CMS Price Transparency Data

Total knee replacement

Facility: Davis County Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $2,426
  • Cash Discount Price: $4,905
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Davis County Hospital is $2,426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,905. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.18x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$4,905

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,426

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: $4,905 (37%)
Insurance Median: $2,426 (18%)
Cash: $4,905 (37% of Medicare)
Ins. Median: $2,426 (18% 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
Aetna $1,046 8%
Choicecare Mcr Adv $1,046 8%
Home State Hlth Exch - All Other Plans $1,046 8%
Home State Hlth Mcr $1,046 8%
Tricare $1,046 8%
Amerigroup Mcr Adv-All Other Plans $1,066 8%
American Hp Mcr Adv-All Plans $1,098 8%
Mt Carmel Hp-All Plans $1,098 8%
Choicecare Comm - All Other Plans $1,568 12%
Preferred Hlth Choices - All Plans $1,986 15%
Blue Cross Blue Shield $2,426 - $2,854 18%
Midlands Choice - All Plans $2,689 21%
Home State Hlth Mcaid $3,924 - $5,886 30%
Iowa Total Care Mcaid-All Plans $4,002 - $6,004 31%
Molina Mcaid-All Plans $4,022 - $6,033 31%
Amerigroup Mcaid $4,042 - $6,063 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals