CMS Price Transparency Data

Total knee replacement

Facility: Deaconess Henderson Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $2,370
  • Cash Discount Price: $2,133
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Deaconess Henderson Hospital is $2,370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,133. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.18x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$2,133

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,370

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $2,133 (16%)
Insurance Median: $2,370 (18%)
Cash: $2,133 (16% of Medicare)
Ins. Median: $2,370 (18% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $1,157 - $11,559 9%
Caresource In $1,157 9%
Medicaid / KanCare $1,157 - $1,374 9%
UnitedHealthcare $1,157 - $20,600 9%
Aetna $1,161 - $11,559 9%
Humana $1,161 - $11,559 9%
Medicare (plans) $1,161 - $11,559 9%
Mhs Mco $1,161 - $11,559 9%
Molina Healthcare Of Ky $1,161 - $11,559 9%
Molina Healthcare Of Ky - Exchange $1,161 - $11,559 9%
Mytru Advantage $1,161 - $11,559 9%
Umwa $1,161 - $11,559 9%
Wellcare Il $1,161 - $11,559 9%
Wellcare Ky $1,161 - $13,871 9%
Caresource In Marketplace $1,509 - $17,338 12%
Wellcare Ky Commercial Exchange $1,509 - $23,696 12%
Alliance Coal $1,602 - $17,338 12%
Encircle/Encore Combined $1,823 14%
Encircle/Encore Prime $1,823 14%
Center Care Narrow $1,857 14%
Center Care Open Access $1,857 14%
Noncontracted $1,857 - $18,494 14%
Ky Racing Health & Welfare Fund $2,133 16%
Self-Pay $2,133 16%
Cigna $3,656 28%
Claimdoc $3,656 - $27,741 28%
Hopetrust $3,656 - $27,741 28%
Hstechnology $3,656 - $27,741 28%
Amish And Mennonite Of Western Ky $3,961 - $17,338 30%
First Health Network (Coventry) $4,050 31%
Healthlink $4,050 31%
Iu Health Plans $4,050 31%
Phcs/Multiplan $4,050 31%
Sagamore $4,050 31%
Coventry National Network $4,875 37%
Webster County Detention Center $4,875 37%
Henderson County Detention Center $5,485 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals