CMS Price Transparency Data

Total knee replacement

Facility: Northwest Surgical Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $16,228
Cash Discount Price: $37,044
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Northwest Surgical Hospital is $16,228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37,044. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.24x the Medicare baseline. Located in 9204 North May Avenue, Oklahoma City, OK.

Cash / Self-Pay

$37,044

Average discount available for prompt cash payment at this facility.

Insurance Median

$16,228

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: $37,044 (282%)

Insurance Median: $16,228 (124%)

Cash: $37,044 (282% of Medicare)

Ins. Median: $16,228 (124% 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.

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
Aetna	$5,174 - $7,879	39%
Cigna	$5,608	43%
UnitedHealthcare	$12,372	94%
Blue Cross Blue Shield	$20,084 - $32,090	153%
Healthchoice	$21,874	167%

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 $37,044.
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 Northwest Surgical Hospital 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.