Total knee replacement
Facility: Memorial Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $1,108
- Cash Discount Price: $3,321
- vs. Medicare Baseline: 0.08x 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 | $1,056 | 8% |
| Ambetter / Centene | $1,161 | 9% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Memorial Hospital in Abilene, KS, the cash price is $3,321, which matches the facility's median negotiated rate and the cash median. This specific code is not included in the state or county average data provided, so no direct comparison to regional pricing benchmarks is available. However, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the facility's negotiated rate of $1,108 is significantly lower than the cash price, suggesting that while cash payment avoids insurance deductibles, patients with high-deductible plans might still benefit from using in-network insurance if their out-of-pocket costs are lower than the cash amount.
Patients should verify their specific plan details before scheduling, as the facility's negotiated rate of $1,108 is the maximum amount the insurance carrier will pay, not necessarily the final patient cost. If you have not met your deductible, you may be responsible for the full negotiated rate. Additionally, Memorial Hospital, a Critical Access Hospital, may offer prompt-pay discounts for self-pay patients who settle their bill upfront, which could further reduce the $3,321 cash price. Always request a self-pay classification and a waiver of insurance submission at registration to ensure you receive the correct cash rate and avoid automatic claims processing that could void any potential discounts.