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Knee revision arthroplasty single component

CPT 27486 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$2,982.5
Median
$15,386
Max
$15,577
Range multiplier
5.2×

By payer (47 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield626$52.12$14,803$42,026806.3×
UnitedHealthcare621$22.71$16,156$26,5001166.9×
harvard pilgrim [10701]412$201.75$10,714$10,71453.1×
Medicaid310$1.44$8.84$83.9858.3×
Cigna49$1,645$15,577$24,02614.6×
institution [10406]47$15,386$15,386$15,5771.0×
Aetna47$24.88$16,356$26,9901084.8×
correctional care [11003]36$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×
hsno/free care [10801]44$294.3$672.16$680.812.3×
tufts mcr supp [20209]24$8,077.9$12,117$16,1562.0×
senior whole health [10110]44$16,464$16,565$16,6671.0×
mgb mcr [10124]44$15,577$16,156$16,3561.1×
CHAMPVA44$1,279.84$1,279.84$1,395.11.1×
tufts us family [11203]44$15,386$15,482$15,5771.0×
fallon mcr [10105]33$16,156$16,156$16,3561.0×
commonwealth care mcr [10115]33$16,156$16,156$16,3561.0×
grants [20507]33$8.73$8.73$8.731.0×
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×
workers compensation [20501]33$1,393.86$1,393.86$1,393.861.0×
qualcare inc12$87$1,393$2,69931.0×
tufts mcr [10112]22$8,177.89$12,267$16,3562.0×
keystone first12$6,539$9,996.38$13,4542.1×
geisinger12$2,050$7,883.78$13,7186.7×
amerihealth12$21,303$22,635$23,9661.1×
harvard pilgrim mcr supp [20203]22$16,156$16,156$16,1561.0×
health partners plans12$2,208$8,028.73$13,8496.3×
fallon mcr supp [20202]22$16,356$16,356$16,3561.0×
eternalhealth mcr replace [10116]22$16,156$16,156$16,1561.0×
sunrise11$14,509$14,509$14,5091.0×
wellpoint11$3,266$3,266$3,2661.0×
elder health11$15,828$15,828$15,8281.0×
commonwealth care alliance [10103]11$16,356$16,356$16,3561.0×
harvard pilgrim mcr [10106]11$16,356$16,356$16,3561.0×
innovage11$13,454$13,454$13,4541.0×
Humana11$13,586$13,586$13,5861.0×
gateway health plan11$13,849$13,849$13,8491.0×
upmc health plan11$13,849$13,849$13,8491.0×
First Health11$60$60$601.0×
naphcare11$19,785$19,785$19,7851.0×
occunet11$21,763$21,763$21,7631.0×
vibra11$13,454$13,454$13,4541.0×
point comfort11$13,190$13,190$13,1901.0×
fidelis care11$25.96$25.96$25.961.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA9$4,881$22.71$2,982.5$26,990
HEALTHALLIANCE-CLINTONLEOMINSTERMA23$36,800$36,800$8.35$15,577$26,496
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA16$137,542$137,542$201.75$15,577$26,496
MARLBOROUGH HOSPITALMARLBOROUGHMA22$96,035$96,035$1.44$15,386$26,172
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA22$96,035$96,035$1.44$15,386$26,172
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.