CMS Price Transparency Data

Total knee replacement

Facility: Jay Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $6,356
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Jay Hospital is $6,356. 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 0.48x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,356

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: $6,356 (48%)
Ins. Median: $6,356 (48% 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
Wellcare $2,841 22%
Aetna $6,053 46%
Cha Health Plan $6,053 46%
Simply Healthcare Healthy Kids $6,053 46%
Humana $6,356 - $13,174 48%
Staywell $6,356 48%
Sunshine Health $6,356 48%
UnitedHealthcare $9,278 71%
Fl Community Care Ltc $9,927 76%
Medicare (plans) $11,846 90%
Fl Blue $27,122 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals