CMS Price Transparency Data

Total knee replacement

Facility: NYU Langone Hospitals

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $15,225
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at NYU Langone Hospitals is $15,225. 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 1.16x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,225

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: $15,225 (116%)
Ins. Median: $15,225 (116% 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 $1,364 - $10,188 10%
Hip $4,362 - $57,819 33%
Amida $4,528 35%
Fidelis $4,528 - $10,188 35%
Healthplus $4,528 - $10,188 35%
Medicaid / KanCare $4,528 35%
Metroplus $4,528 - $30,146 35%
UnitedHealthcare $4,528 - $69,615 35%
Somos $4,754 - $6,113 36%
Ghi $4,846 - $62,553 37%
Magnacare $13,453 - $62,936 103%
Medicare (plans) $15,225 116%
Wellcare $15,225 116%
Centerlight $15,530 118%
Oxford $28,000 - $52,000 213%
Oscar $29,260 223%
Blue Cross Blue Shield $30,340 - $37,925 231%
Hamaspik $30,451 232%
Aetna $39,109 298%
Cigna $46,959 358%
1199 $87,978 - $103,505 671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals