CMS Price Transparency Data

Total knee replacement

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $5,033
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at University of Texas M. D. Anderson Cancer Center is $5,033. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.38x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,033

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%)
Insurance Median: $5,033 (38%)
Ins. Median: $5,033 (38% 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
Texaschildrens $943 - $1,076 7%
Tricare $1,123 - $1,321 9%
Vacare $1,123 - $1,321 9%
Medicare (plans) $1,585 12%
UnitedHealthcare $1,588 - $7,942 12%
Blue Cross Blue Shield $2,274 - $2,534 17%
Aetna $2,541 - $5,509 19%
Cigna $3,063 - $9,644 23%
Humana $6,808 - $9,417 52%
Ontarioministriesofhealth $8,396 64%
Beijingst.Lucia $8,510 65%
Embassyofqatar $8,510 65%
Memorialhermannhealth $8,510 65%
Emergingtherapysolutions_Cancercare $9,077 69%
Interlink_Cancercare $9,077 69%
Saudiarmedforces $9,077 69%
Uae_Medical $9,077 69%
Uaepoliceattache $9,077 69%
Healthsmart $9,644 74%
Vantage $9,644 74%
Multiplan $11,317 86%
Phcs $11,317 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL