CMS Price Transparency Data

Total knee replacement

Facility: Cooperman Barnabas Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $22,308
Cash Discount Price: $6,839
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Cooperman Barnabas Medical Center is $22,308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,839. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.70x the Medicare baseline. Located in 94 Old Short Hills Road, Livingston, NJ.

Cash / Self-Pay

$6,839

Average discount available for prompt cash payment at this facility.

Insurance Median

$22,308

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: $6,839 (52%)

Insurance Median: $22,308 (170%)

Cash: $6,839 (52% of Medicare)

Ins. Median: $22,308 (170% 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
Qualcare Inc	$2,699	21%
Wellpoint	$3,266 - $14,436	25%
Blue Cross Blue Shield	$7,103 - $14,436	54%
Aetna	$14,436 - $26,990	110%
Clover Health	$14,436	110%
Fidelis Care	$14,436	110%
Humana	$14,436	110%
UnitedHealthcare	$14,724 - $26,500	112%
Cigna	$22,301 - $23,489	170%
Amerihealth	$22,315 - $25,103	170%
Wellcare	$28,727	219%
Emblem Health	$28,871	220%

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 $6,839.
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 Cooperman Barnabas Medical Center 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.