CMS Price Transparency Data

Total knee replacement

Facility: Oviedo Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $15,109
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Oviedo Medical Center is $15,109. 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 1.15x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,109

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: $15,109 (115%)
Ins. Median: $15,109 (115% 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
Freedom Health $1,950 15%
Molina Healthcare $1,950 15%
Optimum $1,950 15%
Simply $2,250 17%
Avmed $4,271 - $39,038 33%
Prime Health $5,983 - $20,937 46%
Cigna $7,321 - $16,759 56%
Florida Complete Care $10,600 81%
Careplus $11,000 84%
Clear Spring Health $11,000 84%
Humana $11,000 - $34,002 84%
Align Senior Care $12,000 91%
Ultimate Health Plan $12,500 95%
Truli For Health $13,332 102%
Blue Cross Blue Shield $14,130 - $28,970 108%
Gold Kidney Of Florida $16,089 123%
Devoted Health $16,759 128%
American Health Plan $17,429 133%
Aetna $24,257 - $29,886 185%
Evolutions $29,925 228%
Florida Health Care Plan $30,385 232%
Oscar $35,136 268%
Simply Healthcare $35,918 274%
United $40,109 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals