CMS Price Transparency Data

Total knee replacement

Facility: Perham Health

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,303
Cash Discount Price: $2,353
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Perham Health is $1,303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,353. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.10x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$2,353

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,303

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: $2,353 (18%)

Insurance Median: $1,303 (10%)

Cash: $2,353 (18% of Medicare)

Ins. Median: $1,303 (10% 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	$1,005 - $2,449	8%
Health Partners Mcr Adv	$1,231	9%
Humana	$1,231	9%
Medica Mcr Adv	$1,231	9%
Medicare (plans)	$1,231 - $1,448	9%
Ucare Mn Senior Health Options	$1,231	9%
UnitedHealthcare	$1,267 - $2,824	10%
Ucare Mn Special Needs Basic Care Dual	$1,292	10%
Ucare Mn Medical Assistance	$1,303	10%
Ucare Mn Minnesota Care	$1,303	10%
Ucare Mn Senior Care Plus	$1,303	10%
Ucare Mn Special Needs Basic Care	$1,303	10%
Medicaid / KanCare	$1,305	10%
Medica Mcaid Mn Care	$1,325	10%
Medica Mn (Msho)	$1,491	11%
Health Partners Minnesota Care	$1,810	14%
Ucare Individual And Family Plan-All Other Plans	$1,810	14%
Medica Commercial-All Other Plans	$2,650	20%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$2,715	21%
Health Partners-All Plans	$2,968	23%
Preferred One (Ppo)	$3,077	23%
Sanford Health Plan-All Plans	$3,077	23%

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 $2,353.
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 Perham Health 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.