CMS Price Transparency Data

Total knee replacement

Facility: Glacial Ridge Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,908
Cash Discount Price: $4,759
vs. Medicare Baseline: 0.22x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Glacial Ridge Hospital is $2,908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,759. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.22x the Medicare baseline. Located in 10 4Th Avenue Southeast, Glenwood, MN.

Cash / Self-Pay

$4,759

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,908

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: $4,759 (36%)

Insurance Median: $2,908 (22%)

Cash: $4,759 (36% of Medicare)

Ins. Median: $2,908 (22% 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
Triwest - All Plans	$403 - $2,716	3%
Blue Cross Blue Shield	$415 - $6,363	3%
Medica Mcaid	$727 - $5,015	6%
Medica Mcare Adv	$819 - $3,277	6%
Medica Msho	$819 - $3,277	6%
Medica Comm - All Other Plans	$1,501 - $6,005	11%
Preferred One Pic/Pas	$1,792 - $7,168	14%
Multiplan - All Plans	$1,925 - $7,701	15%
Preferred One Ppo - All Other Plans	$1,960 - $7,840	15%

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 $4,759.
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 Glacial Ridge 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.