CMS Price Transparency Data

Total knee replacement

Facility: Cook Childrens Medical Center Prosper

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$4,429

about 0.3× the $13,117 Medicare rate · typically $1,354–$14,210

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $4,429

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor	$1,615	12%
+ 2 smaller / regional plans	$1,130

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 Cook Childrens Medical Center Prosper 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.

Other Procedures at Cook Childrens Medical Center Prosper

Compare: Total knee replacement at other TX hospitals

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