Total knee replacement
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $761
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.06x 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 | $550 - $747 | 4% |
| Aetna | $572 - $776 | 4% |
| Medicaid / KanCare | $572 - $776 | 4% |
| Providrs Care | $1,562 | 12% |
| Blue Cross Blue Shield | $17,071 - $17,970 | 130% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Ascension Via Christi Hospital Manhattan, Inc, the negotiated rates for major payers like UnitedHealthcare, Aetna, and Medicaid/KanCare range from $550 to $776, while the single plan with Providrs Care shows a fixed rate of $1,562. These commercial rates are significantly lower than the Medicare benchmark of $13,116.76, which serves as the federal baseline for the true cost of care. It is important to note that cash-pay prices are not listed for this service, meaning patients with high-deductible plans should verify if paying out-of-pocket would be cheaper than their insurance's allowed amount, as commercial negotiated rates often exceed cash prices when cash discounts are available.
Patients should be aware that while the facility is an in-network provider for most plans, balance billing could still occur if out-of-network ancillary services, such as specific lab tests or emergency physician services, are utilized during the procedure. To avoid unexpected costs, consumers should request a full itemized bill before paying and dispute any charges that do not match the CPT code for the total knee replacement. Additionally, since this is a voluntary non-profit hospital, patients should proactively ask about self-pay or prompt-pay discounts, which can reduce the final balance by 20% to 50% if settled upfront, bypassing the administrative overhead and collection fees associated with insurance claims.