CMS Price Transparency Data

Total knee replacement

Facility: Uh Cleveland Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $12,107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Uh Cleveland Medical Center is $12,107. 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 0.92x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,107

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: $12,107 (92%)
Ins. Median: $12,107 (92% 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
Aetna $11,928 - $21,232 91%
Blue Cross Blue Shield $11,928 - $36,215 91%
Cigna $11,928 91%
Devoted Health $11,928 91%
Humana $11,928 91%
Medical Mutual Of Ohio $11,928 - $36,817 91%
Molina $11,928 91%
Primetime Health Plan $11,928 91%
Summacare $11,928 91%
The Health Plan $11,928 91%
UnitedHealthcare $11,928 91%
Wellcare By Allwell $11,928 91%
Paramount $12,286 94%
Perennial Advantage Of Ohio $12,524 95%
Valor Health Plans $12,524 95%
Ambetter / Centene $21,470 164%
Caresource $21,470 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals