Total knee replacement
Facility: University Of Kansas Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $20,246
- Cash Discount Price: $15,781
- vs. Medicare Baseline: 1.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $4,264 - $19,179 | 33% |
| Medicaid / KanCare | $4,264 | 33% |
| Blue Cross Blue Shield | $4,264 - $25,711 | 33% |
| Humana | $11,987 - $12,226 | 91% |
| Aetna | $11,987 - $16,781 | 91% |
| Medicare (plans) | $11,987 - $12,226 | 91% |
| Workers Comp [503999901] | $11,987 - $20,246 | 91% |
| Lasso Healthcare [503999926] | $11,987 | 91% |
| Devoted [503200068] | $11,987 | 91% |
| Tricare | $11,987 | 91% |
| Ku Athletics [503200094] | $11,987 | 91% |
| Triwest [503201703] | $11,987 | 91% |
| Allwell [503200078] | $12,346 | 94% |
| American Health Plans [503200968] | $12,586 | 96% |
| Centurion [5032000966] | $15,583 | 119% |
| Gallagher Bassett [5032000103] | $20,246 | 154% |
| Alt Bnsf Railway Co [503301503] | $20,246 | 154% |
| Prime Health Services [503999912] | $20,246 | 154% |
| Sedgwick Claims Management Services [53201618] | $20,246 | 154% |
| Ambetter / Centene | $20,377 | 155% |
| Oscar [503201609] | $22,775 | 174% |
| Centivo [5032000982] | $22,775 | 174% |
| Wellfit [503301514] | $22,775 | 174% |
| 6 Degrees Health [503999050] | $23,374 - $29,967 | 178% |
| Alt Wppa [5032000964] | $23,973 | 183% |
| Fort Hays State Student Athletes [5032000960] | $25,172 | 192% |
| Occunet [503999930] | $25,172 | 192% |
| Claimdoc [503301509] | $32,364 | 247% |
| Multiplan [503200057] | $32,364 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $35,960 | 274% |
Consumer Guidance & Cost Commentary
For a total knee replacement at University Of Kansas Hospital, the cash price of $15,781 is significantly lower than the facility's gross charge of $78,907 and the median negotiated rate of $20,246 paid by insurers. While the facility's cash rate is notably lower than the state average for this procedure, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can inflate the baseline price by 20% to 40% compared to direct cash payments.
To minimize costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront before or shortly after services are rendered. If you are billed by an out-of-network provider at this in-network facility, the No Surprises Act generally protects you from balance billing for emergency care and non-emergency services, though you should dispute any unexpected charges in writing rather than accepting summary bills. Always request a detailed, itemized CPT-coded bill to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit dispute.