CMS Price Transparency Data

Total knee replacement

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $19,136
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at HCA Florida Gulf Coast Hospital is $19,136. 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 1.46x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,136

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: $19,136 (146%)
Ins. Median: $19,136 (146% 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 Healthcare $1,950 - $3,242 15%
Simply $2,250 17%
Corvel Corporation $5,450 - $19,073 42%
Prime Health $5,565 - $19,474 42%
Careworks (Rockport Community) $5,737 - $20,077 44%
Avmed $8,168 - $39,038 62%
Florida Complete Care $10,600 81%
Clear Spring Health $11,000 84%
Humana $11,000 - $34,002 84%
Align Senior Care $12,000 91%
Ultimate Health Plan $12,500 95%
Gold Kidney Of Florida $16,089 123%
Cigna $17,004 - $40,673 130%
American Health Plan $17,429 133%
Blue Cross Blue Shield $18,413 - $34,579 140%
Aetna $19,913 - $29,886 152%
Oscar $31,292 239%
Simply Healthcare $35,918 274%
United $41,000 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals