CMS Price Transparency Data
Total knee replacement
Facility: Monterey Park Hospital
Billing Code: 27447 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27447
- Insurance Median: $16,217
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Monterey Park Hospital is $16,217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.24x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$16,217
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%)
Insurance Median: $16,217 (124%)
Ins. Median: $16,217 (124% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $845 - $16,217 | 6% |
| Central Health Plan Of California | $1,020 | 8% |
| Associated Hispanic Physicians Ancillary | $1,045 - $1,489 | 8% |
| Allied Physicians Ipa | $1,100 | 8% |
| Tenet Reciprocity | $1,200 | 9% |
| Universal Care | $1,250 | 10% |
| Access Ipa Ancillary | $1,344 - $1,489 | 10% |
| Family Health Alliance Medical Group | $1,400 - $1,489 | 11% |
| Pacific Independent Physician Association | $1,400 - $2,136 | 11% |
| Accountable Ipa | $1,489 | 11% |
| Allied Physicians | $1,489 - $24,769 | 11% |
| Alta Med Health Services Corp | $1,489 - $16,217 | 11% |
| Altamed Health Network | $1,489 - $16,217 | 11% |
| Applecare Medical Group | $1,489 - $13,210 | 11% |
| Assess Ipa | $1,489 | 11% |
| Beverly Hospital | $1,489 - $18,164 | 11% |
| Blue Cross Blue Shield | $1,489 - $31,258 | 11% |
| Brand New Day | $1,489 - $20,641 | 11% |
| Care 1St Mcl/Gar Cap | $1,489 | 11% |
| Community Health Plan | $1,489 | 11% |
| Esperanza Medical Group Ipa | $1,489 | 11% |
| Health Net Medi Cal | $1,489 | 11% |
| Healthnet Inc | $1,489 | 11% |
| Healthy Way La | $1,489 | 11% |
| La Care | $1,489 - $16,513 | 11% |
| La Care Health Plan | $1,489 - $1,713 | 11% |
| Medical Managed Care Program | $1,489 | 11% |
| Molina Healthcare | $1,489 | 11% |
| Other Non-Contracted Medi-Cal | $1,489 | 11% |
| Preferred Ipa | $1,489 - $20,641 | 11% |
| Preferred Ipa Of California | $1,489 | 11% |
| Alhambra Community Dialysis Unit Inc | $1,922 | 15% |
| Aids Health Foundation | $2,136 - $16,217 | 16% |
| Bella Vista Medical Group Ancillary | $2,136 | 16% |
| Central Health Plan | $2,136 | 16% |
| Emanate Health | $2,136 - $20,641 | 16% |
| Maxi Med Inc/Ipa | $2,136 - $16,513 | 16% |
| Medi Cal | $2,136 | 16% |
| Healthnet | $2,365 | 18% |
| Blue Shield Of California | $2,495 - $16,513 | 19% |
| Asi Flex Ppo W/C | $2,500 | 19% |
| Health Net | $3,000 - $16,217 | 23% |
| Caloptima Direct | $3,140 | 24% |
| Care 1St M Cal | $5,000 | 38% |
| Garfield Medical Center | $5,000 | 38% |
| Veterans Administration | $11,559 | 88% |
| Molina Medical Centers | $12,458 | 95% |
| Bella Vista Medical Group | $13,210 | 101% |
| Senior Citizens Choice | $14,599 | 111% |
| Avanti | $14,861 - $19,815 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $14,861 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $14,861 | 113% |
| Ahmc Healthcare Inc | $16,217 - $16,513 | 124% |
| Apa/Aco Inc | $16,217 | 124% |
| Cms | $16,217 | 124% |
| Easy Choice Health Plan | $16,217 | 124% |
| First Health Senior | $16,217 | 124% |
| Foundation Health Plan | $16,217 | 124% |
| Health Net Inc | $16,217 - $57,844 | 124% |
| Humana | $16,217 | 124% |
| Medicare (plans) | $16,217 - $17,028 | 124% |
| Scan Health Plan | $16,217 | 124% |
| Secure Horizons | $16,217 | 124% |
| Ucla/Impact Cancer | $16,217 | 124% |
| UnitedHealthcare | $16,217 | 124% |
| Ahmc Reciprocity Agreement Senior/Commercial | $16,513 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $16,513 | 126% |
| La Care Covered Direct | $16,513 | 126% |
| Self-Pay | $16,513 | 126% |
| Molina Healthcare Medi-Connect | $17,028 | 130% |
| San Miguel Health Plan | $18,164 | 138% |
| Preferred Health Network | $20,500 | 156% |
| Ahmc Health Epo | $20,641 | 157% |
| Knox-Keene Act | $20,641 | 157% |
| Molina Healthcare Of California | $20,641 | 157% |
| Interplan | $20,932 | 160% |
| Athens Administrators | $21,579 | 165% |
| Indemnity W Comp Fee Schedule | $21,579 | 165% |
| Multiplan | $21,579 | 165% |
| Alignment Health Plan | $21,893 | 167% |
| One Health Plan | $30,000 | 229% |
| Pacificare | $31,113 - $39,056 | 237% |
| Choice Care Network | $32,500 | 248% |
| Corvel Corporation | $40,000 | 305% |
| Health Net Of California | $49,175 | 375% |