CMS Price Transparency Data

Total knee replacement

Facility: Conway Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,221
Cash Discount Price: $2,641
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Conway Medical Center is $1,221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,641. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.

Cash / Self-Pay

$2,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,221

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: $2,641 (20%)

Insurance Median: $1,221 (9%)

Cash: $2,641 (20% of Medicare)

Ins. Median: $1,221 (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.

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
Absolute Total Care	$191 - $18,807	1%
Aetna	$446 - $11,992	3%
Velocity	$528 - $23,984	4%
Blue Cross Blue Shield	$708 - $21,564	5%
Clover Health	$1,191 - $11,992	9%
Devoted	$1,191 - $11,992	9%
Emblem	$1,191 - $11,992	9%
Healthteam	$1,191 - $11,992	9%
Humana	$1,191 - $11,992	9%
Molina	$1,191 - $11,992	9%
Nhc	$1,191 - $12,592	9%
Pruitt	$1,191 - $12,592	9%
Select Health	$1,191 - $11,992	9%
UnitedHealthcare	$1,191 - $11,992	9%
Wellcare	$1,191 - $11,992	9%
Medcost	$1,490	11%
Cigna	$1,849	14%

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 $2,641.
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 Conway 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.