CMS Price Transparency Data

Total knee replacement

Facility: Poplar Bluff Regional Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $18,647
Cash Discount Price: $59,152
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Poplar Bluff Regional Medical Center is $18,647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59,152. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.42x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.

Cash / Self-Pay

$59,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,647

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: $59,152 (451%)

Insurance Median: $18,647 (142%)

Cash: $59,152 (451% of Medicare)

Ins. Median: $18,647 (142% 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
Medicaid / KanCare	$297 - $56,335	2%
Veterans Eval Services	$1,184	9%
Blue Cross Blue Shield	$13,270 - $72,954	101%
Medicare (plans)	$13,532	103%
Node United Behavioral Health Mcr Adv	$13,532	103%
Humana	$13,667	104%
Node Hospice Non Par Agree	$13,772	105%
Node Va	$13,772	105%
UnitedHealthcare	$13,772 - $151,541	105%
Node Ahs Mcr Adv	$14,073	107%
Node Devoted Health Mcr Adv	$14,208	108%
Node Pphp Mcr Adv	$15,561	119%
Centurion Correctional	$17,216	131%
Us Department Of Labor	$17,216	131%
Naphcare	$26,168	200%
Home State Exchange	$34,431	262%
W W Wood	$34,431	262%
Blue Access	$46,504	355%
Self Pay	$67,602	515%
Cigna	$152,667 - $225,339	1164%
Evolutions Healthcare	$153,512	1170%
Tyson Foods	$154,921	1181%
Access Health Services, Llc	$160,554	1224%
First Health	$169,005	1288%
Healthlink	$176,046	1342%
Parker Hannifin	$197,172	1503%
Blue Traditional	$208,326	1588%
Coventry Wc	$225,339	1718%
Municipal Health	$225,339	1718%
Multiplan	$245,057	1868%
Phcs	$245,057	1868%
Compresults Wc	$253,507	1933%

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 $59,152.
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 Poplar Bluff Regional Medical Center 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.