CMS Price Transparency Data

Total knee replacement

Facility: Clarion Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$12,030
about 0.9× the $13,117 Medicare rate · typically $3,375–$14,943
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,121
About the fair price
about $1,091 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $12,030 This hospital $13,121

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 $13,121

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 $12,030 (about 0.9× the $13,117 Medicare rate). Clarion Hospital charges insurers about $13,121 — about the fair price. Located in Clarion, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $12,378 94%
Blue Cross Blue Shieldmajor $12,254 - $27,794 93%
Aetnamajor $12,749 - $28,470 97%
Cignamajor $12,378 94%
AmeriHealth $12,378 94%
Devoted Health $13,121 100%
Geisinger $12,997 99%
UPMC Health Plan $1,100 - $13,740 8%
+ 6 smaller / regional plans $12,378 - $29,089
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals