CMS Price Transparency Data
Total knee replacement
Facility: Memorial Hermann Houston Physicians Hospital
Billing Code: 27447 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$6,735
about 0.5× the $13,117 Medicare rate · typically $4,055–$12,316
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $6,735 Cash price $12,491 Hospital's list price $88,189
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 | $9,823 - $14,176 | 75% |
| Blue Cross Blue Shieldmajor | $9,823 - $14,176 | 75% |
| Aetnamajor | $8,560 - $18,374 | 65% |
| Cignamajor | $9,823 - $61,102 | 75% |
| Humanamajor | $9,823 - $14,176 | 75% |
| Devoted Health | $9,823 - $12,888 | 75% |
| UniCare | $9,823 - $12,888 | 75% |
| WellCare | $9,823 - $12,888 | 75% |
| + 12 smaller / regional plans | $9,823 - $62,362 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Memorial Hermann Houston Physicians Hospital
Compare: Total knee replacement at other TX hospitals
- University of Texas M. D. Anderson Cancer Center · Houston $2,404
- University Medical Center of El Paso · El Paso $2,959
- El Paso Children's Hospital · El Paso $2,959
- UT of Texas Southwestern University Hospital - William P. Clements Jr. · Dallas $3,158
- Peterson Regional Medical Center · Kerrville $3,300
- Medical City Mental Health and Wellness Center · Fort Worth $3,682
- Texoma Medical Center · Denison $4,167
- Hendrick Medical Center Brownwood · Brownwood $4,353
Insurance negotiated median for the same procedure, sorted lowest first.