CMS Price Transparency Data

Total knee replacement

Facility: Laredo Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $21,214
  • Cash Discount Price: $54,275
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Laredo Medical Center is $21,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54,275. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.62x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$54,275

Average discount available for prompt cash payment at this facility.

Insurance Median
$21,214

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: $54,275 (414%)
Insurance Median: $21,214 (162%)
Cash: $54,275 (414% of Medicare)
Ins. Median: $21,214 (162% 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 $1,222 9%
Lonestar Athletic $2,000 15%
Blue Cross Blue Shield $4,022 - $49,300 31%
Cigna $6,298 - $11,968 48%
UnitedHealthcare $11,396 - $64,451 87%
Medicaid / KanCare $11,398 - $24,299 87%
Molina $11,398 - $23,137 87%
Amerigroup $11,968 91%
Superior $12,590 - $25,557 96%
Humana $12,674 97%
Medicare (plans) $12,674 97%
Node Ice Health Service Corps $12,897 98%
Node Va $12,897 98%
Triwest $12,897 98%
Aetna $13,054 - $131,164 100%
American Health $13,181 100%
Provider Partners Health Plan $13,284 101%
Node Amerigroup Mcr Adv $13,308 101%
Node Tihp Mcr Adv $13,308 101%
Node Wellpoint Mcr Adv $13,542 103%
Industrial Rehab $14,832 113%
Self Pay $15,830 121%
Node Us Dept Of Labor $16,121 123%
Node Hospice Non Par Agree $21,214 162%
Node Molina Health Exchange $21,409 163%
Node Brookshire Brothers $22,570 172%
Node Brookshire Brothers Work Comp Tx $23,989 183%
Coventry Hcn Tx Work Comp $24,505 187%
Health Smart $24,505 - $158,301 187%
Node Superior Commercial Exchange $25,794 197%
Tx Work Comp $25,794 197%
Imo Work Comp $29,664 226%
Node Naphcare $29,664 226%
Tx Workforce Commission $74,628 569%
Multiplan Primary $169,609 1293%
Medical Control $187,700 1431%
Health Headquarters $192,223 1465%
Multiplan $196,746 1500%
Nha $199,008 1517%
Galaxy Health Network $200,138 1526%
Accountable Health Plans $203,530 1552%
Cchn $203,530 1552%
Nppn Plan Vista $203,530 1552%
Ppo Next $203,530 1552%
Mutual Of Omaha $214,838 1638%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals