CMS Price Transparency Data
Total knee replacement
Facility: Southwestern Vermont Medical Center
Billing Code: 27447 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,097
about 0.1× the $13,117 Medicare rate · typically $896–$2,882
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,097 Cash price $3,462 Hospital's list price $4,946
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 | $164 - $2,468 | 1% |
| Blue Cross Blue Shieldmajor | $164 - $3,972 | 1% |
| Aetnamajor | $164 - $2,072 | 1% |
| Cignamajor | $164 - $1,858 | 1% |
| Humanamajor | $164 - $1,762 | 1% |
| CDPHP | $164 - $2,520 | 1% |
| Fidelis Care | $164 - $1,851 | 1% |
| Harvard Pilgrim | $1,898 | 14% |
| MVP Health Care | $164 - $1,862 | 1% |
| Tufts Health Plan | $1,929 | 15% |
| WellCare | $164 - $1,762 | 1% |
| + 3 smaller / regional plans | $164 - $2,468 |
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Other Procedures at Southwestern Vermont Medical Center
Compare: Total knee replacement at other VT hospitals
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $2,360
- Central Vermont Medical Center · Barre $2,858
- Brattleboro Memorial Hospital · Brattleboro $3,045
Insurance negotiated median for the same procedure, sorted lowest first.