CMS Price Transparency Data

Total knee replacement

Facility: Bellevue Hospital Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $4,174
  • Cash Discount Price: $15,220
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Bellevue Hospital Center is $4,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,220. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.32x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$15,220

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,174

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: $15,220 (116%)
Insurance Median: $4,174 (32%)
Cash: $15,220 (116% of Medicare)
Ins. Median: $4,174 (32% 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
Healthfirst $733 - $14,915 6%
United $957 - $15,987 7%
Affinity $1,290 - $9,392 10%
Aetna $1,401 - $15,226 11%
Amidacare $1,465 11%
Blue Cross Blue Shield $1,465 - $15,226 11%
Centerlight $1,465 - $15,226 11%
Elderplan $1,465 - $30,452 11%
Emblem $1,465 - $22,839 11%
Fidelis $1,465 - $21,621 11%
Wellcare $1,487 - $22,535 11%
Centers Plan For Healthy Living $1,524 - $15,835 12%
Hamaspik $1,539 - $12,181 12%
Local 1199 $1,679 13%
Oscar $1,832 - $22,839 14%
Metroplus $1,869 - $17,198 14%
Carelon $4,174 32%
Senior Whole Health $4,174 32%
United Behavioral Health $4,174 - $4,592 32%
Carelon (Amida Care) $4,258 32%
Vnsny $4,258 - $15,226 32%
Vaccn $15,226 116%
Oxford $15,987 122%
Villagecare Max $22,830 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals