CMS Price Transparency Data

Total knee replacement

Facility: Central Valley Medical Center - Cah

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,303

about 0.2× the $13,117 Medicare rate · typically $1,300–$9,960

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $2,303 Cash price $2,200 Hospital's list price $2,200

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.

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	$2,200	17%
Blue Cross Blue Shieldmajor	$1,981	15%
Aetnamajor	$2,200	17%
Cignamajor	$2,200	17%
Humanamajor	$1,246 - $2,139	9%
SelectHealth	$2,002 - $2,200	15%
+ 5 smaller / regional plans	$1,848 - $2,200

Government programs also on file: Medicare, Military & VA.

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 (about 2,200), 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 Central Valley Medical Center - Cah 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 Central Valley Medical Center - Cah

Compare: Total knee replacement at other UT hospitals

Holy Cross Hospital-Davis · Layton $2,582
Blue Mountain Hospital · Blanding $3,159
Cache Valley Hospital · North Logan $22,051
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

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