CMS Price Transparency Data

Total knee replacement

Facility: Livingston Healthcare

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,122
Cash Discount Price: $6,645
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Livingston Healthcare is $2,122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,645. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.16x the Medicare baseline. Located in 320 Alpenglow Lane, Livingston, MT.

Cash / Self-Pay

$6,645

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,122

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: $6,645 (51%)

Insurance Median: $2,122 (16%)

Cash: $6,645 (51% of Medicare)

Ins. Median: $2,122 (16% 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	$1,333 - $2,028	10%
Humana	$1,333	10%
Pacificsource Mcr	$1,333	10%
UnitedHealthcare	$1,333 - $6,645	10%
Allegiance - All Plans	$2,215	17%
Pacificsource - All Other Plans	$2,350	18%
First Choice/Hin - All Plans	$6,645	51%
Interwest Ppo - All Other Plans	$6,645	51%
Coventry - All Plans	$6,785	52%
Interwest Trad	$6,855	52%

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 $6,645.
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 Livingston Healthcare 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.