CMS Price Transparency Data

Total knee replacement

Facility: Methodist Hospitals of Memphis

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $11,782
Cash Discount Price: $14,334
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Methodist Hospitals of Memphis is $11,782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,334. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.90x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$14,334

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,782

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: $14,334 (109%)

Insurance Median: $11,782 (90%)

Cash: $14,334 (109% of Medicare)

Ins. Median: $11,782 (90% 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	$297 - $9,751	2%
Blue Cross Blue Shield	$1,697 - $11,782	13%
Cigna	$2,080 - $24,597	16%
UnitedHealthcare	$3,963 - $18,614	30%
Molina Healthcare [350012]	$9,751 - $12,189	74%
Tricare	$11,773	90%
American Health Advantage Mcr Adv [450117]	$11,782	90%
Carecentrix [450200]	$11,782	90%
Generic Hospice Vbid [10940000101]	$11,782	90%
Humana	$11,782	90%
Medicare (plans)	$11,782	90%
Va Hospital [600005]	$11,782	90%
Devoted Health [450111]	$12,136	93%
Select Specialty Hospital [100298]	$15,317	117%
United Food & Commercial Workers [100309]	$24,597	188%

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 $14,334.
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 Methodist Hospitals of Memphis 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.