CMS Price Transparency Data

Total knee replacement

Facility: Ohio Valley Surgical Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,602
about 0.4× the $13,117 Medicare rate · typically $3,661–$11,169
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,263
Well above the fair price
about $7,661 over the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $4,602 This hospital $12,263 Cash price $21,082 Hospital's list price $35,137

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 $12,263

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 $4,602 (about 0.4× the $13,117 Medicare rate). Ohio Valley Surgical Hospital charges insurers about $12,263, or about $21,082 in cash — well above the fair price. Located in Springfield, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,602. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $6,136 - $12,263 47%
Blue Cross Blue Shieldmajor $12,263 - $34,610 93%
Aetnamajor $1,505 - $12,263 11%
Cignamajor $12,263 - $19,665 93%
Humanamajor $12,000 91%
CareSource $18,395 140%
Devoted Health $14,683 112%
GEHA $1,505 11%
Molina $12,263 93%
UniCare $12,263 93%
WellCare $12,263 93%
+ 36 smaller / regional plans $1,505 - $31,623
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (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: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals