CMS Price Transparency Data

Total knee replacement

Facility: White Rock Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $12,897
  • Cash Discount Price: $37,683
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at White Rock Medical Center is $12,897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37,683. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.98x the Medicare baseline. Located in 9440 Poppy Drive, Dallas, TX.
Cash / Self-Pay
$37,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,897

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: $37,683 (287%)
Insurance Median: $12,897 (98%)
Cash: $37,683 (287% of Medicare)
Ins. Median: $12,897 (98% 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
Amerigroup $4,987 - $12,897 38%
Multiplan $10,000 76%
Blue Cross Blue Shield $12,897 - $29,990 98%
Cigna $12,897 - $39,900 98%
Employer Direct $12,897 98%
Humana $12,897 98%
Molina $12,897 - $39,900 98%
Scott And White $12,897 - $22,267 98%
Superior Health Plan $12,897 - $39,900 98%
Universal American $12,897 98%
Wellcare $12,897 98%
Wellmed $12,897 98%
Parkland $39,900 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9440 Poppy Drive, Dallas, TX 75218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals