Total knee replacement
Facility: Labette Health
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $11,899
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Uhccp | $572 | 4% |
| Humana | $11,899 | 91% |
| Wellcare | $11,899 | 91% |
| Blue Cross Blue Shield | $11,899 - $15,763 | 91% |
| Medicaid / KanCare | $11,899 | 91% |
| UnitedHealthcare | $11,899 | 91% |
| Kansas Superior Select | $12,256 | 93% |
| Ambetter / Centene | $13,684 | 104% |
| Montgomery County | $21,776 | 166% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Labette Health in Parsons, KS, the negotiated rates for major insurers like Humana, Wellcare, and Medicaid/KanCare are consistently $11,899. This amount is significantly lower than the highest negotiated rate of $21,776 seen with Montgomery County and aligns closely with the state-wide median negotiated rate of $11,899. While the facility is a government-owned acute care hospital, patients should be aware that cash payments may offer a lower out-of-pocket cost if their insurance plan has a high deductible. In such cases, paying the cash price directly can sometimes be cheaper than the insurance negotiated rate, provided the patient qualifies for self-pay or prompt-pay discounts. It is essential to contact the hospital before scheduling to confirm these self-pay rates and request a waiver of insurance submission to avoid automatic claims processing.
The Medicare benchmark for this procedure is $13,116.76, which serves as a reliable baseline for evaluating pricing fairness. Commercial negotiated rates generally fall within a range of 120% to 150% of the Medicare amount, reflecting the true cost of delivery rather than inflated chargemaster lists. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing for the difference between the provider's full charge and the insurance allowed amount. To protect against these surprises, patients should demand a full itemized bill before paying and dispute any errors in writing, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. Verifying the itemized statement ensures that charges for services not rendered or unbundled components are corrected