CMS Price Transparency Data

Total knee replacement

Facility: Cheshire Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $8,759
  • Cash Discount Price: $4,420
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Cheshire Medical Center is $8,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,420. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.67x the Medicare baseline. Located in 580 Court Street, Keene, NH.
Cash / Self-Pay
$4,420

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,759

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: $4,420 (34%)
Insurance Median: $8,759 (67%)
Cash: $4,420 (34% of Medicare)
Ins. Median: $8,759 (67% 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
Aetna $884 - $13,444 7%
Ambetter / Centene $917 - $11,953 7%
Blue Cross Blue Shield $917 - $43,634 7%
Cigna $917 - $13,444 7%
Martin'S Point Generations Advantage $917 - $13,444 7%
Martin'S Point Health Care $917 - $13,444 7%
Mvp $917 - $13,444 7%
UnitedHealthcare $917 - $20,261 7%
Wellcare Health Plans $917 - $13,444 7%
Wellsense Health Plan $917 - $14,385 7%
Amerihealth Caritas Nh $1,201 - $1,960 9%
Granite State Health Plan $1,201 - $2,674 9%
Harvard Pilgrim Health Care Of Ne $3,411 - $15,792 26%
Tufts Health Plan $3,513 - $10,222 27%
Maine Community Health Options $7,207 55%
Mass General Brigham Health Plan $10,049 - $16,015 77%
First Health/Hcvm $13,613 104%
Phcs $14,414 110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 580 Court Street, Keene, NH 03431
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals