CMS Price Transparency Data

Total knee replacement

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$5,645

about 0.4× the $13,117 Medicare rate · typically $991–$13,715

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $5,645 Cash price $4,026 Hospital's list price $4,026

How we calculate the fair BaseRate →

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	$931 - $3,221	7%
Blue Cross Blue Shieldmajor	$880 - $2,038	7%
Aetnamajor	$880 - $3,945	7%
Humanamajor	$931 - $3,623	7%
CareSource	$880 - $3,221	7%
UniCare	$880	7%
+ 7 smaller / regional plans	$805 - $3,623

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,026), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27447.

Insurance Before you use insurance

Call your insurance company to confirm Camc Greenbrier Valley Medical Center, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 27447.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Camc Greenbrier Valley Medical Center, Inc

Compare: Total knee replacement at other WV hospitals

Reynolds Memorial Hospital, Inc · Glen Dale $6,516
Boone Memorial Hospital · Madison $9,483
Wheeling Hospital, Inc · Wheeling $12,358
Weirton Medical Center, Inc · Weirton $12,623
Camden Clark Medical Center · Parkersburg $12,868
Princeton Community Hospital Assn Inc · Princeton $13,125
Berkeley Medical Center · Martinsburg $13,221
Raleigh General Hospital · Beckley $28,543

Insurance negotiated median for the same procedure, sorted lowest first.