CMS Price Transparency Data

Total knee replacement

Facility: Chino Valley Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $16,432
  • Cash Discount Price: $16,431
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Chino Valley Medical Center is $16,432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,431. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.25x the Medicare baseline. Located in 5451 Walnut Ave, Chino, CA.
Cash / Self-Pay
$16,431

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,432

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: $16,431 (125%)
Insurance Median: $16,432 (125%)
Cash: $16,431 (125% of Medicare)
Ins. Median: $16,432 (125% 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
Blue Shield Of Promise $2,136 16%
Molina $2,136 - $16,432 16%
Traditional Medi-Cal $2,136 16%
Vantage Care $2,136 - $16,432 16%
Blue Cross Blue Shield $2,243 17%
Health Net Of Ca $2,286 - $23,990 17%
Inland Empire Health Plan $3,097 - $20,540 24%
Rios $15,610 119%
Alignment $16,432 125%
Blue Shield Of Ca Triwest Healthcare Ccn $16,432 125%
Central Health Plan $16,432 125%
Choice Physicians Network $16,432 125%
Citrus Valley Physicians Group $16,432 125%
Emanate Health $16,432 - $32,864 125%
Epic Health Plan $16,432 125%
Inland Empire Foundation For Medical Care $16,432 125%
Medicare (plans) $16,432 125%
Prime Healthcare Services $16,432 125%
Renal Payer Solutions $16,432 125%
Tricare $16,432 125%
Brand New Day $16,596 - $24,648 127%
Neighborhood $16,760 128%
Imperial Health Plan Of Ca $17,418 133%
Health Net Federal Services Cdcr $20,540 157%
Aetna $20,997 160%
Worker Compensation $21,646 165%
Employer Direct Healthcare $23,004 175%
Naphcare $25,469 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5451 Walnut Ave, Chino, CA 91710
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals