CMS Price Transparency Data

Total knee replacement

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $19,350
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Hazel Hawkins Memorial Hospital is $19,350. 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 1.48x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,350

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: $19,350 (148%)
Ins. Median: $19,350 (148% 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
Triwest - All Plans $299 2%
Tricare $309 2%
Blue Cross Blue Shield $315 - $23,140 2%
Blue Shield Mcare $315 2%
Caremore Med Adv - All Plans $315 2%
Kaiser Med Adv $315 2%
Central Hp Med Adv $331 3%
Kaiser Mcal $1,489 11%
Medi-Cal $1,489 11%
Valley Hp Mcal $1,489 11%
Ccah Mcal - All Plans $2,383 18%
UnitedHealthcare $6,016 - $17,355 46%
Valley Hp Covered Ca $12,148 93%
Valley Hp Preferred $12,148 93%
Kaiser Comm - All Other Plans $13,652 104%
Blue Shield Of Ca - All Other Plans $14,023 107%
Valley Hp Classic - All Other Plans $14,578 111%
Pacific Hlth Alliance - All Plans $19,350 148%
Beech Street Corp Ppo - All Plans $19,669 150%
Cigna $19,669 150%
Corvel Ppo - All Plans $19,669 150%
First Health Ppo - All Plans $19,669 150%
Great West Ppo - All Plans $19,669 150%
Nx Health Network - All Plans $19,669 150%
Interplan Ppo - All Plans $20,363 155%
Bce Emergis/Multi Ppo - All Plans $20,826 159%
Healthnet Hmo $20,826 159%
Healthnet Ppo - All Other Plans $20,826 159%
Metracomp Wc Ppo - All Plans $20,826 159%
One Hp Ppo - All Plans $20,826 159%
Admar Ppo - All Plans $21,057 161%
Ccn Ppo - All Other Plans $21,983 168%
Choicecare Ppo/Hmo - All Plans $21,983 168%
Coastal Hlthcre Ppo/Hmo - All Plans $21,983 168%
Ccn (W/C) $23,140 176%
Central Coast Ppo - All Other Plans $23,140 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals