CMS Price Transparency Data

Total knee replacement

Facility: Riverside Shore Memorial Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$14,954

about 1.1× the $13,117 Medicare rate · typically $10,360–$18,419

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,814

Below the fair price — a good deal

about $2,140 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $14,954 This hospital $12,814

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $12,527 Priciest $12,814

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

A fair price for a Total knee replacement is about $14,954 (about 1.1× the $13,117 Medicare rate). Riverside Shore Memorial Hospital charges insurers about $12,814 — below the fair price — a good deal. Located in Onancock, VA.

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✓ Humana CignaKaiser 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	$12,531 - $12,814	96%
Blue Cross Blue Shieldmajor	$12,654 - $50,927	96%
Aetnamajor	$12,654 - $12,814	96%
Humanamajor	$10,595 - $13,455	81%
Sentara	$12,900 - $13,137	98%
+ 1 smaller / regional plan	$11,516

Government programs also on file: Military & VA.

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 Riverside Shore Memorial 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 Riverside Shore Memorial Hospital

Compare: Total knee replacement at other VA hospitals

Bon Secours Maryview Medical Center · Portsmouth $12,527
Mary Immaculate Hospital · Newport News $12,527
Bon Secours Southside Medical Center · Petersburg $12,527
Bon Secours St Francis Medical Center · Midlothian $12,527
Bon Secours Harbour View Medical Center · Suffolk $12,527
Riverside Regional Medical Center · Newport News $12,734
Riverside Walter Reed Hospital · Gloucester $12,734
Riverside Doctors' Hospital of Williamsburg · Williamsburg $12,734

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