CMS Price Transparency Data

Total knee replacement

Facility: SSM Health St Anthony Hospital - Midwest

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,621

about 1.2× the $13,117 Medicare rate · typically $6,704–$17,555

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,718

Below the fair price — a good deal

about $2,903 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $15,621 This hospital $12,718

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $2,658 Priciest $12,718

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $15,621 (about 1.2× the $13,117 Medicare rate). SSM Health St Anthony Hospital - Midwest charges insurers about $12,718 — below the fair price — a good deal. Located in Midwest City, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$9,166	70%
Blue Cross Blue Shieldmajor	$12,348 - $12,718	94%
Humanamajor	$12,558	96%
Ambetter (Centene)	$16,670	127%
Health Net	$26,424 - $27,042	201%
Medica	$1,946 - $11,491	15%
Oscar Health	$4,387 - $16,244	33%
+ 2 smaller / regional plans	$21,874 - $24,078

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, 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 SSM Health St Anthony Hospital - Midwest 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 SSM Health St Anthony Hospital - Midwest

Compare: Total knee replacement at other OK hospitals

Ascension St John Medical Center · Tulsa $2,658
St John Owasso · Owasso $2,658
Ascension St John Sapulpa · Sapulpa $2,658
Ascension St John Jane Phillips · Bartlesville $3,265
Ascension St John Nowata · Nowata $3,265
Integris Southwest Medical Center · Oklahoma City $10,043
Beaver County Memorial Hospital · Beaver $10,521
O U Medical Center · Oklahoma City $12,287

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