CMS Price Transparency Data

Total knee replacement

Facility: Adventist Health White Memorial

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $1,211
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Adventist Health White Memorial is $1,211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,211

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: $490 (4%)
Insurance Median: $1,211 (9%)
Cash: $490 (4% of Medicare)
Ins. Median: $1,211 (9% 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
Prospect Mg Com/Pos Profee Only-All Other Plan $191 - $300 1%
Prospect Mg Mcal Profee Only $191 - $300 1%
Prospect Mg Mcr Adv Profee Only $191 - $300 1%
Multiplan Ppo - All Plans $530 - $5,841 4%
Access Group $1,030 8%
Lasalle Mg Commercial - All Other Plans $1,030 8%
Access Senior - All Other Plans $1,211 9%
Ahp - All Other Plans $1,211 9%
Ahp Senior $1,211 9%
Altamed Connect $1,211 9%
Avanti Mcr Adv - All Other Plans $1,211 9%
Bella Vista Mcr Adv Op/Profee Only - All Other Pla $1,211 9%
Blue Cross Blue Shield $1,211 - $3,262 9%
Brand New Day Mcare - All Plans $1,211 9%
Bs Va Mcare $1,211 9%
Care First Mcare - All Other Plans $1,211 9%
Caremore Mcare - All Plans $1,211 9%
Clever Care - All Plans $1,211 9%
El Proyecto Comm Profee Only - All Other Plans $1,211 9%
El Proyecto Mcr Profee Only $1,211 9%
Fcs Ipa Mcr Advan Op/Profee Only $1,211 9%
Global Care Comm Profee Only - All Other Plans $1,211 9%
Global Care Mcr Profee Only $1,211 9%
Hcla Comm Profee Only - All Other Plans $1,211 9%
Hcla Mcr Profee Only $1,211 9%
Humana $1,211 9%
La Care Mcr Adv - All Plans $1,211 9%
Lasalle Mg Senior $1,211 9%
Medicare (plans) $1,211 9%
Pacific Alliance Mcare - All Other Plans $1,211 9%
Preferred Senior $1,211 9%
Scan Health Mcare - All Plans $1,211 9%
Sunlight Living Hlth Mcr Adv-All Other Plans $1,211 9%
Tricare $1,211 9%
UnitedHealthcare $1,211 - $1,784 9%
Fcs Ipa Op/Profee Only - All Other Plans $1,272 10%
Ah Employee Health Plan - All Plans $1,332 10%
Molina Benefit Exchange - All Other Plans $1,393 11%
Molina Mcare $1,393 11%
Preferred Commercial - All Other Plans $1,453 11%
Aetna $1,549 12%
Intergrated Medical - All Plans $1,575 12%
Cigna $1,597 12%
Western Growers/Pinnacle - All Plans $1,684 13%
Blue Shield Mcr Adv $1,720 13%
Healthnet - All Other Plans $1,765 13%
Healthnet Comm Care $1,765 13%
Centivo - All Plans $1,817 14%
Healthnet Mcr Adv $1,853 14%
Blue Shield Epn $2,460 19%
Blue Shield - All Other Plans $2,599 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1720 Cesar E Chavez Avenue, Los Angeles, CA 90033
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals