CMS Price Transparency Data

Total knee replacement

Facility: New London Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,509
Cash Discount Price: $2,427
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at New London Hospital is $2,509. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,427. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.19x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$2,427

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,509

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: $2,427 (19%)

Insurance Median: $2,509 (19%)

Cash: $2,427 (19% of Medicare)

Ins. Median: $2,509 (19% 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
Martin'S Point Health Care	$870 - $3,649	7%
Granite State Health Plan	$1,274 - $2,680	10%
Wellsense Health Plan	$1,274 - $2,337	10%
Amerihealth Caritas Nh	$1,286 - $2,706	10%
Blue Cross Blue Shield	$1,299 - $28,070	10%
Harvard Pilgrim Health Care Of Ne	$1,497 - $3,788	11%
Cigna	$1,738 - $3,596	13%
UnitedHealthcare	$1,862 - $4,153	14%
Aetna	$2,104 - $4,589	16%
Ambetter / Centene	$2,337	18%
Martin'S Point Generations Advantage	$2,337	18%
Wellcare Health Plans	$2,337	18%
Tufts Health Plan	$3,671 - $3,823	28%
Coventry	$5,019	38%
Multiplan	$5,045	38%

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 $2,427.
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 New London Hospital 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.