CMS Price Transparency Data

Total knee replacement

Facility: Glendale Adventist Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $1,332
  • Cash Discount Price: $408
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Glendale Adventist Medical Center is $1,332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $408. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.10x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$408

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,332

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: $408 (3%)
Insurance Median: $1,332 (10%)
Cash: $408 (3% of Medicare)
Ins. Median: $1,332 (10% 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
First Health- All Plans $370 - $4,081 3%
Phcs- All Plans $415 - $4,574 3%
Corvel- All Plans $510 - $5,630 4%
Health Mgmt Network - All Plans $542 - $5,981 4%
Kaiser - All Plans $542 - $5,981 4%
Bc Medi-Cal $638 - $1,489 5%
Blue Shield Medi-Cal $638 - $1,489 5%
Healthnet Mcal $638 - $1,774 5%
Heritage Mcal $638 - $1,579 5%
Medi-Cal $638 - $1,489 5%
Molina Mcal $638 - $1,489 5%
Alignment Hp Mcr Adv - All Plans $1,211 9%
Blue Shield Mcr Adv $1,211 9%
Caremore Mcr Adv - All Plans $1,211 9%
Clever Care Mcr Adv - All Plans $1,211 9%
Healthcare Partners- All Plans $1,211 9%
La Care Mcr Adv- All Plans $1,211 9%
Molina Mcr $1,211 9%
Scan Mcr Adv - All Plans $1,211 9%
Tricare $1,211 9%
UnitedHealthcare $1,211 - $1,784 9%
Blue Cross Blue Shield $1,260 - $3,262 10%
Ah Employee Health Plan - All Plans $1,332 10%
Heritage Commercial - All Other Plans $1,453 11%
Heritage Sr $1,453 11%
Regal Medical Group Commercial - All Other Plans $1,453 11%
Aetna $1,549 12%
Dept Of State Hsp Metropolitan- All Plans $1,575 12%
Cigna $1,597 12%
Molina Exchange - All Other Plans $1,635 12%
Western Growers/Pinnacle - All Plans $1,684 13%
Healthnet Mcr Adv $1,720 13%
Healthnet - All Other Plans $1,765 13%
Centivo - All Plans $1,817 14%
Blue Shield Epn - All Other Plans $2,273 17%
Blue Shield Non Epn $2,402 18%
Regal Med Group Mcal $16,513 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals