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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$33.00 – $18,590

Negotiated median

$164.84

CPT 27486 Knee revision arthroplasty single component · Showing 153 of 153 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
St. Lukes South	KS	Chargemaster	N/A	outpatient	gross	$77,401
St. Lukes South	KS	Chargemaster	N/A	outpatient	gross	$74,555
St. Lukes South	KS	Chargemaster	N/A	outpatient	gross	$70,826
Childrens Mercy Hospital Kansas	KS	Chargemaster	N/A	inpatient	gross	$4,164.00
Childrens Mercy Hospital Kansas	KS	Chargemaster	N/A	outpatient	gross	$4,164.00
St. Lukes South	KS	Cash pay	N/A	outpatient	cash	$46,441
St. Lukes South	KS	Cash pay	N/A	outpatient	cash	$44,733
St. Lukes South	KS	Cash pay	N/A	outpatient	cash	$42,496
Childrens Mercy Hospital Kansas	KS	Cash pay	N/A	inpatient	cash	$1,998.72
Childrens Mercy Hospital Kansas	KS	Cash pay	N/A	outpatient	cash	$1,998.72
Via Christi Rehab Center Inc	KS	[De-identified Min]	—	outpatient	min	$5,267.25
Childrens Mercy Hospital Kansas	KS	[De-identified Min]	—	inpatient	min	$1,244.49
Childrens Mercy Hospital Kansas	KS	[De-identified Min]	—	outpatient	min	$1,244.49
Ninnescah Valley Health Systems	KS	[De-identified Min]	—	outpatient	min	$1,185.23
Via Christi Hospital Pittsburg Inc.	KS	[De-identified Min]	—	outpatient	min	$740.76
Via Christi Hospital Pittsburg Inc.	KS	[De-identified Min]	—	inpatient	min	$740.76
Mercy Regional Health Center	KS	[De-identified Min]	—	outpatient	min	$740.76
Mercy Regional Health Center	KS	[De-identified Min]	—	inpatient	min	$740.76
Wamego Hospital Association	KS	[De-identified Min]	—	outpatient	min	$740.76
Wamego Hospital Association	KS	[De-identified Min]	—	inpatient	min	$740.76
St. Lukes South	KS	[De-identified Min]	—	outpatient	min	$71.82
St. Lukes South	KS	UnitedHealthcare	UHC CORE ESSENTIAL [30018]	outpatient	negotiated	$18,590
St. Lukes South	KS	UnitedHealthcare	UHC CORE ESSENTIALS ALL SAVERS [30019]	outpatient	negotiated	$18,590
St. Lukes South	KS	UnitedHealthcare	UHC CORE UMR [30020]	outpatient	negotiated	$18,590
St. Lukes South	KS	Cigna	CIGNA INDEMNITY [70004]	outpatient	negotiated	$16,287
St. Lukes South	KS	commercial-contracted [8000]	MEDICA EXCHANGE [80075]	outpatient	negotiated	$12,551
St. Lukes South	KS	UnitedHealthcare	UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012]	outpatient	negotiated	$11,133
St. Lukes South	KS	Medicaid	HOME STATE HEALTH PLAN [22506]	outpatient	negotiated	$9,134.85
Wamego Hospital Association	KS	Blue Cross Blue Shield	848_BLUE CROSS BLUE SHIELD CAP WHKS 20250101	outpatient	negotiated	$7,703.52
Wamego Hospital Association	KS	Blue Cross Blue Shield	847_BLUE CROSS BLUE SHIELD CHOICE WHKS 20250101	outpatient	negotiated	$7,318.35
Via Christi Hospital Pittsburg Inc.	KS	Blue Cross Blue Shield	842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101	outpatient	negotiated	$6,352.27
Mercy Regional Health Center	KS	Blue Cross Blue Shield	842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101	outpatient	negotiated	$6,352.27
St. Lukes South	KS	Medicaid	HEALTHY BLUE MISSOURI [22572]	outpatient	negotiated	$6,089.90
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF MO [22517]	outpatient	negotiated	$6,089.90
Via Christi Hospital Pittsburg Inc.	KS	Blue Cross Blue Shield	843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101	outpatient	negotiated	$6,034.66
Mercy Regional Health Center	KS	Blue Cross Blue Shield	843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101	outpatient	negotiated	$6,034.66
Via Christi Rehab Center Inc	KS	Aetna	1369_AETNA RHKS 20241101	outpatient	negotiated	$5,267.25
St. Lukes South	KS	Humana	ZZZHUMANA KANSAS CITY PPOX [75002]	outpatient	negotiated	$4,100.00
St. Lukes South	KS	Cigna	ZZZCIGNA BJC [70010]	outpatient	negotiated	$4,100.00
St. Lukes South	KS	Medicaid	HEALTHY BLUE KANSAS [22577]	outpatient	negotiated	$2,317.55
St. Lukes South	KS	Medicaid	SUNFLOWER STATE HEALTH [22505]	outpatient	negotiated	$2,317.55
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF KS [22508]	outpatient	negotiated	$2,317.55
St. Lukes South	KS	Medicaid	ZZZAETNA BETTER HEALTH OF KANSAS [22571]	outpatient	negotiated	$2,317.55
Via Christi Hospital Pittsburg Inc.	KS	providrs care	867_MHKS PROVIDRS CARE 20250701	inpatient	negotiated	$1,707.78
Mercy Regional Health Center	KS	providrs care	867_MHKS PROVIDRS CARE 20250701	inpatient	negotiated	$1,707.78
Wamego Hospital Association	KS	providrs care	869_WHKS PROVIDRS CARE 20250701	inpatient	negotiated	$1,707.78
Ninnescah Valley Health Systems	KS	triwest	All Plans	outpatient	negotiated	$1,248.60
Via Christi Hospital Pittsburg Inc.	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$1,232.64
Via Christi Hospital Pittsburg Inc.	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$1,232.64
Via Christi Hospital Pittsburg Inc.	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$1,232.64
Mercy Regional Health Center	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$1,232.64
Mercy Regional Health Center	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$1,232.64
Mercy Regional Health Center	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$1,232.64
Wamego Hospital Association	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$1,232.64
Wamego Hospital Association	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$1,232.64
Wamego Hospital Association	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$1,232.64
Ninnescah Valley Health Systems	KS	healthy blue	Medicaid Advantage	outpatient	negotiated	$1,185.23
Ninnescah Valley Health Systems	KS	sunflower state	Medicaid Advantage	outpatient	negotiated	$1,185.23
Via Christi Hospital Pittsburg Inc.	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$1,185.23
Mercy Regional Health Center	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$1,185.23
Wamego Hospital Association	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$1,185.23
St. Lukes South	KS	Cigna	ZZZCIGNA BJC [70010]	outpatient	negotiated	$1,100.00
Via Christi Hospital Pittsburg Inc.	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$770.39
Via Christi Hospital Pittsburg Inc.	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$770.39
Via Christi Hospital Pittsburg Inc.	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$770.39
Mercy Regional Health Center	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$770.39
Mercy Regional Health Center	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$770.39
Mercy Regional Health Center	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$770.39
Wamego Hospital Association	KS	Aetna	856_MEDICAID ADVANTAGE KANCARE AETNA 20250701	outpatient	negotiated	$770.39
Wamego Hospital Association	KS	kancare healthy blue	861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701	outpatient	negotiated	$770.39
Wamego Hospital Association	KS	kancare sunflower	858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701	outpatient	negotiated	$770.39
Via Christi Hospital Pittsburg Inc.	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$740.76
Mercy Regional Health Center	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$740.76
Wamego Hospital Association	KS	UnitedHealthcare	859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701	outpatient	negotiated	$740.76
St. Lukes South	KS	Medicaid	HEALTHY BLUE MISSOURI [22572]	outpatient	negotiated	$590.36
St. Lukes South	KS	Medicaid	HOME STATE HEALTH PLAN [22506]	outpatient	negotiated	$590.36
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF MO [22517]	outpatient	negotiated	$590.36
St. Lukes South	KS	Medicaid	SUNFLOWER STATE HEALTH [22505]	outpatient	negotiated	$246.43
St. Lukes South	KS	Medicaid	HEALTHY BLUE KANSAS [22577]	outpatient	negotiated	$232.99
St. Lukes South	KS	Medicaid	ZZZAETNA BETTER HEALTH OF KANSAS [22571]	outpatient	negotiated	$232.99
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF KS [22508]	outpatient	negotiated	$224.03
St. Lukes South	KS	Medicaid	HOME STATE HEALTH PLAN [22506]	outpatient	negotiated	$164.84
St. Lukes South	KS	Medicaid	HEALTHY BLUE MISSOURI [22572]	outpatient	negotiated	$109.89
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF MO [22517]	outpatient	negotiated	$109.89
St. Lukes South	KS	transplants-case rates [5750]	TRANSPLANT MO HEALTHNET [57513]	outpatient	negotiated	$100.00
St. Lukes South	KS	Aetna	AETNA INDEMNITY [50009]	outpatient	negotiated	$95.00
Ninnescah Valley Health Systems	KS	Aetna	PPO	outpatient	negotiated	$90.00
Ninnescah Valley Health Systems	KS	Cigna	HMO	outpatient	negotiated	$90.00
