CMS Price Transparency Data

Total knee replacement

Facility: Jefferson Abington Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,772
Cash Discount Price: $2,092
vs. Medicare Baseline: 0.14x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Jefferson Abington Hospital is $1,772. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,092. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.14x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.

Cash / Self-Pay

$2,092

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,772

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: $2,092 (16%)

Insurance Median: $1,772 (14%)

Cash: $2,092 (16% of Medicare)

Ins. Median: $1,772 (14% 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
Medicaid / KanCare	$220 - $1,994	2%
Jup Pa Health_Wellness	$260 - $1,300	2%
Aetna	$299 - $7,900	2%
Keystone First	$954	7%
Pa Health_Wellness Chc	$1,009	8%
Ibc	$6,011 - $20,334	46%
UnitedHealthcare	$10,885	83%
Cigna	$16,024	122%
Upmc Commercial	$19,229	147%

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 $2,092.
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 Jefferson Abington 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.