CMS Price Transparency Data

Total knee replacement

Facility: Morris Hospital & Healthcare Centers

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $10,015
Cash Discount Price: $3,012
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Morris Hospital & Healthcare Centers is $10,015. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,012. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.76x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$3,012

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,015

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: $3,012 (23%)

Insurance Median: $10,015 (76%)

Cash: $3,012 (23% of Medicare)

Ins. Median: $10,015 (76% 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
Capp Care Ppo-Oth	$4,882	37%
Blue Cross Blue Shield	$5,408 - $6,000	41%
Caterpillar - All Plans	$5,634	43%
Aetna	$7,687 - $14,033	59%
Ambetter / Centene	$8,763	67%
UnitedHealthcare	$9,139 - $13,758	70%
Choicecare Hum Othr - All Other Plans	$10,015	76%
Multiplan - All Other Plans	$10,015	76%
Multiplan Prime Ntwrk	$10,015	76%
Health Alliance - All Other Plans	$10,641	81%
Hfn All Plans - All Plans	$10,641	81%
Choicecare Hum Mcr Ppo	$13,758	105%
Health Alliance Mcr Adv	$14,171	108%

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 $3,012.
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 Morris Hospital & Healthcare Centers 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.