CMS Price Transparency Data

Total knee replacement

Facility: De Tar Hospital Navarro

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$13,944

about 1.1× the $13,117 Medicare rate · typically $9,929–$14,763

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,181

About the fair price

about $763 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $13,944 This hospital $13,181 Cash price $23,189 Hospital's list price $110,425

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 $13,181

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 $13,944 (about 1.1× the $13,117 Medicare rate). De Tar Hospital Navarro charges insurers about $13,181, or about $23,189 in cash — about the fair price. Located in Victoria, TX.

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	$5,565 - $31,471	42%
Blue Cross Blue Shieldmajor	$2,941 - $23,079	22%
Aetnamajor	$13,054 - $62,942	100%
Cignamajor	$26,281 - $47,483	200%
Humanamajor	$12,674	97%
Amerigroup	$13,148 - $13,308	100%
+ 13 smaller / regional plans	$5,565 - $77,298

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (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 23,189), 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 De Tar Hospital Navarro 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 De Tar Hospital Navarro

Compare: Total knee replacement at other TX hospitals

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