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Knee revision arthroplasty single component

CPT 27486 · negotiated-rate distribution across hospitals in PA

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Hospitals
23
Min
$1,416.67
Median
$7,054.31
Max
$14,169
Range multiplier
10.0×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield844$1,228.00$12,584$42,99635.0×
Aetna929$212.05$7,197.00$14,57468.7×
UnitedHealthcare1012$993.28$2,213.78$13,49513.6×
keystone first310$2,165.04$13,199$14,1696.5×
Cigna710$1,302.42$9,539.00$17,80113.7×
ibc210$6,010.73$12,849$25,6854.3×
upmc work partners99$5,048.80$5,283.63$5,437.971.1×
geisinger37$2,436.50$10,355$14,8446.1×
health partners plans26$1,670.00$1,670.00$13,7648.2×
Medicaid25$156.20$781.55$1,416.679.1×
Humana35$1,252.80$3,544.00$13,49510.8×
upmc health plan35$1,240.40$3,101.00$14,43911.6×
Multiplan14$3,544.00$3,544.00$3,544.001.0×
amerihealth caritas13$1,240.40$1,271.41$1,271.411.0×
pa health & wellness13$1,339.63$1,339.63$2,436.501.8×
keystone health plan33$22,309$23,764$23,7641.1×
prime health services22$21,481$21,481$21,4811.0×
elder health22$16,193$16,193$16,1931.0×
gateway health plan22$16,868$16,868$16,8681.0×
innovage22$13,764$13,764$13,7641.0×
intergroup12$3,544.00$3,544.00$3,544.001.0×
jup pa health_wellness12$184.60$554.13$923.655.0×
clover health22$14,304$14,304$14,3041.0×
naphcare22$20,242$20,242$20,2421.0×
occunet22$22,266$22,266$22,2661.0×
Oscar Health22$20,242$20,242$20,2421.0×
pennsylvania health and wellness22$14,844$14,844$14,8441.0×
galaxy health plan12$3,544.00$3,544.00$3,544.001.0×
pa health_wellness chc11$1,008.80$1,008.80$1,008.801.0×
wtc health program11$16,868$16,868$16,8681.0×
upmc commercial11$9,360.00$9,360.00$9,360.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA7$1,008.80$9,360.00$25,685
Upmc Pinnacle HospitalsHarrisburgPA5$1,016.56$8,662.41$23,764
Community General Osteopathic Hosp.HarrisburgPA5$1,016.56$8,662.41$23,764
Memorial HospitalYorkPA6$1,016.56$7,488.49$22,309
Upmc East HospitalMonroevillePA2$2,437.29$7,054.31$14,535
Upmc HanoverHanoverPA3$1,016.56$5,437.97$9,539.00
Upmc HamotEriePA3$2,414.30$4,632.70$11,673
Charles Cole Memorial HospitalCoudersportPA12$4,430.00$2,658.00$1,228.00$3,433.25$7,578.08
Upmc LititzLititzPA4$1,016.56$3,273.11$9,539.00
WellsboroWellsboroPA2$993.28$3,021.04$5,048.80
Jeanes HospitalPhiladelphiaPA18$1,670.00$14,169$42,996
Aria HealthPhiladelphiaPA5$156.20$1,416.67$20,334
Temple University HospitalPhiladelphiaPA19$1,670.00$14,034$42,996
Penn State Hershey Rehabilitation LlHummelstownPA0$36,060$9,379.21
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0$36,060$9,379.21
Wayne Memorial HospitalHonesdalePA0$32,100$22,470
Butler Memorial HospitalButlerPA0
Doylestown HospitalDoylestownPA0$25,455$25,455
Milton S. Hershey Medical CenterHersheyPA0$36,060$11,947
Physicians Care Surgical HospitalRoyersfordPA0$20,798$6,712.14
Hampden Medical CenterEnolaPA0$36,060$11,348
Holy Spirit HospitalCamp HillPA0$36,060$8,614.73

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.