CMS Price Transparency Data

Total knee replacement

Facility: Parkland Health & Hospital System

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $14,127
Cash Discount Price: $23,297
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Parkland Health & Hospital System is $14,127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,297. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.08x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$23,297

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,127

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: $23,297 (178%)

Insurance Median: $14,127 (108%)

Cash: $23,297 (178% of Medicare)

Ins. Median: $14,127 (108% 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
Wellpoint [1007]	$146 - $13,069	1%
Superior Healthplan [1383]	$154 - $156	1%
Molina [1382]	$161 - $14,376	1%
Aetna	$201 - $51,861	2%
Parkland Community Health Plan [1056]	$201 - $203	2%
Care Improvement Plus [1104]	$10,770 - $18,065	82%
Medicare (plans)	$10,822 - $19,059	83%
UnitedHealthcare	$10,822 - $57,652	83%
Wellcare Of Texas [1330]	$10,822 - $18,151	83%
Procare Advantage [2104]	$10,925 - $18,324	83%
Blue Cross Blue Shield	$12,368 - $62,233	94%
Molina Aca [1337]	$15,460 - $25,930	118%
Cigna	$24,221 - $51,861	185%
Great West Healthcare [1037]	$30,920 - $51,861	236%
Triwest Healthcare Alliance [1409]	$38,650 - $64,826	295%

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 $23,297.
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 Parkland Health & Hospital System 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.