Total knee replacement
Facility: Liberty Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $11,681
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $213 - $57,352 | 2% |
| Humana | $7,165 - $11,914 | 55% |
| Aetna | $7,521 - $11,681 | 57% |
| Cigna | $11,681 | 89% |
| UnitedHealthcare | $11,681 - $19,273 | 89% |
| Medicare (plans) | $11,797 - $12,849 | 90% |
| Healthy Blue | $12,534 | 96% |
| Ambetter / Centene | $14,834 | 113% |
| Home State Health | $17,141 | 131% |
Consumer Guidance & Cost Commentary
Self-pay patients should know that the cash price for this Total knee replacement procedure at Liberty Hospital is not listed in the current data, but you can often secure a lower rate by asking for a self-pay classification or prompt-pay discount before scheduling. Even if insurance coverage is available, paying out-of-pocket upfront can sometimes be cheaper than the negotiated rate your plan would cover, especially if your deductible is high or your insurance negotiated fee is substantial. Since Liberty Hospital is a Voluntary non-profit - Private facility, it is recommended to contact the billing department directly to confirm if a cash discount is available and to ensure you sign a waiver preventing automatic claims submission to lock in the lowest possible price.
The facility's median negotiated rate is $11,681, which is significantly lower than the Medicare amount of $13,116.76, reflecting the efficiency of commercial contracts. While specific county or state average comparisons are not provided in this dataset, it is important to understand that commercial rates often include administrative overhead that can inflate the baseline price compared to the Medicare benchmark. For this procedure, the facility's rate is 90% of the Medicare amount, indicating a fair pricing structure relative to federal standards. Patients should compare this negotiated rate against their specific plan's allowed amount and verify that no balance billing will occur, as the No Surprises Act protects against unexpected charges for out-of-network services at in-network facilities.