CMS Price Transparency Data

Total knee replacement

Facility: Mercyone Newton Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $523
  • Cash Discount Price: $2,821
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Mercyone Newton Medical Center is $523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,821. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.04x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$2,821

Average discount available for prompt cash payment at this facility.

Insurance Median
$523

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%)
Cash / Self-Pay: $2,821 (22%)
Insurance Median: $523 (4%)
Cash: $2,821 (22% of Medicare)
Ins. Median: $523 (4% 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
Iowa Total Care $117 - $14,807 1%
Usa Managed Care $117 - $1,522 1%
Albany County Correctional Facility $118 - $1,107 1%
Ambetter / Centene $118 - $20,833 1%
Amish Mennonite $118 - $1,107 1%
Ascension St. Vincent Public Safety Medical $118 - $1,107 1%
Bcccp-Michigan $118 - $1,107 1%
Bccp $118 - $1,107 1%
Blue Cross Blue Shield $118 - $13,117 1%
Bmc Healthnet $118 - $1,107 1%
Breast Grant-Connecticut $118 - $1,107 1%
Broward County Dept Of Health $118 - $1,107 1%
California Health And Wellness $118 - $1,107 1%
Can Community Health Inc $118 - $1,107 1%
Cardinal Innovations Lme $118 - $1,107 1%
Care Connections Of Northern Iowa $118 - $1,107 1%
Care Oregon Ohp $118 - $1,107 1%
Cencal Health Plan $118 - $1,107 1%
Cenpatico $118 - $1,107 1%
Chhuny $118 - $1,107 1%
Childrens Comm Health Plan $118 - $1,107 1%
Childrens Medical Services Title 19 $118 - $1,107 1%
Cigna $118 - $2,583 1%
City Of Philadelphia $118 - $1,107 1%
Cmh Allegan County $118 - $1,107 1%
Cmh Ausable Valley $118 - $1,107 1%
Cmh Barry County $118 - $1,107 1%
Cmh Bay-Arenac County $118 - $1,107 1%
Cmh Berrien County $118 - $1,107 1%
Cmh Cass County $118 - $1,107 1%
Cmh Central Mi County $118 - $1,107 1%
Cmh Clinton-Eaton-Ingham County $118 - $1,107 1%
Cmh Detroit Wayne Integrated Health Network $118 - $1,107 1%
Cmh Genesee County $118 - $1,107 1%
Cmh Ionia County $118 - $1,107 1%
Cmh Jackson County/Lifeways $118 - $1,107 1%
Cmh Kalamazoo $118 - $1,107 1%
Cmh Kent County $118 - $1,107 1%
Cmh Lenawee County $118 - $1,107 1%
Cmh Livingston County $118 - $1,107 1%
Cmh Macomb $118 - $1,107 1%
Cmh Misc $118 - $1,107 1%
Cmh Monroe County $118 - $1,107 1%
Cmh Montcalm County $118 - $1,107 1%
Cmh Muskegon County $118 - $1,107 1%
Cmh Newaygo County $118 - $1,107 1%
Cmh North Country $118 - $1,107 1%
Cmh Northern Lakes County $118 - $1,107 1%
Cmh Oakland County $118 - $1,107 1%
Cmh Ottawa County $118 - $1,107 1%
Cmh Van Buren County $118 - $1,107 1%
Cmh Washtenaw County $118 - $1,107 1%
Cmh Wayne County/Carelink $118 - $1,107 1%
Cmh Wayne Cty/Com Liv Svcs $118 - $1,107 1%
Cmh West Mi County $118 - $1,107 1%
Community Benefit Health $118 - $1,107 1%
Community Care Behavorial Health $118 - $1,107 1%
Community Care Partners $118 - $1,107 1%
Community Health Choice $118 - $1,107 1%
Connections Csp $118 - $1,107 1%
County Coroner $118 - $1,107 1%
County Funding Generic $118 - $1,107 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $118 - $1,107 1%
Dean Wi Badgercare $118 - $1,107 1%
