Total knee replacement
Facility: Kansas City Orthopaedic Institute
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $11,681
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x 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 |
|---|---|---|
| Blue Cross Blue Shield | $8,182 - $13,114 | 62% |
| UnitedHealthcare | $10,744 - $11,681 | 82% |
| Aetna | $11,681 | 89% |
| Cigna | $12,104 - $14,000 | 92% |
| Medica | $16,800 | 128% |
| Self Pay | $19,000 | 145% |
Consumer Guidance & Cost Commentary
For a total knee replacement at the Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $8,182 to $19,000 depending on the insurance carrier. While the median negotiated rate of $11,681 is lower than the facility's gross charge of $16,289, it is important to note that cash prices are not explicitly listed for this service. In many cases, patients with high-deductible plans may find paying out-of-pocket cheaper if the insurance negotiated rate exceeds the cash price, though this specific cash rate is unavailable in the current data. Patients should always verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront incentives can significantly reduce the final bill by bypassing costly insurance claims processing.
This procedure's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $13,116.76 for this CPT code. The facility's commercial negotiated rates generally align with or exceed this federal baseline, reflecting the administrative costs and contract dynamics inherent in commercial insurance. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, which can hide unbundled charges or services not rendered. If a balance bill arises from an out-of-network provider or ancillary service, patients have the right to dispute the amount under the No Surprises Act and should avoid signing away their rights to audit the claim before payment.