CMS Price Transparency Data

Total knee replacement

Facility: Nationwide Children's Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$5,016

about 0.4× the $13,117 Medicare rate · typically $2,661–$17,765

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,313

Below the fair price — a good deal

about $703 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $5,016 This hospital $4,313 Cash price $5,809 Hospital's list price $6,454

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 OH hospitals compared.

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 $5,016 (about 0.4× the $13,117 Medicare rate). Nationwide Children's Hospital charges insurers about $4,313, or about $5,809 in cash — below the fair price — a good deal. Located in Columbus, 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	$3,659 - $12,108	28%
Blue Cross Blue Shieldmajor	$3,883 - $12,108	30%
Aetnamajor	$4,315 - $4,840	33%
Cignamajor	$4,840	37%
Humanamajor	$2,902 - $12,108	22%
AmeriHealth	$12,108	92%
CareSource	$1,690 - $19,675	13%
Molina	$12,108	92%
+ 6 smaller / regional plans	$3,653 - $4,840

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 5,809), 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 Nationwide Children's Hospital 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 Nationwide Children's Hospital

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
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.