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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902881295 | $6.5M |
| 2 | 1427360700 | $3.4M |
| 3 | 1891301065 | $3.1M |
| 4 | State Of Connecticut Farmington, CT · Counselor, Professional | $2.6M |
| 5 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $2.6M |
| 6 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $2.2M |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.5M |
| 8 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $1.2M |
| 9 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $1.0M |
| 10 | 1073827101 | $1.0M |
| 11 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $972K |
| 12 | 1194763045 | $779K |
| 13 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $629K |
| 14 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $563K |
| 15 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $491K |
| 16 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $475K |
| 17 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $444K |
| 18 | 1427007848 | $437K |
| 19 | 1336187475 | $405K |
| 20 | 1689624686 | $348K |
Showing top 20 of 121 providers billing this code