CMS Price Transparency Data

Total knee replacement

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13,030
about 1.0× the $13,117 Medicare rate · typically $5,988–$13,473
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,471
About the fair price
about $441 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $13,030 This hospital $13,471

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $3,138 Priciest $13,471

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

A fair price for a Total knee replacement is about $13,030 (about 1.0× the $13,117 Medicare rate). Schuylkill Medical Center - South Jackson Street charges insurers about $13,471 — about the fair price. Located in Pottsville, PA.

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 $916 - $13,217 7%
Blue Cross Blue Shieldmajor $986 - $40,184 8%
Aetnamajor $885 - $70,482 7%
Cignamajor $13,090 100%
Humanamajor $13,471 103%
Ambetter (Centene) $38,545 294%
AmeriHealth $892 - $13,090 7%
Devoted Health $13,471 103%
Geisinger $923 - $30,928 7%
HealthPartners $1,048 - $25,417 8%
UPMC Health Plan $1,277 - $61,891 10%
+ 5 smaller / regional plans $1,048 - $74,110

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Facility Profile & Credentials

  • Address: 420 South Jackson Street, Pottsville, PA 17901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals