CMS Price Transparency Data

Total knee replacement

Facility: Childress Regional Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $9,256
Cash Discount Price: $25,357
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Childress Regional Medical Center is $9,256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,357. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.71x the Medicare baseline. Located in Hwy 83 North, Childress, TX.

Cash / Self-Pay

$25,357

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,256

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: $25,357 (193%)

Insurance Median: $9,256 (71%)

Cash: $25,357 (193% of Medicare)

Ins. Median: $9,256 (71% 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
Choicecare Network	$594	5%
Blue Cross Blue Shield	$1,512 - $1,806	12%
UnitedHealthcare	$4,387	33%
Insurance Services Of Lubbock	$5,000	38%
Cigna	$9,000	69%
Aetna	$9,256 - $20,285	71%
Humana	$9,256	71%
Amerigroup	$17,141	131%
Firstcare	$17,141 - $22,821	131%
Superior Healthplan Inc.	$17,141	131%
Bsa Provider Network	$20,285	155%

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 $25,357.
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 Childress Regional Medical Center 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.