Delaware County Department Of Health $118 - $1,107 1%
Delaware First Health $118 - $1,107 1%
Delta Dental Nj $118 - $1,107 1%
Dph Tb Program $118 - $1,107 1%
Dscc $118 - $1,107 1%
Eastpointe Lme $118 - $1,107 1%
Family Health Network $118 - $1,107 1%
Freedom First Healthcare $118 - $1,107 1%
Fresno County Ccs $118 - $1,107 1%
Ghc Scw Wi Badgercare $118 - $1,107 1%
Harbor Health $118 - $1,107 1%
Health Safety Net $118 - $1,107 1%
Healthy Blue Ne $118 - $1,107 1%
Hennepin Health $118 - $1,107 1%
Humana $118 - $1,255 1%
Id County Ada $118 - $1,107 1%
Id County Canyon $118 - $1,107 1%
Id County Cat Fund $118 - $1,107 1%
Id County Other $118 - $1,107 1%
Id County Payette $118 - $1,107 1%
Idaho Dept Health And Wellfare $118 - $1,107 1%
Idaho Womens Health Check $118 - $1,107 1%
Indiana Breast Cervical Cancer $118 - $1,107 1%
Inland Empire Health Plan $118 - $1,107 1%
Intercommunity Health Ohp $118 - $1,107 1%
Jai Medical System $118 - $1,107 1%
Kern Family Health Plan $118 - $1,107 1%
Keystone First $118 - $1,107 1%
Keystone First Chip $118 - $1,107 1%
La Care Health Plan $118 - $1,107 1%
Lakeland Care Inc $118 - $1,107 1%
Managed Health Services - Indiana $118 - $1,107 1%
Maryland Breast & Cervical Program $118 - $1,107 1%
Maryland Healthy Smiles - Scion Dental $118 - $1,107 1%
Maryland Physicians Care $118 - $1,107 1%
Massachusetts Behavioral Health Partnership $118 - $1,107 1%
Mdwise $118 - $1,107 1%
Medi-Cal $118 - $1,107 1%
Medi-Cal Healthnet $118 - $1,107 1%
Medicaid / KanCare $118 - $15,010 1%
Medstar Dc Healthy Family $118 - $1,107 1%
Medstar Md Health Choice $118 - $1,107 1%
Mo Home State Health Plan $118 - $1,107 1%
Molina Centennial Care $118 - $1,107 1%
Nascentia Health Options $118 - $1,107 1%
New York Cancer Services Program $118 - $1,107 1%
Nextlevel Health $118 - $1,107 1%
Oregon Screenwise $118 - $1,107 1%
Pace Of Southwest Michigan $118 - $1,107 1%
Paramount Advantage $118 - $1,107 1%
Parkland Community Health Plan $118 - $1,107 1%
Partners Behavioral Lme $118 - $1,107 1%
Peach State Healthplan $118 - $1,107 1%
Philadelphia County Funding $118 - $1,107 1%
Presbyterian Centennial Care $118 - $1,107 1%
Prestige Health Choice $118 - $1,107 1%
Priority Partners $118 - $1,107 1%
Quiktrip $118 - $1,530 1%
Robert F Sing Program $118 - $1,107 1%
Rx 340B Pass Along $118 - $1,107 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $118 - $1,107 1%
Rx Medi-Cal $118 - $1,107 1%
Rx Meridian Rx $118 - $1,107 1%
Ryan White Florida Mssrp $118 - $1,107 1%
Sandhills Center Lme $118 - $1,107 1%
Screening For Life $118 - $1,107 1%
St Joseph County Hlth Dpt $118 - $1,107 1%
Sunshine State Health Plan $118 - $1,107 1%
Superior Health $118 - $1,107 1%
Tenncare $118 - $1,107 1%
Texas Children'S Health Plan $118 - $1,107 1%
Trillium Community Ohp $118 - $1,107 1%
Tufts Health Public Plans $118 - $1,107 1%
UnitedHealthcare $118 - $12,396 1%
Vaya Health Lme $118 - $1,107 1%
Washtenaw Health Plan $118 - $1,107 1%
Wellsense Health Plan $118 - $1,107 1%
Wi Womens Wellness $118 - $1,107 1%
Wc Corvel $119 - $745 1%
Wellpoint $119 - $1,140 1%
Aetna $123 - $12,153 1%
Align Senior Care $123 - $769 1%
Ally Align Care Adv $123 - $769 1%
American Health Advantage Of Idaho $123 - $769 1%
Aurora Special Needs $123 - $769 1%
Blue Care Network Advantage $123 - $769 1%
Blue Shield - De (Highmark) Medciare Advantage $123 - $769 1%
Care Dimensions $123 - $769 1%
Care Improvement Plus $123 - $769 1%
Care Resources Pace $123 - $769 1%
Careplus Health Plans $123 - $769 1%
Cca - Zing Health $123 - $769 1%
Cca Senior Care Options $123 - $769 1%
Central Valley Medical Services Corp Pace $123 - $769 1%
Champion Health Plan Mcr Advantage $123 - $769 1%
Clear Spring Health $123 - $769 1%
Clover Health $123 - $769 1%
Commonwealth Care Alliance $123 - $769 1%
Community Pace At Home $123 - $769 1%
Eddy Senior Care-Pace $123 - $769 1%
Eddy Seniorcare Pace $123 - $769 1%
Elementcare $123 - $769 1%
Evercare $123 - $769 1%
Everence $123 - $769 1%
Gateway Health Plan $123 - $769 1%
Genesys Pace Of Genesee County $123 - $769 1%
Georgia Health Advantage $123 - $769 1%
Gold Advantage $123 - $769 1%
Gpa Croell Redi Mix $123 - $769 1%
Health America Advantra $123 - $769 1%
Highmark Health Options Dual Plan $123 - $769 1%
Hope Select Pace $123 - $769 1%
Horizon Nj Total Care $123 - $769 1%
Hudson Headwaters Pace $123 - $769 1%
Huron Valley Pace $123 - $769 1%
Innovative Integrated Health Community Plans $123 - $769 1%
Johns Hopkins Advantage Md $123 - $769 1%
Lasso Healthcare Msa $123 - $769 1%
Life St Marys Pace $123 - $769 1%
Lifecircles Pace $123 - $769 1%
Longevity Health Plan $123 - $769 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $123 - $769 1%
Martins Point Generations Advantage $123 - $769 1%
Mass General Brigham Mcr Adv $123 - $769 1%
Medicare (plans) $123 - $12,649 1%
Medipak Advantage $123 - $769 1%
Mercy Life $123 - $769 1%
Mercyone Cedar Valley $123 - $769 1%
Meridian Complete $123 - $769 1%
Michigan Complete Health $123 - $769 1%
Nascentia Health Plus $123 - $769 1%
New Centry Health Careplus $123 - $769 1%
Osu Prime Care Advantage $123 - $769 1%
Pace Cny $123 - $769 1%
Pace Iowa Immanuel Pathways $123 - $769 1%
Pace Southeast $123 - $769 1%
Pace-Trinity Health $123 - $769 1%
Peak Pace Solutions $123 - $769 1%
Perennial Advantage $123 - $769 1%
Preferred Care Partners $123 - $769 1%
Presbyterian Senior Plan $123 - $769 1%
Provider Partners Health Plan Of Illinois $123 - $769 1%
Provider Partners Health Plan Of Indiana $123 - $769 1%
Pruitthealth Premier $123 - $769 1%
Reliance Community Care Partners Care Resources Pace $123 - $769 1%
Rx Allwin $123 - $769 1%
Rx Grane Grnmedd $123 - $769 1%
Rx Retiree Rx Care $123 - $769 1%
Scan Health Plan Mcr Ipa Meritage Oon $123 - $769 1%
Secure Horizons Ma Pffs $123 - $769 1%
Serenity Pace $123 - $769 1%
Siouxland Pace $123 - $769 1%
Solis Health Plans $123 - $769 1%
Sunnyview-Pace Finance Dept $123 - $769 1%
Texan Plus $123 - $769 1%
The Health Plan $123 - $769 1%
Thome Pace $123 - $769 1%
Todays Options $123 - $769 1%
Tribute Health Plans $123 - $769 1%
Um Health Advantage $123 - $769 1%
Union Health Service $123 - $769 1%
Welbe Health $123 - $769 1%
Wellmed $123 - $769 1%
Claimdoc $126 - $24,925 1%
Veterans Administration $126 - $784 1%
The Alliance $127 - $1,647 1%
Avera $128 - $1,204 1%
American Health Plan $129 - $807 1%
Iowa Health Advantage $129 - $807 1%
Champva $137 - $858 1%
Global Excel $137 - $1,773 1%
Tricare $137 - $858 1%
Triwest Health Alliance $137 - $858 1%
Us Family Health Plan $137 - $858 1%
Veterans Eval Services $137 - $858 1%
Medical Associates $140 - $1,310 1%
Centivo $142 - $17,894 1%
Velocity $142 - $1,843 1%
Preferred One $148 - $1,925 1%
Sanford Health Plan $148 - $1,392 1%
Health Partners $150 - $2,235 1%
Lucent Health $151 - $1,412 1%
Ucare $151 - $1,413 1%
Health Smart $155 - $1,451 1%
Oscar $157 - $17,621 1%
Stephenson Cty Health $161 - $1,005 1%
Amish Hospital Aid $167 - $16,493 1%
Amps $169 - $1,059 1%
Bcn Domestic $170 - $1,871 1%
Blue Benefit Administrators Of Massachusetts $170 - $13,117 1%
Blue Care Network $170 - $13,117 1%
Blue Distinction Transplant $170 - $13,117 1%
Blue Shield - Ca $170 - $13,117 1%
Blue Shield - Id (Regence) $170 - $13,117 1%
Blue Shield - Ny Highmark Northeastern $170 - $13,117 1%
Blue Shield - Ny Highmark Western $170 - $13,117 1%
Blue Shield - Pa (Highmark) $170 - $13,117 1%
Blue Shield - Wa (Regence) $170 - $13,117 1%
Health Choices $170 - $2,583 1%
Kaiser Domestic $170 - $1,871 1%
Pre-Employment $170 - $1,871 1%
Wc Domestic $170 - $1,871 1%
Geha $179 - $2,323 1%
Multiplan $215 - $2,152 2%
Iowa Dept Of Public Health $226 - $2,821 2%
Nebraska Total Care $226 - $2,821 2%
Meritain $269 - $2,964 2%
Newton Correctional Facility $293 - $3,667 2%
Genex Wc $339 - $4,232 3%
Allied Benefit Systems $344 - $2,583 3%
Auxiant $344 - $2,583 3%
First Choice Health $344 - $2,583 3%
Group Administrators $344 - $2,583 3%
Midlands $344 - $2,583 3%
Midlands Choice $344 - $2,583 3%
Wc Align Network $361 - $4,514 3%
Wc Praxis Health Network $384 - $4,796 3%
Wc Reny Company $393 - $4,909 3%
Wc Velocity $393 - $4,909 3%
Auto Velocity $406 - $5,078 3%
Wc O'Hara Corp $406 - $5,078 3%
Andrie Inc $451 - $5,642 3%
East Greenbush Central School District $451 - $5,642 3%
Healthsmart Workers Comp $451 - $5,642 3%
Jag Source $451 - $5,642 3%
New York State Insurance Fund $451 - $5,642 3%
Njm Insurance Group $451 - $5,642 3%
Rx Heatlhcomp $451 - $5,642 3%
Rx Restat $451 - $5,642 3%
Rx Saif Opdp Wc $451 - $5,642 3%
Rx Worker'S Comp $451 - $5,642 3%
Wc Accident Fund $451 - $5,642 3%
Wc Ace $451 - $5,642 3%
Wc Acs Federal Employees $451 - $5,642 3%
Wc Acuity $451 - $5,642 3%
Wc Advantage $451 - $5,642 3%
Wc Aegis $451 - $5,642 3%
Wc Aig $451 - $5,642 3%
Wc Aims $451 - $5,642 3%
Wc Alaska National Ins $451 - $5,642 3%
Wc Allied $451 - $5,642 3%
Wc Am Trust N America $451 - $5,642 3%
Wc American Claims Mgmt $451 - $5,642 3%
Wc Amerisure $451 - $5,642 3%
Wc Amtrust $451 - $5,642 3%
Wc Asu Risk Mgt $451 - $5,642 3%
Wc Benetech $451 - $5,642 3%
Wc Berkley Admin $451 - $5,642 3%
Wc Broadspire $451 - $5,642 3%
Wc Broward County $451 - $5,642 3%
Wc Bunch & Associates $451 - $5,642 3%
Wc California State Comp Ins $451 - $5,642 3%
Wc California State Ins Fund $451 - $5,642 3%
Wc Capitol Area Health Consortium $451 - $5,642 3%
Wc Ccmsi $451 - $5,642 3%
Wc Chartis $451 - $5,642 3%
Wc Chubb $451 - $5,642 3%
Wc Cirma $451 - $5,642 3%
Wc City Of Albany $451 - $5,642 3%
Wc City Of Sioux City $451 - $5,642 3%
Wc Claims Mgmt Inc $451 - $5,642 3%
Wc Cna $451 - $5,642 3%
Wc Comp One Admin C/O Manageability $451 - $5,642 3%
Wc Compone Admin $451 - $5,642 3%
Wc Ct Healthcare Trust $451 - $5,642 3%
Wc Donegal Insurance Group $451 - $5,642 3%
