CMS Price Transparency Data

Total knee replacement

Facility: North Austin Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13,557
about 1.0× the $13,117 Medicare rate · typically $3,423–$19,315
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,732
Above the fair price
about $4,175 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $13,557 This hospital $17,732

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 $17,732

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 $13,557 (about 1.0× the $13,117 Medicare rate). North Austin Medical Center charges insurers about $17,732 — above the fair price. Located in Austin, 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 $13,557. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $19,912 - $26,926 152%
Blue Cross Blue Shieldmajor $10,830 - $49,269 83%
Aetnamajor $3,226 - $5,457 25%
Cignamajor $14,445 - $26,482 110%
Amerigroup $1,566 12%
Devoted Health $16,121 123%
Healthcare Highways $23,325 - $23,800 178%
Moda Health $16,566 - $25,864 126%
Oscar Health $13,586 - $15,275 104%
+ 6 smaller / regional plans $12,000 - $24,150
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals