CMS Price Transparency Data

Total knee replacement

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$16,798
about 1.3× the $13,117 Medicare rate · typically $5,377–$23,088
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,757
About the fair price
about $41 under the fair price · 1.3× Medicare
Medicare pays $13,117 Fair price $16,798 This hospital $16,757

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $3,087 Priciest $16,757

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

A fair price for a Total knee replacement is about $16,798 (about 1.3× the $13,117 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $16,757 — about the fair price. Located in Janesville, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $16,352 - $17,161 125%
Dean Health Plan $12,932 99%
Molina $9,699 74%
+ 1 smaller / regional plan $24,224

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals