CMS Price Transparency Data

Total knee replacement

Facility: The Women's Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $1,873
  • Cash Discount Price: $2,133
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at The Women's Hospital is $1,873. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,133. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.14x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$2,133

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,873

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: $2,133 (16%)
Insurance Median: $1,873 (14%)
Cash: $2,133 (16% of Medicare)
Ins. Median: $1,873 (14% 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
Blue Cross Blue Shield $1,153 - $42,970 9%
Caresource $1,153 - $11,731 9%
Humana $1,153 - $11,731 9%
Iu Health $1,153 - $11,731 9%
Meridian Health Il $1,153 - $11,731 9%
Mhs $1,153 - $11,731 9%
Molina Il $1,153 - $11,731 9%
Molina Ky $1,153 - $11,731 9%
Molina Ky Dual $1,153 - $11,731 9%
UnitedHealthcare $1,153 - $14,882 9%
Wellcare Ky $1,153 - $11,731 9%
Caresource Hip $1,157 9%
Caresource In $1,157 9%
Mdwise Hip $1,157 9%
Mhs Behavioral $1,157 9%
Aetna $1,270 - $4,050 10%
Ambetter / Centene $1,326 - $18,184 10%
Passport Molina Ky $1,374 10%
Immergrun $1,389 - $14,078 11%
Caresource Marketplace (Just4Me) $1,499 - $17,597 11%
Hst $1,556 - $17,597 12%
Alliance Coal $1,591 12%
Allied National/Zelis - Freedom Plan $1,614 - $28,742 12%
Claimdoc $1,671 - $17,010 13%
Patoka Valley Health Care (80/20 Plan) $1,729 13%
Patoka Valley Health Care (90/10 Plan) $1,729 13%
Encorecombined $1,823 14%
Encoreprime $1,823 14%
Hope Trust $1,844 - $19,357 14%
Noncontracted $1,844 - $18,770 14%
One Care $1,902 15%
Chamber Care $1,909 15%
Amish $2,133 - $4,693 16%
Self Pay $2,133 16%
Center Care $3,656 28%
Cigna $4,050 31%
Claritev (Formerly Phcs/Mulitplan) $4,050 31%
First Health/Coventry $4,050 31%
Healthlink $4,050 31%
Sagamore $4,050 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals