Total knee replacement
Facility: Overland Park Reg Med Ctr
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $15,695
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.20x 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 |
|---|---|---|
| Universal Healthcare | $1,995 | 15% |
| Nhc Advantage | $2,550 | 19% |
| Humana | $3,738 - $14,000 | 28% |
| Amerigroup | $4,264 | 33% |
| United | $4,264 - $38,731 | 33% |
| Healthyblue | $4,349 | 33% |
| Medicaid / KanCare | $4,391 | 33% |
| Unicare | $4,434 | 34% |
| Aetna | $4,434 - $31,756 | 34% |
| Home State Health Plan | $11,517 - $17,276 | 88% |
| Cigna | $12,763 - $32,176 | 97% |
| Devoted Health | $15,194 | 116% |
| Multiplan | $16,196 - $43,592 | 123% |
| Oscar | $19,036 | 145% |
| Corvel Corporation | $19,232 | 147% |
| Oha Network | $20,042 | 153% |
| Ambetter / Centene | $21,244 | 162% |
| Blue Cross Blue Shield | $25,858 | 197% |
| Wppa Providrs Care Network | $28,000 | 213% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Overland Park Reg Med Ctr in Kansas, the facility's negotiated rates range from $1,995 to $43,592 across 19 different payers, with the median negotiated amount being $15,695. This facility is a proprietary acute care hospital located in Overland Park (ZIP 66215) and holds a 4-star rating. While specific cash and median paid values are not available in the current data, it is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Patients are strongly encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill by bypassing administrative fees associated with insurance claims processing.
The Medicare benchmark for this procedure is $13,116.76, which serves as a scientifically validated baseline for evaluating pricing markups. Commercial negotiated rates often average between 200% and 300% of the Medicare amount, though fair pricing is typically defined as 120% to 150% of the Medicare rate. Since the facility is in-network for many major carriers, patients should verify their specific plan's allowed amount before scheduling to avoid balance billing, which is largely prohibited for emergency and non-emergency services at in-network facilities under the No Surprises Act. To ensure you are receiving the most accurate and transparent pricing, always request a full itemized CPT-coded bill before finalizing payment, as summary bills may obscure individual charges or unbundled services that could be disputed.