CMS Price Transparency Data

Total knee replacement

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$18,514
about 1.4× the $13,117 Medicare rate · typically $14,374–$27,827
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,094
Above the fair price
about $7,580 over the fair price · 2.0× Medicare
Medicare pays $13,117 Fair price $18,514 This hospital $26,094

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $4,177 Priciest $26,094

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

A fair price for a Total knee replacement is about $18,514 (about 1.4× the $13,117 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $26,094 — above the fair price. Located in Spokane, WA.

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 $18,514. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $15,022 - $47,462 115%
Blue Cross Blue Shieldmajor $15,451 - $34,162 118%
Aetnamajor $14,736 - $27,036 112%
Cignamajor $5,419 - $17,168 41%
Kaiser Permanentemajor $14,307 - $36,067 109%
Molina $24,178 184%
Providence Health Plan $36,411 278%
+ 3 smaller / regional plans $15,737 - $36,892

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 101 West 8Th Avenue, Spokane, WA 99220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals