Total knee replacement
Facility: Republic County Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $11,804
- Cash Discount Price: $9,623
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Rural Carriers-All Plans | $10,906 | 83% |
| Meritain-All Plans | $11,547 | 88% |
| Aetna | $11,547 | 88% |
| UnitedHealthcare | $11,804 | 90% |
| Midlands Choice-All Plans | $12,188 | 93% |
| Cigna | $12,188 | 93% |
| First Health-All Plans | $12,188 | 93% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Republic County Hospital in Belleville, KS, the commercial negotiated rates range from $10,906 to $12,188 depending on your specific insurance plan, with a median negotiated amount of $11,804. This rate is notably lower than the facility's gross charge of $12,830, reflecting the contractual ceilings set by carriers like Rural Carriers-All Plans and Aetna. However, for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $9,623 upfront could result in significant savings compared to the insurance negotiated rate, as the commercial payment often exceeds the cash price due to administrative overhead.
When evaluating the cost relative to federal standards, the facility's Medicare benchmark amount of $13,116.76 serves as the most accurate baseline for understanding true service costs. The median negotiated rate of $11,804 is approximately 90% of the Medicare amount, indicating a pricing structure that is competitive against the government's cost-based reimbursement. To ensure you receive the best possible rate, it is recommended to explicitly request "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can further reduce the final bill. Additionally, always verify your specific plan's allowed amount with the hospital prior to treatment to avoid unexpected balance billing or deductible surprises.