Wc Emc Insurance Company $451 - $5,642 3%
Wc Employee Mutual $451 - $5,642 3%
Wc Enablecomp $451 - $5,642 3%
Wc Encore Health Network $451 - $5,642 3%
Wc Erie $451 - $5,642 3%
Wc Esis $451 - $5,642 3%
Wc Evolutions $451 - $5,642 3%
Wc Fcci $451 - $5,642 3%
Wc Fed Ex $451 - $5,642 3%
Wc Federal Black Lung $451 - $5,642 3%
Wc Federated $451 - $5,642 3%
Wc Finley Occupational Health $451 - $5,642 3%
Wc First Agency/Occunet $451 - $5,642 3%
Wc Ford Motor $451 - $5,642 3%
Wc Fresno Unified Emp $451 - $5,642 3%
Wc Gallagher Bassett $451 - $5,642 3%
Wc General Motors $451 - $5,642 3%
Wc Generic $451 - $5,642 3%
Wc Genex Care For Ohio $451 - $5,642 3%
Wc Great West Casualty $451 - $5,642 3%
Wc Guarantee Insurance $451 - $5,642 3%
Wc Guard Insurance Company $451 - $5,642 3%
Wc Hab $451 - $5,642 3%
Wc Hartford $451 - $5,642 3%
Wc Hastings $451 - $5,642 3%
Wc Health Management $451 - $5,642 3%
Wc Heritage Summit $451 - $5,642 3%
Wc Hireright $451 - $5,642 3%
Wc Horizon $451 - $5,642 3%
Wc Icw Group $451 - $5,642 3%
Wc Idaho State Ins Fund $451 - $5,642 3%
Wc Intercare Insurance $451 - $5,642 3%
Wc Intermountain $451 - $5,642 3%
Wc Johns Eastern $451 - $5,642 3%
Wc Kemberton $451 - $5,642 3%
Wc Key Ins & Benefit Solutions $451 - $5,642 3%
Wc Liberty Mutual $451 - $5,642 3%
Wc Mac Risk Management $451 - $5,642 3%
Wc Massachusetts $451 - $5,642 3%
Wc Mdia $451 - $5,642 3%
Wc Meadowbrook Claim $451 - $5,642 3%
Wc Medical Administrators $451 - $5,642 3%
Wc Meijers $451 - $5,642 3%
Wc Memic $451 - $5,642 3%
Wc Mercy Workcare $451 - $5,642 3%
Wc Michigan $451 - $5,642 3%
Wc Michigan Millers Mutual $451 - $5,642 3%
Wc Mitchell Frankenmuth $451 - $5,642 3%
Wc Mra $451 - $5,642 3%
Wc Nationwide $451 - $5,642 3%
Wc Nca Comp $451 - $5,642 3%
Wc New York $451 - $5,642 3%
Wc New York Special Funds $451 - $5,642 3%
Wc North American Rishces $451 - $5,642 3%
Wc Northeast Health $451 - $5,642 3%
Wc Notre Dame $451 - $5,642 3%
Wc Novanet $451 - $5,642 3%
Wc Occ Health Allen $451 - $5,642 3%
Wc Ohio Bureau $451 - $5,642 3%
Wc One Call Medical $451 - $5,642 3%
Wc Paradigm $451 - $5,642 3%
Wc Peerless $451 - $5,642 3%
Wc Pma $451 - $5,642 3%
Wc Price Chopper $451 - $5,642 3%
Wc Procura Management $451 - $5,642 3%
Wc Qualcare $451 - $5,642 3%
Wc Quiktrip $451 - $5,642 3%
Wc Rev Claims $451 - $5,642 3%
Wc Risico $451 - $5,642 3%
Wc Rural Mutual $451 - $5,642 3%
Wc Saif Oregon $451 - $5,642 3%
Wc Secura $451 - $5,642 3%
Wc Sedgwick $451 - $5,642 3%
Wc Sentry $451 - $5,642 3%
Wc Sheakley Unicomp $451 - $5,642 3%
Wc Smile Lodge $451 - $5,642 3%
Wc Society $451 - $5,642 3%
Wc Srs $451 - $5,642 3%
Wc Taconic (Mro) $451 - $5,642 3%
Wc Taconic Farms $451 - $5,642 3%
Wc Travelers $451 - $5,642 3%
Wc Triad Group $451 - $5,642 3%
Wc Tristar $451 - $5,642 3%
Wc Troy Ny $451 - $5,642 3%
Wc Tyson $451 - $5,642 3%
Wc Unified Health Services $451 - $5,642 3%
Wc United Heartland $451 - $5,642 3%
Wc Us Dept Of Labor $451 - $5,642 3%
Wc Walmart $451 - $5,642 3%
Wc West Bend $451 - $5,642 3%
Wc West Bend Mutual/Argent $451 - $5,642 3%
Wc Winnebago Industries $451 - $5,642 3%
Wc Yankee Trails $451 - $5,642 3%
Wc York Risk $451 - $5,642 3%
Wc Zenith $451 - $5,642 3%
Wc Zurich $451 - $5,642 3%
Nova $24,925 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals