Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 27487 · TOMAH, WI

27487 — Revise/replace Knee Joint

What each payer pays TOMAH MEMORIAL HOSPITAL (CCN 521320) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,424 All-payer median here
$5,321 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for 27487 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Cigna Healthcare $8,976 530.4% 2
Humana $8,560 501.2% 1
QUARTZ COMM - ALL OTHER PLANS $8,329 484.9% 1
SECURITY HP COMM - ALL OTHER PLANS $7,866 452.4% 1
THE ALLIANCE - ALL PLANS $6,052 325.0% 1
Aetna $4,752 233.7% 2
BCBS COMM - ALL OTHER PLANS $3,869 171.8% 1
UnitedHealthcare $1,785 25.3% 2
VA / CHAMPVA $1,424 0.0% 1
BCBS MCR ADV $1,424 0.0% 1
GROUP HLTH MCR ADV - ALL PLANS $1,424 0.0% 1
INDEPENDENT CARE MCR - ALL OTHER PLANS $1,424 0.0% 1
QUARTZ MCR ADV $1,424 0.0% 1
SECURITY HP MCR ADV $1,424 0.0% 1
SECURITY HP MCAID $1,050 -26.2% 1
INDEPENDENT CARE MCAID $1,050 -26.2% 1
BCBS MCAID $233 -83.6% 1
MANAGED HLTH MCAID - ALL PLANS $233 -83.6% 1
QUARTZ MCAID $210 -85.2% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.