CMS Price Transparency Data

Total knee replacement

Facility: Pullman Regional Hospital

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,066
Cash Discount Price: $4,791
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Pullman Regional Hospital is $2,066. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,791. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.16x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.

Cash / Self-Pay

$4,791

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,066

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: $4,791 (37%)

Insurance Median: $2,066 (16%)

Cash: $4,791 (37% of Medicare)

Ins. Median: $2,066 (16% 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
Community Health Plan Mcaid-All Plans	$745	6%
Medicaid / KanCare	$745	6%
Molina Hlthcare Mcaid-All Plans	$745	6%
Wellcare Mcaid -All Other Plans	$745	6%
Wellpoint Mcaid - All Plans	$745	6%
Community Care Ntwrk Mcare-All Plans	$1,156	9%
Kaiser Mcare Advan	$1,156	9%
Sterling Mcr Adv-All Plans	$1,156	9%
Triwest - All Plans	$1,156	9%
Wellcare Mcr Adv	$1,260	10%
Blue Cross Blue Shield	$1,329 - $1,942	10%
Humana	$1,329	10%
Aetna	$1,624	12%
Premera First - All Plans	$1,720	13%
First Choice - All Other Plans	$2,189	17%
First Choice Admin	$2,189	17%
Idaho Dshs-All Plans	$2,311	18%
Kaiser - All Other Plans	$2,516	19%
Admin Wsu Student-All Plans	$4,791	37%
Multiplan - All Plans	$4,791	37%
Asuris Nw Hlth-All Plans	$5,073	39%
Cigna	$5,073	39%
Focus Hlthcare - All Plans	$5,073	39%
Northwest One - All Plans	$5,073	39%
UnitedHealthcare	$5,073	39%
Great West Hlth-All Plans	$5,355	41%
Integrated Hp - All Plans	$5,355	41%
Spokane Phco - All Plans	$5,355	41%
Provider Network Of America-All Plans	$5,524	42%

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 $4,791.
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 Pullman Regional 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.