CMS Price Transparency Data

Total knee replacement

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $11,793
  • Cash Discount Price: $14,707
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Tennova Healthcare-Jefferson Memorial Hospital is $11,793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,707. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.90x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$14,707

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,793

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: $14,707 (112%)
Insurance Median: $11,793 (90%)
Cash: $14,707 (112% of Medicare)
Ins. Median: $11,793 (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.

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%
Bluecare $1,483 - $1,607 11%
Medicaid / KanCare $6,302 48%
UnitedHealthcare $6,302 - $66,459 48%
Amerigroup $7,388 56%
Blue Cross Blue Shield $8,375 - $13,961 64%
Humana $11,450 87%
Medicare (plans) $11,450 87%
Node Bluecare Plus Tn Mcr Adv $11,648 89%
Node Hospice Non Par Agree $11,648 89%
Node Va $11,648 89%
Node Devoted Health Mcr Adv $11,679 89%
Node Farm Bureau Mcr Adv $11,679 89%
Aetna $11,793 - $42,667 90%
Node Healthspring Mcr Adv $11,793 90%
Node Amerigroup Mcr Adv $12,022 92%
Node Wellcare Mcr Adv $12,114 92%
Node Nhc Mcr Adv $12,595 96%
Node Us Dept Of Labor $14,560 111%
Self Pay $14,707 112%
Three Rivers Work Comp Tn $15,440 118%
Novanet Work Comp Tn $19,107 146%
Occunet Work Comp Tn $19,300 147%
Tn Work Comp $19,300 147%
Ambetter / Centene $21,549 164%
Point Comfort Underwriters $25,190 192%
Cigna $27,011 206%
Multiplan Complementary $52,503 400%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals