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#1152 of 11K

27447

Total knee replacement surgery, both components

Total knee replacement surgery, both components is the #1,152 most-billed Medicaid procedure code, with $36.7M in payments across 16K claims from 2018–2024. The national median cost per claim is $1,115.75. Costs vary widely — the 90th percentile is $5,701.59 per claim, 5.1× the median.

Total Paid

$36.7M

0.00% of all spending

Total Claims

16K

Providers

121

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 27447? Based on 117 providers billing this code nationally.

Median

$1,115.75

Average

$2,060.86

Std Dev

$2,348.76

Max

$9,460.44

Percentile Distribution (Cost per Claim)

p10
$149.45
p25
$532.25
Median
$1,115.75
p75
$2,635.69
p90
$5,701.59
p95
$8,204.00
p99
$9,242.82

50% of providers bill between $532.25 and $2,635.69 per claim for this code.

90% bill between $149.45 and $5,701.59.

Top 1% bill above $9,242.82.

About This Procedure

HCPCS code 27447 (Total knee replacement surgery, both components) was billed by 121 providers across 16K claims, totaling $36.7M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,115.75

Providers Billing

117

National Spending

$36.7M

Avg/Median Ratio

1.85×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 27447

#ProviderTotal Paid
11902881295$6.5M
21427360700$3.4M
31891301065$3.1M
4State Of Connecticut

Farmington, CT · Counselor, Professional

$2.6M
5Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$2.6M
6Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$2.2M
7Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.5M
8Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$1.2M
9Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$1.0M
101073827101$1.0M
11Hartford Hospital

Hartford, CT · General Acute Care Hospital

$972K
121194763045$779K
13Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$629K
14Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$563K
15Svmc Holdings, Inc

Bridgeport, CT · General Acute Care Hospital

$491K
16Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$475K
17The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$444K
181427007848$437K
191336187475$405K
201689624686$348K

Showing top 20 of 121 providers billing this code