CMS Price Transparency Data

Total knee replacement

Facility: Boulder Community Health

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,669
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.20x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Boulder Community Health is $2,669. 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 0.20x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,669

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: $2,669 (20%)

Ins. Median: $2,669 (20% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$1,057	8%
Rocky Mountain Health Maintenance Organization	$1,057 - $13,440	8%
Colorado Access	$1,163 - $1,375	9%
Aetna	$1,267 - $20,303	10%
Blue Cross Blue Shield	$1,267 - $48,859	10%
Devoted Health	$1,267 - $12,931	10%
Health Spring	$1,267 - $12,931	10%
Humana	$1,267 - $12,931	10%
Medicare (plans)	$1,267 - $13,319	10%
UnitedHealthcare	$1,267 - $13,286	10%
Clear Spring	$1,305 - $13,319	10%
Select Health Colorado Public Option	$1,773 - $28,448	14%
Select Health Value Network	$1,773 - $30,129	14%
Kaiser Ppo	$1,951 - $12,780	15%
Kaiser Public Option	$1,951 - $10,703	15%
Beech Street Community Medical Associates	$1,964	15%
Multiplan	$2,043	16%
Phcs	$2,043	16%
Cigna	$2,068 - $22,935	16%
Kaiser	$12,720	97%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27447.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Boulder Community Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27447.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.