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SHENANDOAH MEDICAL CENTER

Shenandoah, IA · CCN 161366 · Rates published

You selected 27447 (HCPCS)

Replacement of knee joint, both sides of knee

This hospital’s price: $3,494 across 12 payers · range $1,035-$4,374

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbShenandoah&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-03

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,505 distinct procedures filed
15 distinct payers
110,465 rate rows
2026-04-03 last MRF observed

108,535 of 110,465 rate rows are consumer-grade (98.3%)

1,930 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 1,591
percent-of-charges filed in the dollar field — excluded from medians 251
per-diem day rate — not a per-procedure price 50
exceeds 10× this hospital's gross charge — excluded from medians 38
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Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbShenandoah&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Shenandoah_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 4fad6cef7f4440c1… · 50,735,612 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C1767
HCPCS
Generator, Neurostimulator (implantable), Non-rechargeable 14 $14,569.63 $43,267.39 $14,936.08 nat. median
$23,668

0.6× median
L8679
HCPCS
Implantable Neurostimulator, Pulse Generator, Any Type 15 $10,121.50 $40,028.10 $13,748.43 nat. median
$10,950

1.3× median
5473308
CDM
Recothrom 20,000 Unit Vial 14 $11,056.32 $32,833.92 $11,334.41 nat. median
$11,334

1.0× median
29501380
CDM
Enplace Kit 14 $7,808.46 $23,188.76 $8,004.85 nat. median
$8,005

1.0× median
C1889
HCPCS
Implantable/insertable Device, Not Otherwise Classified 14 $6,004.68 $18,706.24 $6,318.66 nat. median
$2,377

outlier · 2.7×
C1764
HCPCS
Event Recorder, Cardiac (implantable) 14 $6,027.45 $17,899.70 $6,179.05 nat. median
$7,735

0.8× median
77333
HCPCS
Design And Construction Of Intermediate Radiation Treatment Device 15 $137.32 $30,984.66 $5,898.75 nat. median
$236

outlier · 25.0×
38720
HCPCS
Removal Of Lymph Nodes Of Neck 11 $1,077.46 $5,919.06 $5,803.00 nat. median
$6,532

0.9× median
58292
HCPCS
Removal Of Uterus, Tubes, And/or Ovaries With Repair Of Herniated Bowel Through… 11 $1,037.99 $5,735.46 $5,623.00 nat. median
$7,399

0.8× median
58291
HCPCS
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, More Than 250.0 G 11 $985.56 $5,694.66 $5,583.00 nat. median
$5,394

1.0× median
27137
HCPCS
Revision Of Hip Socket Part Of Hip Prosthesis 11 $1,175.13 $5,594.70 $5,485.00 nat. median
$7,922

0.7× median
J1306
HCPCS
Injection, Inclisiran, 1 Mg 15 $12.61 $15,897.92 $5,460.45 nat. median
$43

outlier · 126.6×
C1763
HCPCS
Connective Tissue, Non-human (includes Synthetic) 14 $5,271.75 $15,655.50 $5,404.34 nat. median
$2,304

outlier · 2.3×
58290
HCPCS
Removal Of Uterus Through Vagina, More Than 250.0 G 11 $912.43 $5,254.02 $5,151.00 nat. median
$7,325

0.7× median
27415
HCPCS
Implantation Of Donor Cartilage Cells Into Knee Joint 11 $1,123.78 $5,231.58 $5,129.00 nat. median
$11,910

outlier · 0.4×
27724
HCPCS
Repair Of Nonhealed Broken Shin Bone With Self Graft From Hip Or Other Bone 11 $1,012.90 $5,216.28 $5,114.00 nat. median
$5,614

0.9× median
J0630
HCPCS
Injection, Calcitonin Salmon, Up To 400 Units 14 $4,971.15 $14,762.80 $5,096.18 nat. median
$1,889

outlier · 2.7×
29501185
CDM
Sprmx Niti Staple W/instrs 15w X 15l 14 $4,943.40 $14,680.40 $5,067.74 nat. median
$5,068

1.0× median
59618
HCPCS
Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 11 $2,152.98 $5,096.94 $4,997.00 nat. median
$3,504

1.4× median
60252
HCPCS
Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 11 $1,054.92 $5,058.18 $4,959.00 nat. median
$6,285

0.8× median
85420
HCPCS
Plasminogen (fibrinolytic Factor) Measurement 15 $6.53 $14,303.10 $4,912.68 nat. median
$17

outlier · 286.6×
58554
HCPCS
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 11 $1,045.06 $5,000.04 $4,902.00 nat. median
$9,727

0.5× median
58553
HCPCS
Removal Of Uterus Through Vagina Using An Endoscope, More Than 250.0 11 $889.09 $4,958.22 $4,861.00 nat. median
$9,690

