CMS Price Transparency Data

Total knee replacement

Facility: Thedacare Medical Center - Berlin Inc

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$7,584
about 0.6× the $13,117 Medicare rate · typically $2,048–$21,160
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,085
About the fair price
about $501 over the fair price · 0.6× Medicare
Medicare pays $13,117 Fair price $7,584 This hospital $8,085 Cash price $8,511 Hospital's list price $15,198

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 $8,085

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 $7,584 (about 0.6× the $13,117 Medicare rate). Thedacare Medical Center - Berlin Inc charges insurers about $8,085, or about $8,511 in cash — about the fair price. Located in Berlin, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $4,043 - $7,775 31%
Blue Cross Blue Shieldmajor $3,968 - $8,085 30%
Humanamajor $7,963 61%
HealthPartners $4,261 32%
+ 2 smaller / regional plans $10,032 - $11,978
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 225 Memorial Drive, Berlin, WI 54923
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals