Total knee replacement
Facility: Scott County Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $15,763
- 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 |
|---|---|---|
| Wppa | $1,200 - $13,108 | 9% |
| UnitedHealthcare | $4,264 - $20,755 | 33% |
| Humana | $9,176 | 70% |
| Blue Cross Blue Shield | $15,763 | 120% |
| Aetna | $19,662 | 150% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Scott County Hospital in Scott City, KS, the negotiated rates range from $4,264 to $20,755 depending on your specific insurance plan, with a median negotiated amount of $15,763. This facility, a Critical Access Hospital owned by a voluntary non-profit, charges a gross price of $21,847. While the Medicare benchmark for this service is $13,116.76, commercial rates often exceed this baseline due to administrative costs and contract structures. It is important to note that cash-pay options are not listed for this procedure, but patients should always inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can sometimes result in significant savings compared to the standard negotiated rates, particularly if your insurance deductible has not yet been met.
Understanding the difference between your insurance payment and the actual cost is crucial for managing medical debt. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is vital to request a full, itemized bill before paying to ensure no errors, double-billing, or unbundled charges exist. Since over 80% of hospital bills contain errors, accepting a summary invoice as the final amount due can lead to unnecessary financial strain. If you receive a bill that seems higher than expected, you should dispute it in writing with the billing supervisor rather than settling verbally, and remember that the true cost of care is best evaluated by comparing your allowed amount to the Medicare rate rather than the inflated chargemaster list price.