CMS Price Transparency Data

Total knee replacement

Facility: Tennova Healthcare - Clarksville

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $13,666
  • Cash Discount Price: $16,865
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Tennova Healthcare - Clarksville is $13,666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,865. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.04x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$16,865

Average discount available for prompt cash payment at this facility.

Insurance Median
$13,666

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: $16,865 (129%)
Insurance Median: $13,666 (104%)
Cash: $16,865 (129% of Medicare)
Ins. Median: $13,666 (104% 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
Veterans Eval Services $1,147 9%
Blue Cross Blue Shield $1,928 - $17,249 15%
Medicaid / KanCare $2,609 - $21,733 20%
UnitedHealthcare $2,609 - $15,126 20%
Aetna $2,753 - $19,646 21%
Oscar $7,193 55%
Amerigroup $8,656 66%
Humana $12,781 - $19,125 97%
Medicare (plans) $12,781 97%
Node Windsor Mcr Dual $12,781 97%
Node Devoted Health Mcr Adv $13,002 99%
Node Bluecare Plus Tn Mcr Adv $13,007 99%
Node Hospice Non Par Agree $13,007 99%
Node Va $13,007 99%
Node Wellcare Mcr Adv $13,007 99%
American Health $13,036 99%
Node Ascension Complete Mcr Adv $13,036 99%
Node Farm Bureau Mcr Adv $13,036 99%
Node Healthspring Mcr Adv $13,036 99%
Node Amerigroup Mcr Adv $13,420 102%
Cigna $13,913 - $28,025 106%
Node Nhc Mcr Adv $14,059 107%
Node Us Dept Of Labor $16,259 124%
Ky Work Comp $16,494 126%
Self Pay $16,865 129%
Corvel $18,335 140%
Rockport Work Comp Tn $18,335 140%
Novanet Work Comp Tn $18,914 144%
Prime Health Work Comp Tn $18,914 144%
Tn Work Comp $19,300 147%
Wellcare $21,733 166%
Ambetter / Centene $24,063 183%
Node Valenz Access $26,015 198%
Naphcare $29,266 223%
Center Care $56,505 431%
Correct Care Solutions $78,238 596%
First Health $78,238 596%
Multiplan $82,584 630%
Phcs $82,584 630%
Prime Health Services $82,584 630%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals