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Total knee replacement

CPT 27447 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$13,520
Median
$15,386
Max
$15,577
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield629$52.12$12,252$42,026806.3×
UnitedHealthcare622$22.71$16,156$26,5001166.9×
Medicaid421$2.89$9.33$15,5775389.9×
harvard pilgrim [10701]412$201.75$10,714$10,71453.1×
Cigna611$1,645$17,738$31,03518.9×
Aetna48$24.88$15,396$26,9901084.8×
correctional care [11003]38$15,386$15,482$25,4541.7×
institution [10406]47$15,386$15,386$15,5771.0×
tufts [11201]35$16,127$23,064$25,3701.6×
tufts connectorcare [10507]44$26,172$26,334$26,4961.0×
senior whole health [10110]44$16,464$16,565$16,6671.0×
mgb mcr [10124]44$15,577$16,156$16,3561.1×
CHAMPVA44$13,752$15,823$16,3651.2×
tufts us family [11203]44$15,386$15,482$15,5771.0×
hsno/free care [10801]44$294.3$672.16$680.812.3×
workers compensation [20501]33$1,526.08$1,526.08$1,526.081.0×
commonwealth care mcr [10115]33$16,156$16,156$16,3561.0×
fallon mcr [10105]33$16,156$16,156$16,3561.0×
Medicare33$15,386$15,386$15,5771.0×
pennsylvania health and wellness13$8,300$13,849$24,4012.9×
tufts dual [10111]33$15,386$15,386$15,5771.0×
qualcare inc12$87$1,393$2,69931.0×
eternalhealth mcr replace [10116]22$16,156$16,156$16,1561.0×
harvard pilgrim mcr supp [20203]22$16,156$16,156$16,1561.0×
fallon mcr supp [20202]22$16,356$16,356$16,3561.0×
Humana22$13,586$14,011$14,4361.1×
amerihealth12$21,303$22,635$23,9661.1×
tufts mcr [10112]22$16,356$16,356$16,3561.0×
tufts mcr supp [20209]22$16,156$16,156$16,1561.0×
fallon connectorcare [10503]22$27,779$27,779$27,7791.0×
health partners plans12$11,211$12,530$13,8491.2×
fidelis care12$25.96$7,230.75$14,436556.1×
wellpoint12$3,266$8,850.77$14,4364.4×
geisinger12$2,050$7,883.78$13,7186.7×
grants [20507]22$8.73$8.73$8.731.0×
keystone first12$6,539$9,996.38$13,4542.1×
harvard pilgrim mcr [10106]11$16,356$16,356$16,3561.0×
gateway health plan11$13,849$13,849$13,8491.0×
First Health11$60$60$601.0×
innovage11$13,454$13,454$13,4541.0×
masshealth [20302]11$5.6$5.6$5.61.0×
WellCare11$28,727$28,727$28,7271.0×
naphcare11$19,785$19,785$19,7851.0×
occunet11$21,763$21,763$21,7631.0×
point comfort11$13,190$13,190$13,1901.0×
sunrise11$14,509$14,509$14,5091.0×
Emblem Health11$28,871$28,871$28,8711.0×
elder health11$15,828$15,828$15,8281.0×
commonwealth care alliance [10103]11$16,356$16,356$16,3561.0×
clover health11$14,436$14,436$14,4361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HEALTHALLIANCE-CLINTONLEOMINSTERMA22$59,236$59,236$25.11$15,577$26,496
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA18$82,727$82,727$2.89$15,577$26,496
MARLBOROUGH HOSPITALMARLBOROUGHMA24$60,726$60,726$7.46$15,386$31,035
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA24$60,726$60,726$7.46$15,386$31,035
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,881$22.71$14,436$28,871
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA18$1,645$13,520$42,026

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.