CMS Price Transparency Data

Total knee replacement

Facility: Crestwood Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $11,866
  • Cash Discount Price: $28,469
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Crestwood Medical Center is $11,866. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,469. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.90x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$28,469

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,866

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: $28,469 (217%)
Insurance Median: $11,866 (90%)
Cash: $28,469 (217% of Medicare)
Ins. Median: $11,866 (90% 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.

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
Medicaid / KanCare $511 4%
Veterans Eval Services $1,138 9%
Aetna $1,900 - $11,777 14%
Cigna $2,620 - $11,664 20%
UnitedHealthcare $8,612 - $11,633 66%
Blue Cross Blue Shield $11,435 - $13,650 87%
Humana $11,435 87%
Medicare (plans) $11,435 87%
Node Windsor Mcr Adv $11,435 87%
Viva Health $11,435 87%
Node Select Health Mcr Adv $11,550 88%
Alacare Hospice $11,633 89%
Hospice $11,633 89%
Node Va $11,633 89%
Node Devoted Health Mcr Adv $11,664 89%
Node Clover Health Mcr Adv $11,750 90%
Node Wellcare Mcr Adv $11,866 90%
Node Prime Health Mcr Adv $12,236 93%
Node Us Dept Of Labor $14,394 110%
Occunet $14,542 111%
Ambetter / Centene $17,450 133%
Self Pay $28,469 217%
American Employee Alliance $63,265 482%
Wc Hart & Cooley $63,265 482%
Alamed $79,081 603%
Wc Acs Compiq Xerox $97,428 743%
Fortified $109,607 - $126,530 836%
Core Choice $110,714 - $115,696 844%
Prime Health $110,714 - $121,785 844%
Coventry $112,043 854%
Rockport $113,260 863%
America'S Choice $115,696 - $126,530 882%
Novanet $115,696 - $118,622 882%
Wc Al $121,785 928%
Multiplan $134,438 1025%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals