CMS Price Transparency Data

Total knee replacement

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,798

about 0.3× the $13,117 Medicare rate · typically $3,072–$10,340

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $3,798 Cash price $3,789 Hospital's list price $6,315

How we calculate the fair BaseRate →

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	$2,003 - $8,911	15%
Blue Cross Blue Shieldmajor	$1,183 - $8,997	9%
Aetnamajor	$2,424	18%
Cignamajor	$4,295	33%
Humanamajor	$8,997	69%
AmeriHealth	$8,997	69%
CareSource	$1,127 - $13,773	9%
Molina	$8,911 - $15,440	68%
Paramount	$1,127	9%
+ 5 smaller / regional plans	$853 - $39,350

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 3,789), 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 Toledo, LLC 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 Toledo, LLC

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
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

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