CMS Price Transparency Data

Total knee replacement

Facility: HCA Florida Orange Park Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $18,951
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at HCA Florida Orange Park Hospital is $18,951. 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 1.44x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,951

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: $18,951 (144%)

Ins. Median: $18,951 (144% 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
Optimum Healthcare	$1,950	15%
Simply Healthcare	$2,250 - $28,557	17%
Medicare (plans)	$2,340	18%
Positive Healthcare	$2,450	19%
Molina Healthcare	$2,702	21%
Corvel Corporation	$5,850 - $20,473	45%
Prime Health	$5,973 - $20,904	46%
Florida Complete Care	$10,600	81%
Cigna	$10,835 - $16,759	83%
Careplus	$11,000	84%
Humana	$11,000 - $34,002	84%
Gold Kidney	$16,089	123%
Blue Cross Blue Shield	$16,132 - $42,938	123%
Devoted Health	$16,759	128%
American Health Plan	$17,429	133%
Avmed	$23,133 - $39,037	176%
Aetna	$24,488 - $29,886	187%
Oscar	$35,272	269%
United	$46,000	351%

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 HCA Florida Orange Park Hospital 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.