CMS Price Transparency Data
Total knee replacement
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 27447 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27447
- Insurance Median: $24,246
- Cash Discount Price: $46,531
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $24,246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46,531. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.85x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$46,531
Average discount available for prompt cash payment at this facility.
Insurance Median
$24,246
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: $46,531 (355%)
Insurance Median: $24,246 (185%)
Cash: $46,531 (355% of Medicare)
Ins. Median: $24,246 (185% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Community Health Group [1022] | $116 | 1% |
| Health Net [1039] | $122 - $54,992 | 1% |
| Champva [1020] | $1,365 | 10% |
| Mid County Physicians Med Grp [1054] | $1,365 | 10% |
| Alameda Alliance For Health [2027] | $2,136 | 16% |
| Alignment Health Plan [2020] | $2,136 | 16% |
| Blue Cross Blue Shield | $2,136 - $49,611 | 16% |
| Brand New Day [1089] | $2,136 | 16% |
| California Department Of Public Health [1237] | $2,136 | 16% |
| California Health & Wellness Medi-Cal [1122] | $2,136 | 16% |
| Cms - County Medical Services [1025] | $2,136 - $54,992 | 16% |
| Community Care Ipa [1131] | $2,136 | 16% |
| Federal Prison [1031] | $2,136 | 16% |
| Gold Coast Health Plan [2031] | $2,136 | 16% |
| Health Plan Of San Joaquin [2032] | $2,136 | 16% |
| Hemet Community Med Grp - Promisecare [1040] | $2,136 | 16% |
| Imperial Health Holdings [1132] | $2,136 | 16% |
| Kern Health Systems [2033] | $2,136 | 16% |
| La Care Health Plan [2025] | $2,136 | 16% |
| Medicaid / KanCare | $2,136 | 16% |
| Regal Mg 'Heritage Provider Network' [2019] | $2,136 | 16% |
| San Diego County [1071] | $2,136 - $42,301 | 16% |
| Sd Physicians Med Grp [1076] | $2,136 - $54,992 | 16% |
| State Of California [1082] | $2,136 | 16% |
| UnitedHealthcare | $2,136 - $59,222 | 16% |
| Unlisted Mcal Hmo Non-Contract [1049] | $2,136 | 16% |
| Inland Empire Health Plan Transplant [1126] | $2,991 | 23% |
| Inland Empire Health Plan [1121] | $2,991 | 23% |
| Cal Optima [1016] | $3,097 | 24% |
| Blue Shield [1014] | $9,258 - $35,888 | 71% |
| Aetna | $10,152 - $42,809 | 77% |
| Cigna | $10,152 - $50,762 | 77% |
| Humana | $10,152 - $71,912 | 77% |
| Mc Blue Shield Generic Payor [164016] | $10,152 | 77% |
| Mc Blue Shield Hmo [164015] | $10,152 | 77% |
| Mc Brand New Day Generic Payor [164031] | $10,152 | 77% |
| Mc Brand New Day Hmo [164030] | $10,152 | 77% |
| Mc Healthnet Generic Payor [164010] | $10,152 | 77% |
| Mc Healthnet Hmo [164004] | $10,152 | 77% |
| Mc Hnet Blue&Gold Aco [164017] | $10,152 | 77% |
| Mc Scan Generic Payor [164034] | $10,152 | 77% |
| Mc Scan Hmo [164035] | $10,152 | 77% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $10,152 | 77% |
| Alternate Blue Shield [2002] | $11,865 | 90% |
| Blue Shield Transplants [1113] | $11,865 | 90% |
| Alternate Scan Health [2088] | $16,349 | 125% |
| Molina [1055] | $16,349 | 125% |
| Pace [2044] | $16,349 | 125% |
| San Diego Pace [2046] | $16,349 | 125% |
| Scan Health [1072] | $16,349 | 125% |
| Ucr Prompt Pay Payor [8240] | $17,174 | 131% |
| Alternate Healthnet [1007] | $29,357 - $41,032 | 224% |
| Multicultural Med Grp [1057] | $30,711 | 234% |
| Elizabeth Hospice [2018] | $33,841 | 258% |
| Scripps Clinic [1073] | $33,841 - $50,762 | 258% |
| Blue Shield Promise [1017] | $38,071 | 290% |
| Alternate Health Net Bh [2059] | $41,032 | 313% |
| Healthnet Transplants [1114] | $41,032 | 313% |
| Usoc - Us Olympic Committee [1123] | $41,794 | 319% |
| Global Excel [1036] | $42,301 | 322% |
| Sharp Health Plan [1079] | $42,301 - $42,724 | 322% |
| Graybill Med Grp [1037] | $42,724 | 326% |
| Sharp Community Med Grp [1078] | $42,724 | 326% |
| Sharp Rees Stealy [1080] | $42,724 | 326% |
| Olympus Managed Healthcare Inc [1102] | $42,809 | 326% |
| Scripps Health Plan Services [1075] | $50,762 | 387% |
| Vantage [1092] | $50,762 | 387% |
| Alternate Sheriff Custody [1106] | $54,992 | 419% |
| Arch Health Partners [2000] | $54,992 | 419% |
| Axa Assistance [1098] | $54,992 | 419% |
| Cassidy Med Grp [1019] | $54,992 | 419% |
| Cmn - Canadian Medical Network [1024] | $54,992 | 419% |
| Ets - Lifetrac Network [1103] | $54,992 | 419% |
| Health Net Bh (Mhn) [1038] | $54,992 | 419% |
| Health Net Bh (Mhn) [2010] | $54,992 | 419% |
| Interlink Health Services Transplant [1124] | $54,992 | 419% |
| Interlink Health Transplant [2085] | $54,992 | 419% |
| Mgm Resorts [1053] | $54,992 | 419% |
| National Healthcare Solutions Inc [1100] | $54,992 | 419% |
| Quality Health [1069] | $54,992 | 419% |
| San Diego County Sheriff Custody [2012] | $54,992 | 419% |
| Scripps Coastal Med Grp [1074] | $54,992 | 419% |
| Tri-City [1085] | $54,992 | 419% |
| Kaiser [1046] | $56,684 | 432% |
| Embassy Sponsored [1101] | $57,530 - $59,222 | 439% |
| Interplan [1045] | $59,222 | 451% |
| Mercy Physicians Med Grp [1052] | $59,222 | 451% |
| Pacific Foundation [1063] | $59,222 | 451% |
| Beech Street [1012] | $63,452 | 484% |
| First Health [1032] | $63,452 | 484% |
| Admar [1001] | $65,144 | 497% |
| Bps - Benefit Plan Services [1015] | $65,144 | 497% |
| Multiplan [1058] | $65,144 | 497% |
| Private Healthcare Systems [1067] | $65,144 - $84,603 | 497% |
| Carnival Cruises [1018] | $67,682 | 516% |
| Alternate Kaiser Rad Onc [2089] | $84,603 | 645% |
| Sharp Healthcare Transplant [1119] | $114,214 | 871% |