CMS Price Transparency Data

Total knee replacement

Facility: Legacy Mount Hood Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$17,788

about 1.4× the $13,117 Medicare rate · typically $11,142–$24,720

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $17,788 Cash price $2,363 Hospital's list price $3,635

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✓ Kaiser Permanente Humana

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	$26,100	199%
Blue Cross Blue Shieldmajor	$33,543 - $49,167	256%
Aetnamajor	$14,984 - $23,856	114%
Cignamajor	$14,884 - $19,127	113%
Kaiser Permanentemajor	$14,271 - $28,541	109%
Health Net	$14,755 - $15,127	112%
Moda Health	$15,983 - $55,191	122%
+ 3 smaller / regional plans	$14,699 - $15,698

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 2,363), 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 Legacy Mount Hood Medical Center 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 Legacy Mount Hood Medical Center

Compare: Total knee replacement at other OR hospitals

Bay Area Hospital · Coos Bay $2,880
Curry General Hospital · Gold Beach $3,810
Kaiser Sunnyside Medical Center · Clackamas $11,104
Kaiser Foundation Hospital Westside · Hillsboro $11,104
Willamette Valley Medical Center · McMinnville $13,938
Providence Newberg Medical Center · Newberg $15,341
Providence Medford Medical Center · Medford $17,728
Mercy Medical Center · Roseburg $21,276

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