CMS Price Transparency Data

Total knee replacement

Facility: Guadalupe Regional Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,266
about 0.9× the $13,117 Medicare rate · typically $6,315–$18,693
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,829
Below the fair price — a good deal
about $5,437 under the fair price · 0.5× Medicare
Medicare pays $13,117 Fair price $12,266 This hospital $6,829 Cash price $16,100 Hospital's list price $32,200

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $2,404 Priciest $6,829

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

A fair price for a Total knee replacement is about $12,266 (about 0.9× the $13,117 Medicare rate). Guadalupe Regional Medical Center charges insurers about $6,829, or about $16,100 in cash — below the fair price — a good deal. Located in Seguin, TX.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $24,150 184%
Aetnamajor $1,119 - $27,370 9%
Cignamajor $28,980 221%
Humanamajor $27,370 209%
Clover Health $1,119 - $12,540 9%
Healthcare Highways $24,150 184%
Oscar Health $1,119 - $12,540 9%
WellCare $1,119 - $12,540 9%
+ 4 smaller / regional plans $1,119 - $28,980
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1215 E Court St, Seguin, TX 78155
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals