CMS Price Transparency Data

Total knee replacement

Facility: Holland Community Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,022
Cash Discount Price: $1,635
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Holland Community Hospital is $2,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,635. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.15x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$1,635

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,022

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: $1,635 (12%)

Insurance Median: $2,022 (15%)

Cash: $1,635 (12% of Medicare)

Ins. Median: $2,022 (15% 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
Life Circles-All Plans	$1,086	8%
Health Alliance Mcr Adv	$1,143	9%
Ph Mcr Adv	$1,143	9%
UnitedHealthcare	$1,143 - $9,393	9%
Va Ccn - All Plans	$1,143	9%
Aetna	$1,177 - $1,973	9%
Longevity Health Plan-All Plans	$1,234	9%
First Health-All Plans	$1,486	11%
Cigna	$1,958	15%
Cofinity -All Plans	$1,973	15%
Priority Health - All Other Plans	$2,070	16%
Blue Care Network - All Plans	$2,127	16%
Benefit Source Inc-All Plans	$2,180	17%
Blue Cross Blue Shield	$2,275	17%
Multiplan - All Plans	$2,452	19%
Sisco-All Other Plans	$2,642	20%
Asr - All Plans	$2,982	23%
Health Alliance Ahl - All Other Plans	$2,982	23%
Health Alliance Hmo	$2,982	23%
Meridian Mcaid Profee Only-All Plans	$9,393	72%
Molina Mcaid - All Plans	$9,393	72%
Ph Mcaid	$9,393	72%
Sisco Epi	$24,411	186%

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 $1,635.
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 Holland Community Hospital 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.