CMS Price Transparency Data
Total knee replacement
Facility: Surgical Institute of Reading
Billing Code: 27447 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$14,170
about 1.1× the $13,117 Medicare rate · typically $1,362–$14,170
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $14,170 Cash price $18,522 Hospital's list price $53,033
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✓ Aetna CignaHumanaKaiser 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 | $14,305 | 109% |
| Blue Cross Blue Shieldmajor | $1,530 - $13,073 | 12% |
| Aetnamajor | $12,540 - $44,017 | 96% |
| Geisinger | $12,540 - $18,810 | 96% |
| + 2 smaller / regional plans | $12,540 - $31,820 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Surgical Institute of Reading
Compare: Total knee replacement at other PA hospitals
- Advanced Surgical Hospital · Washington $3,138
- UPMC Wellsboro · Wellsboro $3,363
- Jefferson Abington Hospital · Abington $6,011
- UPMC Kane · Kane $6,479
- Conemaugh Miners Medical Center · Hastings $6,561
- Conemaugh Memorial Medical Center · Johnstown $7,408
- Jefferson Lansdale Hospital · Lansdale $7,742
- UPMC St Margaret · Pittsburgh $10,591
Insurance negotiated median for the same procedure, sorted lowest first.