CMS Price Transparency Data

Total knee replacement

Facility: Cannon Memorial Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $1,231
  • Cash Discount Price: $849
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Cannon Memorial Hospital is $1,231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $849. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$849

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,231

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: $849 (6%)
Insurance Median: $1,231 (9%)
Cash: $849 (6% of Medicare)
Ins. Median: $1,231 (9% 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.

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 $849 - $1,096 6%
Absolute Total Care [58] $866 - $1,118 7%
Humana $892 - $4,014 7%
Select Health Of Sc [637] $892 - $977 7%
Aetna $1,173 - $1,877 9%
Blue Choice Health Plan [922] $1,173 - $2,524 9%
Blue Cross Blue Shield $1,173 - $2,590 9%
Devoted Health Alt Payer [9401] $1,173 - $1,197 9%
Devoted Health [94] $1,173 - $1,197 9%
Medicare (plans) $1,173 - $1,323 9%
UnitedHealthcare $1,173 - $2,161 9%
Vaccn - Va Community Care Network [16] $1,173 9%
Veterans Administration [633] $1,173 9%
Cigna $1,208 - $2,287 9%
Molina Dual Options Alt Payer [1501] $1,208 9%
Molina Dual Options [15] $1,208 9%
Absolute Total Care Mcr Plans Alt Payer [4101] $1,214 9%
Absolute Total Care Mcr Plans [41] $1,214 9%
Champva [604] $1,216 9%
Tricare $1,216 9%
Bright Health Alt Payer [1001] $1,231 - $1,323 9%
First Choice Vip Careplus Alt Payer [3301] $1,232 9%
First Choice Vip [33] $1,232 9%
Nhc Advantage Alt Payer [6101] $1,232 9%
Nhc Advantage [61] $1,232 9%
Employee Benefit Management Services [869] $1,619 12%
Ambetter / Centene $1,678 13%
Bright Health [11] $1,687 13%
First Choice Next [96] $1,701 13%
Molina Marketplace [97] $1,701 13%
Mail Handlers Benefit Plan [327] $1,877 14%
Rural Carrier Benefit Plan [406] $1,877 14%
Workers Compensation [622] $1,881 14%
Preferred Administrators [19] $2,023 15%
Edison Health Solutions [95] $2,053 16%
Healthscope [98] $2,053 16%
Geha [302] $2,161 16%
Golden Rule Ins Co [584] $2,161 16%
Nalc Health Benefit Plan [291] $2,287 17%
Planned Administrators [886] $2,524 19%
Thomas Cooper & Company [315] $2,524 19%
Medcost [206] $2,699 21%
Phcs [940] $2,967 23%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 W G Acker Drive, Pickens, SC 29671
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals