CMS Price Transparency Data

Total knee replacement

Facility: Long Island Community Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $12,540
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Long Island Community Hospital is $12,540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.96x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,540

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%)
Insurance Median: $12,540 (96%)
Ins. Median: $12,540 (96% 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
UnitedHealthcare $6,192 - $12,540 47%
Local 1199 $6,270 48%
Magellan $8,151 62%
Multiplan $8,151 62%
Oscar Health Exchange $8,527 65%
Coventry $9,279 71%
Nexus Nyu $9,544 73%
Longevity Health $10,032 76%
Aetna $11,114 - $12,540 85%
Galaxy $11,286 86%
Aarp $12,540 96%
Beacon Health Options $12,540 96%
Blue Cross Blue Shield $12,540 - $21,409 96%
Centerlight $12,540 96%
Cigna $12,540 - $43,683 96%
Emblem Ghi $12,540 96%
Fidelis $12,540 96%
Humana $12,540 96%
Integra $12,540 96%
Medicare (plans) $12,540 96%
Agewell $12,979 99%
Elderplan Inc. $13,794 105%
Wellcare $13,794 105%
Empire Mediblue $21,409 163%
Emblem $30,650 234%
Magnacare $36,679 - $59,150 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals