CMS Price Transparency Data

Total knee replacement

Facility: Bayou Bend Health System

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,130
Cash Discount Price: $2,119
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Bayou Bend Health System is $2,130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,119. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.16x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$2,119

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,130

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: $2,119 (16%)

Insurance Median: $2,130 (16%)

Cash: $2,119 (16% of Medicare)

Ins. Median: $2,130 (16% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$1,362 - $16,433	10%
Tricare	$1,362	10%
UnitedHealthcare	$1,423 - $1,514	11%
Aetna	$1,514 - $2,058	12%
Dignity Mcr Adv Ip/Op Only-All Plans	$1,514	12%
Humana	$1,514 - $1,968	12%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$1,514	12%
Verity Healthnet Mcr Adv Ip/Op Only	$1,514	12%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$1,514	12%
Ambetter / Centene	$1,741	13%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$2,130	16%
La Health Mcaid Ip/Op Only	$2,130	16%
Verity Healthnet Mcaid Ip/Op Only	$2,130	16%
Diocese Of Lafaytte Ip/Op Only-All Plans	$2,270	17%
Gilsbar 360 Ip/Op Only-All Plans	$2,270	17%
Verity Healthnet Ip/Op Only-All Other Plans	$2,270	17%
Ccn/First Health Ip/Op Only-All Plans	$2,422	18%
Integrated Hp Multiplan Ip/Op Only-All Plans	$2,422	18%
Ppo Plus / Zelis Ip/Op Only-All Plans	$2,422	18%
Geha Ppo Ip/Op Only-All Plans	$2,573	20%
Usa Mco Ip/Op Only-All Plans	$2,573	20%
Galaxy Ip/Op Only-All Plans	$2,724	21%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,119.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27447.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bayou Bend Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27447.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.