CMS Price Transparency Data

Total knee replacement

Facility: Greene County General Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $6,887
Cash Discount Price: $11,511
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Greene County General Hospital is $6,887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,511. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.53x the Medicare baseline. Located in 1185 N 1000 W, Linton, IN.

Cash / Self-Pay

$11,511

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,887

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: $11,511 (88%)

Insurance Median: $6,887 (53%)

Cash: $11,511 (88% of Medicare)

Ins. Median: $6,887 (53% 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	$1,041 - $28,594	8%
Caresource In	$1,062 - $26,103	8%
Humana	$1,130 - $26,103	9%
Blue Cross Blue Shield	$1,153 - $26,103	9%
Government Employees Hospital Association (Geha)	$1,314 - $22,153	10%
UnitedHealthcare	$1,314 - $22,153	10%
Southeastern Indiana Health Siho	$7,444 - $27,089	57%
Cigna	$7,857 - $28,594	60%

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 $11,511.
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 Greene County General 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.