CMS Price Transparency Data

Total knee replacement

Facility: Door County Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$6,374
about 0.5× the $13,117 Medicare rate · typically $1,755–$22,991
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,211
About the fair price
about $837 over the fair price · 0.5× Medicare
Medicare pays $13,117 Fair price $6,374 This hospital $7,211 Cash price $13,730 Hospital's list price $18,306

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 $7,211

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 $6,374 (about 0.5× the $13,117 Medicare rate). Door County Medical Center charges insurers about $7,211, or about $13,730 in cash — about the fair price. Located in Sturgeon Bay, WI.

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 $7,271 - $16,790 55%
Blue Cross Blue Shieldmajor $1,285 - $18,818 10%
Aetnamajor $1,322 - $7,271 10%
Humanamajor $350 - $20,964 3%
HealthPartners $641 - $7,135 5%
+ 2 smaller / regional plans $11,369 - $17,535
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 323 South 18Th Avenue, Sturgeon Bay, WI 54235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals