Total knee replacement
Facility: Menorah Medical Center
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 the CPT code 27447 (Total knee replacement) at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $1,995 to $43,592 across 19 different payers, with a median negotiated amount of $15,695. This median rate is approximately 19% higher than the Medicare benchmark of $13,116.76, which serves as the objective baseline for fair pricing. While the lowest negotiated rate of $1,995 from Universal Healthcare is significantly lower than the facility's median, it is important to note that commercial negotiated rates often include administrative overhead and contract premiums that can inflate the price by 20% to 40% compared to the true cost of care. Patients should be aware that assuming an in-network rate is the lowest possible price can be misleading, as different insurers within the same network may have vastly different contract terms.
If you are a patient with a high-deductible plan, paying cash or utilizing a prompt-pay discount might result in a lower out-of-pocket cost than using insurance, especially if your deductible has not yet been met. The data indicates no specific cash or negotiated median was reported for this service, suggesting that self-pay or prompt-pay discounts should be verified directly with the hospital before scheduling. We strongly recommend requesting a self-pay classification and a prompt-pay discount (typically 20% to 50%) prior to check-in to avoid automatic claims submission, which can void cash agreements. Additionally, since over 80% of hospital bills contain errors, do not accept a summary bill as final; instead, request a full