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 $6,987 (about 0.5× the $13,117 Medicare rate). Cleveland Clinic charges insurers about $3,898, or about $4,587 in cash — below the fair price — a good deal. Located in Cleveland, OH.

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	$1,167 - $11,928	9%
Blue Cross Blue Shieldmajor	$1,218 - $11,928	9%
Aetnamajor	$1,218 - $11,928	9%
Cignamajor	$1,254 - $12,286	10%
Humanamajor	$1,218 - $11,928	9%
AmeriHealth	$1,351	10%
CareSource	$1,289 - $8,229	10%
Devoted Health	$1,218 - $11,928	9%
Molina	$1,351 - $8,640	10%
Oscar Health	$1,884	14%
Paramount	$1,265 - $8,476	10%
UniCare	$1,279 - $12,524	10%
UPMC Health Plan	$1,218 - $11,928	9%
+ 17 smaller / regional plans	$792 - $13,121

Excludes 4 rental-network / third-party entries (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 (about 4,587), 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 Cleveland Clinic 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.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cleveland Clinic

Compare: Total knee replacement at other OH hospitals

Henry County Hospital, Inc · Napoleon $3,045
Akron General Medical Center · Akron $3,277
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
Coshocton Regional Medical Center · Coshocton $11,547

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