CMS Price Transparency Data

Total knee replacement

Facility: Christ Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $640
  • Cash Discount Price: $24,577
  • vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Christ Hospital is $640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,577. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.05x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$24,577

Average discount available for prompt cash payment at this facility.

Insurance Median
$640

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: $24,577 (187%)
Insurance Median: $640 (5%)
Cash: $24,577 (187% of Medicare)
Ins. Median: $640 (5% 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 $640 - $24,577 5%
Allied Benefits [2163] $640 - $11,889 5%
Ambetter / Centene $640 - $11,889 5%
Blue Cross Blue Shield $640 - $39,472 5%
Buckeye Community Health [2028] $640 - $24,577 5%
Caresource [2031] $640 - $24,577 5%
Center Of Excellence [2180] $640 5%
Cigna $640 - $11,889 5%
Custom Design Benefits - True Cost [3004] $640 - $11,889 5%
Devoted Health Plans Oon [2250] $640 5%
Humana $640 - $24,577 5%
Key Benefit Administrators [2221] $640 5%
Medben [2222] $640 - $11,889 5%
Medicaid / KanCare $640 - $24,577 5%
Medical Mutual [2054] $640 - $35,027 5%
Medicare (plans) $640 - $11,889 5%
Medigold Ppo [2204] $640 - $11,889 5%
Meritain Health [2224] $640 - $11,889 5%
Other Exchange Plan [9992] $640 - $11,889 5%
Other Managed Care [9991] $640 5%
Other [9990] $640 5%
Tricare $640 5%
United Medical Resources [2104] $640 - $23,320 5%
UnitedHealthcare $640 - $24,577 5%
Western And Southern [2076] $640 - $35,027 5%
Buckeye Mycare Dual [2171] $11,889 91%
First Health [2041] $11,889 91%
Meridian [2185] $11,889 91%
Perennial [4200] $11,889 91%
Poppins Health [2299] $11,889 91%
Geha [2168] $23,320 178%
Golden Rule [2161] $23,320 178%
Amerihealth Caritas [2230] $24,577 187%
Life Synch [2080] $24,577 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals