CMS Price Transparency Data

Total knee replacement

Facility: Desert Valley Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $8,987
  • Cash Discount Price: $16,431
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Desert Valley Hospital is $8,987. 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 0.69x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.
Cash / Self-Pay
$16,431

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,987

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: $8,987 (69%)
Cash: $16,431 (125% of Medicare)
Ins. Median: $8,987 (69% 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 - $8,987 16%
Heritage Victor Valley Medical Group $2,136 - $8,987 16%
High Desert Pace $2,136 - $8,987 16%
Molina $2,136 - $8,987 16%
Traditional Medi-Cal $2,136 16%
Vantage Care $2,136 - $8,987 16%
Health Net Of Ca $2,286 - $8,987 17%
Inland Empire Health Plan $3,097 - $8,987 24%
Aetna $8,987 69%
Alignment $8,987 69%
Blue Cross Blue Shield $8,987 69%
Blue Shield Of Ca $8,987 69%
Brand New Day $8,987 69%
Choice Physicians Network $8,987 69%
Elite Health Plan $8,987 69%
Employer Direct Healthcare $8,987 69%
Epic Health Plan $8,987 69%
High Desert Primary Care $8,987 69%
Imperial Health Plan Of Ca $8,987 69%
Inland Empire Foundation For Medical Care $8,987 69%
Medicare (plans) $8,987 69%
Naphcare $8,987 69%
Prime Health Services Inc $8,987 69%
Renal Payor Solutions $8,987 69%
The Geo Group Inc $8,987 69%
Tricare $8,987 69%
UnitedHealthcare $8,987 69%
Wellpath $8,987 69%
Workers Compensation $8,987 69%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16850 Bear Valley Rd, Victorville, CA 92395
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals