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Total knee replacement

CPT 27447 · negotiated-rate distribution across hospitals in TX

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Hospitals
54
Min
$1,104.47
Median
$13,240
Max
$30,501
Range multiplier
27.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield46261$806.07$16,197$40,22449.9×
UnitedHealthcare40115$397.12$13,538$33,76685.0×
Aetna3974$248.48$12,036$33,333134.1×
baylor scott & white health plan1872$11,025$14,711$20,4641.9×
Humana4164$1,103.08$12,039$41,39437.5×
Cigna3158$882.46$6,339.00$50,61557.4×
Medicare1136$8,859.71$12,635$14,7961.7×
Anthem BCBS325$946.18$2,089.40$34,85836.8×
american health plan1919$12,186$12,638$13,0221.1×
superior health plan1818$11,605$12,304$12,6791.1×
procare advantage1818$12,186$12,638$13,0221.1×
triwest1818$11,605$12,036$12,4021.1×
Ambetter1717$8,859.71$24,915$25,9762.9×
healthspring1515$12,186$12,638$12,6791.0×
prime health services1515$12,158$12,609$32,9002.7×
corvel1414$12,158$12,609$12,9921.1×
Medicaid39$946.18$946.18$1,104.471.2×
wellmed78$248.48$12,082$12,54050.5×
commercial | entrust | all plans88$24,494$29,091$32,4091.3×
commercial | community health choice | exchange77$12,511$18,484$18,4951.5×
sedgwick66$17,350$17,800$18,5411.1×
Medicare Advantage26$8,859.71$8,859.71$8,859.711.0×
commercial | kelseycare | all plans55$2,404.80$2,404.80$2,404.801.0×
wellpoint (fka amerigroup)55$12,398$12,398$12,4371.0×
wellpoint55$12,540$16,310$16,3101.3×
commercial | harris health | ers55$18,484$18,495$18,4951.0×
commercial | kelseycare | exchange55$16,636$16,646$16,6461.0×
commercial | nxhealth | all plans55$39,802$40,049$40,0731.0×
commercial | renaissance | all plans55$8,872.48$8,877.80$8,877.801.0×
commercial | superior health plan | all plans55$18,484$18,495$18,4951.0×
Molina45$12,540$12,638$13,7941.1×
90 degree benefits55$12,540$30,204$30,2042.4×
scott & white44$19,331$19,331$19,3311.0×
patoka valley tier 124$2,089.40$2,089.40$2,089.401.0×
optum24$29,741$29,741$29,7411.0×
kempton group44$24,163$24,163$24,1631.0×
care improvement44$12,082$12,082$12,0821.0×
mhs care connect24$946.18$946.18$946.181.0×
caprock44$30,204$30,204$30,2041.0×
insurance management services44$19,693$19,693$19,6931.0×
insurance services of lubbock44$19,693$19,693$19,6931.0×
pdh/texas trust44$24,163$24,163$24,1631.0×
patoka valley tier 224$2,089.40$2,089.40$2,089.401.0×
injury management organization33$14,621$14,955$15,1601.0×
careworks fka rockport33$17,600$18,249$18,5411.1×
health partners open network23$2,631.60$2,631.60$20,3737.7×
prominence health13$12,540$13,167$13,1671.1×
secure horizons-pacificare22$8,859.71$8,859.71$8,859.711.0×
personalized care22$8,859.71$8,859.71$8,859.711.0×
superior12$12,540$13,167$13,7941.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Orthopedic And Spine HospitalArlingtonTX3$5,517.00$3,310.20$3,034.35$8,427.00$18,989
Trinity Regional Hospital SachseSachseTX8$8,336.00$6,668.80$1,144.67$4,167.04$33,766
Glen Rose Medical CenterGlen RoseTX8$43,573$43,573$20,044$30,501$41,394
Wilson N Jones Regional Medical CtrShermanTX8$8,336.00$6,668.80$1,144.67$2,495.10$4,167.04
Shannon Medical CenterSan AngeloTX13$12,082$24,163$33,917
River Crest HospitalSan AngeloTX13$12,082$24,163$33,917
San Angelo Community Medical CenterSan AngeloTX13$12,082$24,163$33,917
Big Spring State HospitalBig SpringsTX13$12,082$24,163$33,917
Golden Plains Community HospitalBorgerTX6$4,851.05$3,395.74$248.48$2,267.06$3,298.71
Ascension Seton BastropBastropTX18$397.12$2,089.40$8,859.71
Ascension Seton Shoal CreekAustinTX18$397.12$2,089.40$8,859.71
St. Joseph Regional Health CenterBryanTX8$12,247$14,925$39,802
College Station Medical CenterCollege StationTX8$12,247$14,925$39,802
Madison St. Joseph Health CenterMadisonvilleTX2$13,261$14,925$16,197
Grimes St. Joseph Health CenterNavasotaTX2$13,261$14,925$16,197
Scott And White Memorial HospitalTempleTX15$5,388.00$14,887$21,421
Burleson St. Joseph Health CenterCaldwellTX1$13,261$14,577$16,197
Baylor S&W Medical Center - PlanoPlanoTX15$6,546.00$14,444$40,224
College Station HospitalCollege StationTX14$5,388.00$14,262$21,421
Scott And White Hospital TaylorTaylorTX11$5,388.00$14,030$21,421
Bsw Medical Center - AustinAustinTX11$5,388.00$14,030$21,421
Round Rock HospitalRound RockTX16$5,388.00$14,030$21,421
Mid Coast Medical Center-CentralLlanoTX11$5,388.00$14,030$21,421
Baylor Scott & White PflugervillePflugervilleTX14$5,388.00$13,933$21,421
Baylor Scott & White - BudaBudaTX11$5,388.00$13,933$21,421
Baylor Medical Center-GrapevineGrapevineTX14$6,546.00$13,886$40,224
Hillcrest Baptist Medical CenterWacoTX13$5,388.00$13,847$21,421
Baylor S&W Medical Center - MckinneyMckinneyTX14$6,546.00$13,842$40,224
Baylor University Medical CtrDallasTX17$6,546.00$13,842$40,224
St Lukes Health Memorial San AugustSan AugustineTX2$2,826.00$13,767$16,197
Baylor S&W All Saints Medical CenterFort WorthTX15$6,546.00$13,282$40,224
Baylor Scott & White Mc- Lake PointeRowlettTX16$6,546.00$13,240$29,633
Centennial Medical CenterFriscoTX16$6,546.00$13,240$29,633
Baylor S&W Medical Center - IrvingIrvingTX15$6,546.00$13,240$40,224
Baylor Scott & White - Marble FallsMarble FallsTX14$5,388.00$12,790$21,421
St. Lukes Sugar Land HospitalSugar LandTX12$851.87$12,577$29,099
St Lukes Hospital At The VintageHoustonTX14$851.87$12,577$40,073
Chi St Lukes Health Baylor Med CtrHoustonTX13$806.07$12,569$40,049
St. Lukes The Woodlands HospitalThe WoodlandsTX13$851.87$12,569$40,049
North Texas Medical CenterGainsvilleTX17$3,620.00$905.00$1,448.00$12,540$13,794
St. Lukes Lakeside HospitalThe WoodlandsTX13$851.87$12,515$29,099
Brazosport Regional Health SystemLake JacksonTX9$5,000.00$12,511$29,082
Scott & White Cedar ParkCedar ParkTX1$12,361$12,361$12,361
St. Lukes Patients Medical CenterPasadenaTX7$851.87$12,323$18,484
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$61,776$37,066$7,568.00$12,266$15,999
Crescent Medical Center LancasterLancasterTX11$50,615$32,900$10,123$12,198$65,800
Acuity Hospital Of South TexasSan AntonioTX1$1,197.33$1,197.33$1,197.33
Heritage Park Surgical HospitalShermanTX2$13,500$8,100.00$7,568.00$11,355$22,182
Chi St Lukes Health Memorial LufkinLufkinTX6$2,826.00$11,060$16,197
Chi St Lukes Health Mem LivingstonLivingstonTX6$2,826.00$11,060$16,197
Childrens Medical Center Of PlanoPlanoTX4$1,104.47$1,104.47$1,104.47
Laredo Medical CenterLaredoTX0$226,145$54,275
Longview Regional Medical CenterLongviewTX0$182,497$32,849
Navarro Regional HospitalCorsicanaTX0$118,330$28,399

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.