CMS Price Transparency Data

Total knee replacement

Facility: South Peninsula Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $13,613
Cash Discount Price: $11,344
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at South Peninsula Hospital is $13,613. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,344. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.04x the Medicare baseline. Located in 4300 Bartlett St, Homer, AK.

Cash / Self-Pay

$11,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,613

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $11,344 (86%)

Insurance Median: $13,613 (104%)

Cash: $11,344 (86% of Medicare)

Ins. Median: $13,613 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Liberty Healthshare - All Plans	$2,165	17%
UnitedHealthcare	$3,608	28%
Premera First - All Plans	$5,874	45%
Blue Cross Blue Shield	$6,846	52%
Aetna	$12,857	98%
Geha - All Plans	$13,613	104%
Meritain - All Plans	$13,613	104%
Teamsters Emply - All Plans	$13,613	104%
Ufcw - All Plans	$13,613	104%
Cigna	$14,370	110%
Great West - All Plans	$14,370	110%
Moda - All Plans	$14,370	110%
Multiplan Phcs - All Plans	$14,370	110%
Pmcs - All Plans	$14,370	110%
First Choice Health - All Plans	$14,823	113%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $11,344.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27447.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Peninsula Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27447.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.