Total knee replacement
Facility: Centura St. Catherine-Dodge City
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $1,152
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.09x 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 |
|---|---|---|
| Aetna | $1,152 | 9% |
| Kansas Health | $1,152 | 9% |
| Humana | $1,152 | 9% |
| Medicare (plans) | $1,152 | 9% |
| Kaiser | $1,152 | 9% |
| Cigna | $1,152 | 9% |
| Blue Cross Blue Shield | $1,152 | 9% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Centura St. Catherine-Dodge City in Dodge City, KS, the negotiated rate across seven major payers is a flat $1,152. This amount is significantly lower than the Medicare benchmark of $13,116.76, reflecting the substantial savings available through in-network contracts. While commercial negotiated rates often include administrative overhead that can inflate costs by 20% to 40%, this specific procedure shows a consistent, low rate across all listed insurers, including Aetna, Humana, and Medicare plans. Patients should note that while cash-pay rates are not listed in this report, in some cases, paying out-of-pocket can be cheaper than insurance if the patient's deductible is high and the negotiated rate exceeds the cash price.
It is important to distinguish between the negotiated rate and potential balance billing, though the No Surprises Act generally protects patients from unexpected out-of-network charges at in-network facilities. If you have high-deductible health plans, you should verify your deductible status before scheduling, as you may still be responsible for the full $1,152 if you have not yet met your out-of-pocket threshold. To minimize costs, we strongly recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full upfront. Additionally, if you receive an itemized bill later, ensure it is a detailed statement showing specific CPT codes rather than a summary bill, as this is the most effective way to identify and dispute any errors or unbundled charges.