CMS Price Transparency Data

Total knee replacement

Facility: HCA Florida Kendall Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $16,089
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at HCA Florida Kendall Hospital is $16,089. 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 1.23x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,089

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: $16,089 (123%)
Ins. Median: $16,089 (123% 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
Molina $1,950 - $2,702 15%
Health Sun Health Plan $2,050 16%
Simply Healthcare Plans $2,160 16%
Mmm Of Fl (Health Advantage Plan) $2,250 17%
Freedom Health $2,350 18%
Optimum $2,350 18%
Aids Healthcare $2,450 19%
Medica Healthcare $2,850 22%
Corvel Corporation $6,379 - $22,322 49%
Careworks (Rockport) $6,513 - $22,792 50%
Prime Health $6,513 - $22,792 50%
Cigna $6,802 52%
Florida Complete Care $10,600 81%
Careplus Sfl $11,000 84%
Humana $11,000 - $34,002 84%
Prominence Healthfirst $11,000 84%
Avmed $11,960 - $39,037 91%
Align $12,000 91%
Oscar $12,000 - $32,583 91%
Blue Cross Blue Shield $13,617 - $18,507 104%
Gold Kidney $16,089 123%
Devoted Health $16,759 128%
American Health Plan $17,429 133%
Aetna $22,787 - $29,886 174%
Simply Healthcare $29,440 224%
Amerihealth Caritas $35,069 267%
United $42,000 320%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals