CMS Price Transparency Data

Total knee replacement

Facility: Swedish Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $35,055
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.67x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Swedish Medical Center is $35,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 2.67x the Medicare baseline. Located in 747 Broadway, Seattle, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$35,055

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%)

Insurance Median: $35,055 (267%)

Ins. Median: $35,055 (267% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 267% of the Medicare baseline (a markup of 167%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$7,277 - $17,840	55%
Kaiser	$14,867 - $22,301	113%
Aetna	$15,313 - $53,101	117%
UnitedHealthcare	$15,610 - $63,061	119%
Humana	$15,759	120%
Blue Shield	$16,056	122%
Amerigroup	$16,354	125%
Community Health Plan	$23,787	181%
Blue Cross Blue Shield	$26,761 - $46,149	204%
Coordinated Care	$27,504	210%
Blue Shield-Ballard	$35,055 - $47,024	267%
Blue Shield-First Hill	$35,055 - $47,024	267%
Blue Shield-Mill Creek	$35,055 - $47,024	267%
Blue Shield-Redmond	$35,055 - $47,024	267%
Providence Health Plan	$45,166	344%
First Choice	$57,956 - $61,051	442%

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 $X.
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 Swedish 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.