0.5× median
27365
HCPCS
Extensive Removal Of Growth Of Thigh Or Knee Bone 11 $1,637.41 $4,958.22 $4,861.00 nat. median
$4,448

1.1× median
15830
HCPCS
Removal Of Extra Skin And Tissue Of Abdomen 11 $956.19 $4,776.66 $4,683.00 nat. median
$6,546

0.7× median
A4290
HCPCS
Sacral Nerve Stimulation Test Lead, Each 14 $4,561.21 $13,545.40 $4,675.93 nat. median
$286

outlier · 16.3×
19307
HCPCS
Removal Of Breast And Underarm Lymph Nodes 11 $992.25 $4,592.04 $4,502.00 nat. median
$6,808

0.7× median
58263
HCPCS
Removal Of Uterus, Tubes, And/or Ovaries With Repair Of Herniated Bowel Through… 11 $792.03 $4,583.88 $4,494.00 nat. median
$5,285

0.9× median
29501184
CDM
Sprmx Cmprssn Stple, 15w X 15l 14 $4,151.40 $12,328.40 $4,255.82 nat. median
$4,256

1.0× median
59510
HCPCS
Cesarean Delivery With Care Before And After Delivery 12 $2,133.18 $5,015.34 $4,238.22 nat. median
$3,552

1.2× median
60225
HCPCS
Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 11 $760.27 $4,310.52 $4,226.00 nat. median
$5,905

0.7× median
58550
HCPCS
Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 11 $709.03 $4,265.64 $4,182.00 nat. median
$6,121

0.7× median
27487
HCPCS
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 11 $1,404.64 $4,216.68 $4,134.00 nat. median
$11,815

outlier · 0.3×
77373
HCPCS
Delivery Of Radiation Therapy Per Dose To 1 Or More Lesions Not To Exceed 5 Dose… 15 $1,826.78 $12,005.00 $4,123.35 nat. median
$3,665

1.1× median
19302
HCPCS
Partial Removal Of Breast And Underarm Lymph Nodes 11 $763.97 $4,175.88 $4,094.00 nat. median
$6,521

0.6× median
47564
HCPCS
Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 11 $932.08 $4,170.78 $4,089.00 nat. median
$9,013

outlier · 0.5×
78608
HCPCS
Nuclear Medicine Study Of Brain With Metabolic Evaluation 15 $1,460.92 $11,832.52 $4,064.11 nat. median
$2,413

1.7× median
78814
HCPCS
Nuclear Medicine Study Limited Area With CT Scan 15 $1,460.92 $11,832.52 $4,064.11 nat. median
$2,317

1.8× median
50541
HCPCS
Destruction Of Cyst Of Kidney Using An Endoscope 11 $753.08 $4,091.22 $4,011.00 nat. median
$9,776

outlier · 0.4×
59610
HCPCS
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 12 $2,007.00 $4,706.28 $3,994.65 nat. median
$3,282

1.2× median
Q4126
HCPCS
Memoderm, Dermaspan, Tranzgraft Or Integuply, Per Square Centimeter 15 $116.44 $11,553.32 $3,968.21 nat. median
$202

outlier · 19.6×
59400
HCPCS
Vaginal Delivery With Care Before And After Delivery 12 $1,929.45 $4,586.94 $3,938.00 nat. median
$3,099

1.3× median
37617
HCPCS
Tying Of Major Artery Of The Abdomen 11 $1,062.21 $3,943.32 $3,866.00 nat. median
$4,754

0.8× median
60212
HCPCS
Partial Removal Of Thyroid Lobes On Both Sides Of Neck And Connecting Tissue 11 $853.08 $3,933.12 $3,856.00 nat. median
$6,019

0.6× median
23473
HCPCS
Revision Of Total Shoulder Repair 11 $1,289.42 $3,896.40 $3,820.00 nat. median
$12,749

outlier · 0.3×
C1783
HCPCS
Ocular Implant, Aqueous Drainage Assist Device 14 $3,656.66 $10,859.18 $3,748.64 nat. median
$2,312

1.6× median
27364
HCPCS
Extensive Removal Of Growth Of Thigh Or Knee, 5.0 Cm Or More 11 $1,271.53 $3,733.20 $3,660.00 nat. median
$3,365

1.1× median
58545
HCPCS
Removal Of Growth Of Uterus Using An Endoscope, 250.0 G Or Less 11 $725.52 $3,723.00 $3,650.00 nat. median
$6,094

0.6× median
47379
HCPCS
Other Procedure On Liver Using An Endoscope 6 $3,627.00 $3,699.54 $3,627.00 nat. median
$6,343

0.6× median
29838
HCPCS
Removal Of Extensive Damaged Tissue From Elbow Joint Using An Endoscope 11 $501.09 $3,681.18 $3,609.00 nat. median
$3,697

1.0× median

Other procedures at this hospital

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