CMS Price Transparency Data

Total knee replacement

Facility: Alliancehealth Durant

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $31,646
Cash Discount Price: $25,833
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Alliancehealth Durant is $31,646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,833. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 2.41x the Medicare baseline. Located in 1800 University Boulevard, Durant, OK.

Cash / Self-Pay

$25,833

Average discount available for prompt cash payment at this facility.

Insurance Median

$31,646

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: $25,833 (197%)

Insurance Median: $31,646 (241%)

Cash: $25,833 (197% of Medicare)

Ins. Median: $31,646 (241% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Veterans Eval Services	$1,180	9%
Prime Health Work Comp Ok	$11,461	87%
Aetna	$11,561 - $161,458	88%
Humana	$11,561 - $12,173	88%
Medicaid / KanCare	$11,561	88%
Ok Work Comp	$11,815	90%
Medicare (plans)	$12,173	93%
Node Hospice Non Par Agree	$12,386	94%
Node Va	$12,386	94%
UnitedHealthcare	$12,386 - $62,646	94%
Blue Cross Blue Shield	$12,539 - $53,832	96%
Node Sterling Mcr Adv	$12,539	96%
Node Us Dept Of Labor	$15,483	118%
Healthchoice	$24,447	186%
Self Pay	$30,139	230%
Cigna	$57,910	441%
Healthcare Highways	$71,687	547%
Customer Linx	$129,166	985%
Phcs Savility	$150,694	1149%
First Health	$161,458	1231%
Healthsmart	$163,611	1247%
Multiplan Complementary	$172,222	1313%
Multiplan Primary	$172,222	1313%
Prime Health Services	$172,222	1313%
One Health Plan	$182,986	1395%
Preferred Community Choice Ppo	$182,986	1395%
Comprehensive Medical Care	$193,750	1477%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $25,833.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27447.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alliancehealth Durant is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27447.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.