CMS Price Transparency Data

Total knee replacement

Facility: Womans Hospital of Texas,The

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,011

about 1.1× the $13,117 Medicare rate · typically $10,143–$18,923

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,871

Above the fair price

about $5,860 over the fair price · 1.6× Medicare

Medicare pays $13,117 Fair price $15,011 This hospital $20,871

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 $20,871

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 $15,011 (about 1.1× the $13,117 Medicare rate). Womans Hospital of Texas,The charges insurers about $20,871 — above the fair price. Located in Houston, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $15,011. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$20,741 - $30,000	158%
Blue Cross Blue Shieldmajor	$28,205 - $42,367	215%
Aetnamajor	$2,273 - $4,554	17%
Cignamajor	$42,918 - $55,286	327%
Humanamajor	$14,000 - $26,130	107%
Devoted Health	$16,121	123%
Fidelis Care	$2,115	16%
Healthcare Highways	$42,583	325%
Oscar Health	$18,425	140%
WellMed	$12,962	99%
+ 6 smaller / regional plans	$4,255 - $24,561

Government programs also on file: Medicaid.

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, 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 Womans Hospital of Texas,The 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 Womans Hospital of Texas,The

Compare: Total knee replacement at other TX hospitals

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