CMS Price Transparency Data

Total knee replacement

Facility: Baylor St Lukes Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16,128
about 1.2× the $13,117 Medicare rate · typically $9,588–$18,006
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,888
Below the fair price — a good deal
about $3,240 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $16,128 This hospital $12,888

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 $12,888

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 $16,128 (about 1.2× the $13,117 Medicare rate). Baylor St Lukes Medical Center charges insurers about $12,888 — below the fair price — a good deal. Located in Houston, 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 $4,175 - $13,145 32%
Blue Cross Blue Shieldmajor $5,419 - $26,182 41%
Aetnamajor $2,222 - $19,847 17%
Cignamajor $3,309 - $13,017 25%
Humanamajor $4,300 - $12,888 33%
Bright Health $20,621 157%
Devoted Health $13,790 105%
+ 11 smaller / regional plans $2,405 - $41,885
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 6720 Bertner Ave, Ste Mc1-266, Houston, TX 77030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals