CMS Price Transparency Data

Total knee replacement

Facility: Cache Valley Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$7,687

about 0.6× the $13,117 Medicare rate · typically $2,933–$20,697

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,051

Well above the fair price

about $14,364 over the fair price · 1.7× Medicare

Medicare pays $13,117 Fair price $7,687 This hospital $22,051

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 6 of 8 other UT hospitals charge more for the same procedure.

Cheapest $2,582 Priciest $49,713

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $7,687 (about 0.6× the $13,117 Medicare rate). Cache Valley Hospital charges insurers about $22,051 — well above the fair price. Located in North Logan, UT.

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 $7,687. 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$16,702 - $27,140	127%
Aetnamajor	$24,614 - $40,904	188%
Cignamajor	$14,014 - $18,200	107%
Humanamajor	$14,000	107%
Bright Health	$5,740	44%
Molina	$20,570	157%
+ 3 smaller / regional plans	$12,341 - $38,160

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Cache Valley Hospital 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 Cache Valley Hospital

Compare: Total knee replacement at other UT hospitals

Holy Cross Hospital-Davis · Layton $2,582
Blue Mountain Hospital · Blanding $3,159
Timpanogos Regional Hospital · Orem $24,008
Lone Peak Hospital · Draper $24,400
Mountain View Hospital · Payson $24,527
Brigham City Community Hospital · Brigham City $24,527
Lakeview Hospital · Bountiful $24,833
Castleview Hospital · Price $49,713

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