CMS Price Transparency Data

Total knee replacement

Facility: Oroville Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $4,828
Cash Discount Price: $1,887
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Oroville Hospital is $4,828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,887. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.37x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$1,887

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,828

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: $1,887 (14%)

Insurance Median: $4,828 (37%)

Cash: $1,887 (14% of Medicare)

Ins. Median: $4,828 (37% 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
Blue Cross Blue Shield	$407 - $6,639	3%
Butte County	$525 - $2,101	4%
Cigna	$1,207 - $4,828	9%
Coventry Health Care	$1,207 - $4,828	9%
Health Net	$1,207 - $4,828	9%
Multiplan	$1,207 - $4,828	9%
Interplan	$1,283 - $5,130	10%
Three Rivers Provider Network	$1,283 - $5,130	10%
UnitedHealthcare	$1,283 - $12,540	10%
Beech Street	$1,358 - $5,432	10%
Healthstar	$1,358 - $5,432	10%
Health Payors Organization	$1,434 - $5,733	11%
Blue Shield Of California	$1,464 - $5,854	11%
Blue Shield Value Network	$1,623	12%
Aetna	$12,540	96%
Community Care	$12,540	96%
Nivano Physicians Inc	$12,540	96%
River City Medical Group	$13,794	105%
Partnership Healthplan Of California	$20,691	158%

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 $1,887.
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 Oroville 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.