CMS Price Transparency Data

Total knee replacement

Facility: Curry General Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $4,423
Cash Discount Price: $4,656
vs. Medicare Baseline: 0.34x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Curry General Hospital is $4,423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,656. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.34x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$4,656

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,423

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: $4,656 (35%)

Insurance Median: $4,423 (34%)

Cash: $4,656 (35% of Medicare)

Ins. Median: $4,423 (34% 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
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$1,363	10%
Medicare (plans)	$1,363	10%
Tricare	$1,450	11%
Allcare Alt [2598]	$2,000	15%
Allcare [1695]	$2,000	15%
Blue Cross Blue Shield	$2,375 - $4,656	18%
Medicaid / KanCare	$2,933 - $3,026	22%
Department Of Corrections [1051]	$3,026	23%
First Choice Health Admin [1294]	$3,810	29%
First Choice [528]	$3,810	29%
Coordinated Care Commercial [1649]	$3,958	30%
Pacificsource [1148]	$3,958	30%
Moda [512]	$3,995 - $4,190	30%
Multiplan [1131]	$4,237	32%
Asuris [1258]	$4,423	34%
Operating Engineers [1144]	$4,423	34%
Regence [1351]	$4,423 - $4,656	34%
Cigna	$4,563 - $4,656	35%
Coventry First Health Managed Care [1774]	$4,563	35%
Coventry Health [1046]	$4,563	35%
Providence Health Plan Plm Alt [1692]	$4,563	35%
Providence Health Plan [567]	$4,563	35%
Aetna	$4,656	35%
Employee Bene Admin Mgmt [525]	$4,656	35%
Geha [531]	$4,656	35%
Mailhandlers Benefit Pln [547]	$4,656	35%
Meritain [550]	$4,656	35%
Nw Sheet Metal Workers [597]	$4,656	35%
Trustmark [524]	$4,656	35%
UnitedHealthcare	$4,656	35%
Zenith Administrators [586]	$4,656	35%

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 $4,656.
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 Curry General 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.