CMS Price Transparency Data

Total knee replacement

Facility: Mid-Columbia Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,551
Cash Discount Price: $1,963
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Mid-Columbia Medical Center is $1,551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,963. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.12x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$1,963

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,551

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: $1,963 (15%)

Insurance Median: $1,551 (12%)

Cash: $1,963 (15% of Medicare)

Ins. Median: $1,551 (12% 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
Blue Cross Blue Shield	$1,118 - $2,527	9%
Community Hp Mcr Adv - All Plans	$1,118	9%
Molina Mcr Adv	$1,118	9%
Tricare	$1,118	9%
Va Ccn Triwest - All Plans	$1,118	9%
Healthnet Mcr Adv	$1,140	9%
Humana	$1,151	9%
Moda Mcr Adv	$1,151	9%
Devoted Mcr Adv - All Plans	$1,207	9%
Employee Health Plan - All Plans	$1,230	9%
Molina - All Other Plans	$1,230	9%
Cigna	$1,873	14%
Healthnet - All Other Plans	$1,880	14%
Multiplan/Phcs - All Plans	$1,900	14%
Aetna	$2,124	16%
Molina Mcaid	$2,126	16%
Coventry - All Plans	$2,428	19%
First Choice - All Plans	$2,467	19%
Providence Ppo - All Plans	$2,585	20%
Moda Health Plan - All Other Plans	$2,707	21%
Amerigroup Mcaid - All Plans	$4,089	31%
Coordinated Care Mcaid - All Plans	$4,089	31%

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 $1,963.
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 Mid-Columbia Medical Center 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.