CMS Price Transparency Data

Total knee replacement

Facility: Comanche County Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $3,518
Cash Discount Price: $9,222
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Comanche County Medical Center is $3,518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,222. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.27x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$9,222

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,518

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: $9,222 (70%)

Insurance Median: $3,518 (27%)

Cash: $9,222 (70% of Medicare)

Ins. Median: $3,518 (27% 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
Cigna	$378 - $5,000	3%
Molina Mcaid	$582 - $17,510	4%
Swhp Mcaid	$582 - $17,510	4%
Choicecare Comm - All Other Plans	$1,127 - $10,283	9%
Choicecare Mcr Adv	$1,127 - $10,283	9%
Humana	$1,127 - $19,455	9%
Molina Mcr Adv - All Other Plans	$1,127 - $10,283	9%
Pphp Mcr Adv - All Plans	$1,127 - $10,283	9%
Superior Epo/Hmo - All Plans	$1,127 - $10,283	9%
Swhp Comm - All Other Plans	$1,127 - $22,234	9%
Swhp Mcr Adv	$1,127 - $10,283	9%
Wellmed Mcr Adv - All Plans	$1,127 - $10,283	9%
Aetna	$1,234 - $17,510	9%
First Care Hmo - All Other Plans	$1,234 - $23,624	9%
First Care Hmo Self Funded	$1,234 - $23,624	9%
Occunet - All Plans	$1,465 - $20,845	11%
Alliance Wc - All Plans	$1,690 - $15,425	13%
Blue Cross Blue Shield	$1,925 - $20,845	15%
Mpi - All Plans	$25,014	191%

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 $9,222.
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 Comanche County 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.