CMS Price Transparency Data

Total knee replacement

Facility: Lodi Community Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,294
about 0.6× the $13,117 Medicare rate · typically $2,508–$14,664
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,169
Above the fair price
about $1,875 over the fair price · 0.8× Medicare
Medicare pays $13,117 Fair price $8,294 This hospital $10,169

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 7 of 8 other OH hospitals charge less.

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 $8,294 (about 0.6× the $13,117 Medicare rate). Lodi Community Hospital charges insurers about $10,169 — above the fair price. Located in Lodi, 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 $8,294. 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.

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 $9,201 - $12,867 70%
Blue Cross Blue Shieldmajor $10,169 - $12,867 78%
AmeriHealth $10,654 81%
CareSource $9,685 74%
Molina $10,169 78%
+ 1 smaller / regional plan $9,685

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: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals