Total knee replacement
Facility: Neosho Memorial Regional Medical Center
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $2,202
- Cash Discount Price: $1,990
- vs. Medicare Baseline: 0.17x 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 |
|---|---|---|
| Tricare | $818 | 6% |
| Medicare (plans) | $1,182 | 9% |
| Aetna | $1,182 | 9% |
| Medadv_Allwell | $1,182 | 9% |
| Blue Cross Blue Shield | $1,182 - $2,653 | 9% |
| Va_Ccn | $1,182 | 9% |
| Humana | $1,182 | 9% |
| Medadv_Uhc | $1,182 | 9% |
| Ambetter / Centene | $1,241 | 9% |
| Wppa_Providrscare | $2,202 | 17% |
| United | $2,207 | 17% |
| Coventry | $2,521 | 19% |
| Cigna | $2,521 | 19% |
| Hpk | $2,521 | 19% |
| Medicaid / KanCare | $2,653 | 20% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Neosho Memorial Regional Medical Center in Chanute, KS, the cash price is $1,990, which is lower than the state average of $2,653. While many insurance plans negotiate rates starting at $1,182 and reaching up to $2,653, patients with high-deductible plans may find paying cash upfront more cost-effective, as the cash price is often lower than the insurer's negotiated ceiling. This facility, a Critical Access Hospital owned by the local government, offers a prompt-pay discount that can further reduce the final bill if settled in full within 30 days, bypassing the administrative costs and potential delays associated with insurance claims processing.
It is important to note that while the facility's negotiated rates are generally competitive, the Medicare benchmark for this procedure is $13,116.76, which serves as a reliable baseline for evaluating fair pricing rather than the hospital's gross charge. Commercial rates typically range from 120% to 150% of the Medicare amount for fair pricing, whereas this facility's cash rate is significantly below that threshold. To ensure you receive the best possible rate, you should explicitly request a self-pay classification and a prompt-pay discount before scheduling your visit, as billing systems often default to insurance processing once a card is on file, potentially voiding any cash savings.