Total knee replacement
Facility: Ohio Valley Surgical Hospital
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $12,263
- Cash Discount Price: $21,082
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $1,505 | 11% |
| Ngs Coresource | $1,505 | 11% |
| Aetna | $1,505 - $12,263 | 11% |
| Nippon Life | $1,505 | 11% |
| Personify Health | $1,505 | 11% |
| Pacific Source | $1,505 | 11% |
| Mhbp | $1,505 | 11% |
| Mail Handlers | $1,505 | 11% |
| Genworth | $1,505 | 11% |
| Meritain Heatlh | $1,505 | 11% |
| Meritain | $1,505 | 11% |
| UnitedHealthcare | $6,136 - $12,263 | 47% |
| Humana | $12,000 | 91% |
| Wellcare By Allwell | $12,263 | 93% |
| Bankers Life and Casualty | $12,263 | 93% |
| Central States | $12,263 | 93% |
| American Continental Insurance | $12,263 | 93% |
| Blue Cross Blue Shield | $12,263 - $34,610 | 93% |
| Aarp Supplemental | $12,263 | 93% |
| Molina Marketplace | $12,263 | 93% |
| Medicare (plans) | $12,263 - $21,082 | 93% |
| Medigold | $12,263 | 93% |
| Mmoh | $12,263 - $22,136 | 93% |
| Molina | $12,263 | 93% |
| Wraparound Pl Supp | $12,263 | 93% |
| American Continental Life | $12,263 | 93% |
| Aultcare Primetime Health Plan | $12,263 | 93% |
| American Retirement | $12,263 | 93% |
| American Republic | $12,263 | 93% |
| Self Pay Imaging | $12,263 | 93% |
| Molina Dual McR | $12,263 | 93% |
| Champus | $12,263 | 93% |
| Cigna | $12,263 - $19,665 | 93% |
| Molina McR | $12,263 | 93% |
| Molina Dual McR | $12,263 | 93% |
| Gateway Health Plan | $12,263 | 93% |
| Communicare Advantage | $12,263 | 93% |
| Prosperity Supplement | $12,263 | 93% |
| Molina McR McD | $12,263 | 93% |
| Everest | $12,263 | 93% |
| Bankers Fidelity | $12,263 | 93% |
| Patient No Pay | $12,263 | 93% |
| Molina McR+McD | $12,263 | 93% |
| Aarp | $12,263 | 93% |
| The Health Plan | $12,876 | 98% |
| Employer Direct | $13,414 | 102% |
| Devoted Health | $14,683 | 112% |
| Mmoh (Supermed) | $16,339 | 125% |
| Medicaid / KanCare | $18,395 | 140% |
| Caresourse | $18,395 | 140% |
| Caresource | $18,395 | 140% |
| Samba | $19,665 | 150% |
| Nalc | $19,665 | 150% |
| Sbma | $19,665 | 150% |
| Unified Group | $19,665 | 150% |
| Healthgram | $19,665 | 150% |
| Mmo Cin. HMO | $22,136 | 169% |
| Preferred Health | $31,623 | 241% |
| Medben | $31,623 | 241% |
| Ohio Health | $31,623 | 241% |
| Luminare Health | $31,623 | 241% |