CMS Price Transparency Data

Total knee replacement

Facility: Merit Health Natchez

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $12,529
  • Cash Discount Price: $26,442
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Merit Health Natchez is $12,529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,442. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.96x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$26,442

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,529

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: $26,442 (202%)
Insurance Median: $12,529 (96%)
Cash: $26,442 (202% of Medicare)
Ins. Median: $12,529 (96% 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.

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
Veterans Eval Services $1,155 9%
Cigna $1,300 10%
Ms Dept Of Rehabilitation Services $6,154 47%
Medpartners $7,345 56%
UnitedHealthcare $7,709 - $22,402 59%
Medicaid / KanCare $9,805 - $22,402 75%
Magnolia Mcd Chip $9,903 75%
Caresource Truecare $10,001 76%
Molina Chip $10,589 81%
First Choice $12,002 - $102,831 92%
Medicare (plans) $12,002 92%
Node Magnolia Mcr Adv $12,002 92%
Node Vantage Mcr Adv $12,002 92%
Node First Choice Ice $12,211 93%
Node Hospice Non Par Agree $12,211 93%
Node Va $12,211 93%
Node Devoted Health Mcr Adv $12,242 93%
Node First Choice American Health Of Ms Mcr Adv $12,242 93%
Node Molina $12,242 93%
Node Peoples Health Mcr Adv $12,242 93%
Aetna $12,362 - $82,852 94%
Node First Choice Wellcare Mcr Adv $12,456 95%
Node Dignity Care Mcr Adv $12,602 96%
Node Healthy Mississippi Mcr Adv $13,433 102%
Node Us Dept Of Labor $15,264 116%
Blue Cross Blue Shield $17,827 136%
Advanced Health Systems $17,990 137%
Molina Exchange $20,179 154%
Magnolia Exchange $21,370 163%
Prime Health Wc $21,518 164%
Work Comp $22,184 169%
Humana $22,402 171%
Self Pay $26,442 202%
Vantage Commercial $27,476 209%
Vantage Ppaca Tiered $28,086 214%
Trimed Billing Solutions $44,070 336%
Prime Health Services $117,521 896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals