Total knee replacement
Facility: Minneola District Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $2,850
- Cash Discount Price: $2,100
- vs. Medicare Baseline: 0.22x 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 | $391 - $3,000 | 3% |
| Va Community Care Program-All Plans | $391 | 3% |
| Humana | $391 | 3% |
| Providrs Care Network-All Plans | $2,550 | 19% |
| Corporate Plan Management-All Plans | $2,550 | 19% |
| Triwest-All Plans | $2,700 | 21% |
| Preferred Health Care (Coventry)-All Other Plans | $2,700 | 21% |
| Health Partners Of Kansas-All Plans | $2,850 | 22% |
| Aetna | $2,850 - $3,000 | 22% |
| Phc (Coventry) Leased Network | $2,850 | 22% |
| Medicaid / KanCare | $3,000 | 23% |
| Blue Cross Blue Shield | $15,763 | 120% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Minneola District Hospital in Kansas, the cash median price is $2,100, which is lower than the facility's negotiated rates of $2,850 and significantly below the Medicare benchmark of $13,116.76. While many commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $391 to $3,000, the cash price offers a potential savings of $750 for patients with high-deductible plans who may not yet have met their out-of-pocket maximum. Because commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, paying cash upfront can sometimes result in a lower total cost than relying on insurance reimbursement, provided the patient understands their specific plan's deductible status.
Patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final bill by bypassing costly claims processing and administrative labor. It is important to request an itemized billing audit before paying any invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that could be disputed. If a patient receives a surprise balance bill from an out-of-network provider, they should not pay immediately out of fear of credit damage; instead, they should contact their insurer to request a No Surprises Act audit, as federal protections often ban balance billing for emergency care and non-emergency services at in-network facilities.