CMS Price Transparency Data

Total knee replacement

Facility: Longview Regional Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $12,927
  • Cash Discount Price: $32,849
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Longview Regional Medical Center is $12,927. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32,849. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.99x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$32,849

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,927

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: $32,849 (250%)
Insurance Median: $12,927 (99%)
Cash: $32,849 (250% of Medicare)
Ins. Median: $12,927 (99% 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%
Blue Cross Blue Shield $1,962 - $26,462 15%
Cigna $2,008 15%
Gregg Co Detention Center $2,673 20%
Verity Health Net $3,249 25%
Medicaid / KanCare $6,570 - $24,282 50%
UnitedHealthcare $6,570 - $51,099 50%
Superior $6,898 - $19,217 53%
Self Pay $10,950 83%
Healthspring $12,674 97%
Humana $12,674 97%
Medicare (plans) $12,674 97%
Node Hospice Non Par Agree $12,897 98%
Node Triwest $12,897 98%
Node Va $12,897 98%
Aetna $12,927 - $124,280 99%
American Health Mcr Adv $13,181 100%
Provider Partners Health Plan $13,284 101%
Node Amerigroup Mcr Adv $13,308 101%
Wellness Pointe $15,477 118%
Node Us Dept Of Labor $16,121 123%
Access Direct Platinum $21,925 167%
Node Brookshire Brothers $22,570 172%
Node Brookshire Brothers Work Comp Tx $23,989 183%
Amerigroup $24,282 185%
Work Comp $25,794 197%
Texas Rehab Commission $45,624 348%
Nx Health Network $58,399 445%
Health Smart $100,373 - $127,748 765%
Multiplan $118,623 - $155,122 904%
Aim Administrators $136,873 1043%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals