CMS Price Transparency Data

Total knee replacement

Facility: Island Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $1,098
Cash Discount Price: $1,098
vs. Medicare Baseline: 0.08x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Island Hospital is $1,098. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,098. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.08x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$1,098

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,098

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: $1,098 (8%)

Insurance Median: $1,098 (8%)

Cash: $1,098 (8% of Medicare)

Ins. Median: $1,098 (8% 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
Kaiser Comm - All Other Plans	$615	5%
Cigna	$878	7%
First Health - All Plans	$933	7%
Aarp Mcr Adv - All Plans	$1,098	8%
Chpw Mcaid - All Plans	$1,098	8%
Coordinated Care Mcaid - All Plans	$1,098	8%
Humana	$1,098	8%
Kaiser Mcr Adv	$1,098	8%
Molina Mcaid - All Plans	$1,098	8%
Samish Indian Health - All Plans	$1,098	8%
Swinomish Indian Health - All Plans	$1,098	8%
Tricare	$1,098	8%
UnitedHealthcare	$1,098 - $1,645	8%
Aetna	$1,153 - $1,624	9%
Premera Mcr Adv	$1,153	9%
Amerigroup Mcaid - All Plans	$1,164	9%
Regence Mcr Adv	$1,164	9%
Multiplan - All Plans	$1,738	13%
Premera Comm - All Other Plans	$1,790	14%
First Choice - All Plans	$1,860	14%
Regence Comm - All Other Plans	$1,956	15%

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 $1,098.
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 Island Hospital 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.