CMS Price Transparency Data

Total knee replacement

Facility: Grady Memorial Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,909
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Grady Memorial Hospital is $1,909. 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 0.15x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,909

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: $1,909 (15%)

Ins. Median: $1,909 (15% 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
Aetna	$204 - $12,802	2%
Ambetter / Centene	$204 - $12,802	2%
Blue Cross Blue Shield	$204 - $13,888	2%
Cigna	$204 - $17,719	2%
Humana	$204 - $12,802	2%
Kaiser	$204 - $12,802	2%
Medicare (plans)	$204 - $12,802	2%
UnitedHealthcare	$204 - $12,802	2%
Vaccn	$204 - $12,802	2%
Wellcare	$204 - $12,802	2%
Clear Spring Health	$214 - $13,442	2%
Clover	$214 - $13,442	2%
Usp Naphcare	$224 - $23,684	2%
Amerigroup	$225 - $2,105	2%
Caresource	$225 - $20,483	2%
Peach State	$225 - $2,105	2%
Oscar Health	$286 - $21,230	2%

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 Grady Memorial 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.