CMS Price Transparency Data

Total knee replacement

Facility: Artesia General Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,610
Cash Discount Price: $1,684
vs. Medicare Baseline: 0.20x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Artesia General Hospital is $2,610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,684. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.20x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$1,684

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,610

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: $1,684 (13%)

Insurance Median: $2,610 (20%)

Cash: $1,684 (13% of Medicare)

Ins. Median: $2,610 (20% 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
Zelis	$766 - $14,961	6%
First Health	$1,083 - $16,046	8%
Blue Cross Blue Shield	$1,684 - $14,729	13%
Geha	$1,964 - $12,468	15%
Omni Networks	$1,964	15%
Three Rivers Provider Network	$2,104	16%
Cigna	$2,385 - $2,525	18%
Galaxy Health	$2,525	19%
One Health Plan	$2,525	19%
Multiplan	$2,553	19%
United Payors & United Providers	$2,610	20%
Providence Risk & Insurance Services	$2,666 - $24,935	20%
Molina Healthcare Of New Mexico	$11,906 - $20,946	91%
Presbyterian Health Plan	$11,906 - $13,747	91%
UnitedHealthcare	$11,906 - $12,468	91%
Triwest	$12,218	93%
Humana	$12,468 - $13,714	95%
Vistacare Hospice	$12,468	95%
New Mexico Health Connections	$21,195	162%

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 $1,684.
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 Artesia General 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.