Ninnescah Valley Health Systems	KS	Cigna	PPO	outpatient	negotiated	$90.00
Ninnescah Valley Health Systems	KS	health partners	All Plans	outpatient	negotiated	$90.00
Ninnescah Valley Health Systems	KS	UnitedHealthcare	PPO	outpatient	negotiated	$90.00
St. Lukes South	KS	commercial-contracted [8000]	PROVIDRS CARE NETWORK [80021]	outpatient	negotiated	$86.30
St. Lukes South	KS	Aetna	AETNA I35 MERITAIN NAP [50018]	outpatient	negotiated	$85.00
St. Lukes South	KS	Aetna	AETNA NAP [50014]	outpatient	negotiated	$85.00
St. Lukes South	KS	Medicaid	SUNFLOWER STATE HEALTH [22505]	outpatient	negotiated	$79.00
St. Lukes South	KS	Cigna	CIGNA LEASED PPO [70003]	outpatient	negotiated	$75.90
St. Lukes South	KS	Cigna	CIGNA PPO EPO [70001]	outpatient	negotiated	$75.90
St. Lukes South	KS	Cigna	GREATWEST CIGNA PPO [70006]	outpatient	negotiated	$75.90
St. Lukes South	KS	Blue Cross Blue Shield	BC OUT OF AREA BLUE SELECT PLUS [40032]	outpatient	negotiated	$75.10
St. Lukes South	KS	Blue Cross Blue Shield	BC OUT OF AREA TRADITIONAL [40009]	outpatient	negotiated	$75.10
St. Lukes South	KS	commercial-contracted [8000]	PHCS MULTIPLAN [80056]	outpatient	negotiated	$75.00
St. Lukes South	KS	Medicaid	HEALTHY BLUE KANSAS [22577]	outpatient	negotiated	$74.69
St. Lukes South	KS	Medicaid	ZZZAETNA BETTER HEALTH OF KANSAS [22571]	outpatient	negotiated	$74.69
St. Lukes South	KS	Blue Cross Blue Shield	BC KC PREFERRED CARE [40017]	outpatient	negotiated	$73.10
St. Lukes South	KS	Blue Cross Blue Shield	BC OF KS EXCHANGE HMO [40026]	outpatient	negotiated	$73.10
St. Lukes South	KS	Blue Cross Blue Shield	BC OUT OF AREA PREF CARE [40010]	outpatient	negotiated	$73.10
St. Lukes South	KS	Medicaid	UHC COMMUNITY PLAN OF KS [22508]	outpatient	negotiated	$71.82
St. Lukes South	KS	Blue Cross Blue Shield	FREEDOM NETWORK HEALTHLINK [40019]	outpatient	negotiated	$66.60
St. Lukes South	KS	Blue Cross Blue Shield	FREEDOM NETWORK PHP [40002]	outpatient	negotiated	$66.60
St. Lukes South	KS	transplants-case rates [5750]	CIGNA LIFESOURCE [57511]	outpatient	negotiated	$60.00
St. Lukes South	KS	First Health	FIRST HEALTH MEDISHARE [55122]	outpatient	negotiated	$59.28
St. Lukes South	KS	First Health	FIRST HEALTH MISC [55116]	outpatient	negotiated	$59.28
St. Lukes South	KS	First Health	FIRST HEALTH REPRICING ADDRS [55113]	outpatient	negotiated	$59.28
St. Lukes South	KS	First Health	FIRST HEALTH UPREHS [55119]	outpatient	negotiated	$59.28
St. Lukes South	KS	First Health	ZZZFIRST HEALTH BENEFIT MANAGEMENT [55117]	outpatient	negotiated	$59.28
St. Lukes South	KS	Cigna	CIGNA CONNECT EPO EXCHANGE [70015]	outpatient	negotiated	$50.59
St. Lukes South	KS	Blue Cross Blue Shield	BC KC FEDERAL [40012]	outpatient	negotiated	$45.10
St. Lukes South	KS	Blue Cross Blue Shield	BC KC PREFERRED CARE BLUE [40018]	outpatient	negotiated	$45.10
St. Lukes South	KS	Blue Cross Blue Shield	BC OUT OF AREA PREF CARE BLUE PPO [40011]	outpatient	negotiated	$45.10
St. Lukes South	KS	Blue Cross Blue Shield	FREEDOM NETWORK SELECT [40021]	outpatient	negotiated	$45.00
St. Lukes South	KS	Blue Cross Blue Shield	FREEDOM NETWORK SELECT HEALTHLINK PPO [40020]	outpatient	negotiated	$45.00
St. Lukes South	KS	Blue Cross Blue Shield	FREEDOM NETWORK SELECT PHP [40001]	outpatient	negotiated	$45.00
St. Lukes South	KS	Blue Cross Blue Shield	ZZZFREEDOM NETWORK SELECT CERNER [40000]	outpatient	negotiated	$45.00
St. Lukes South	KS	Blue Cross Blue Shield	BC KC PREFERRED CARE BLUE EXCHANGE [40016]	outpatient	negotiated	$44.30
Ninnescah Valley Health Systems	KS	Ambetter	HMO	outpatient	negotiated	$44.00
Ninnescah Valley Health Systems	KS	Ambetter	PPO	outpatient	negotiated	$44.00
Ninnescah Valley Health Systems	KS	celtic insurance company	HMO	outpatient	negotiated	$44.00
Ninnescah Valley Health Systems	KS	celtic insurance company	PPO	outpatient	negotiated	$44.00
Ninnescah Valley Health Systems	KS	sunflower state	CommercialExchange	outpatient	negotiated	$44.00
St. Lukes South	KS	transplants-case rates [5750]	MEDICA TRANSPLANT [57520]	outpatient	negotiated	$40.00
Ninnescah Valley Health Systems	KS	celtic insurance company	Medicare Advantage	outpatient	negotiated	$40.00
Ninnescah Valley Health Systems	KS	Humana	ChoiceCare	outpatient	negotiated	$40.00
Ninnescah Valley Health Systems	KS	sunflower state	Medicare Advantage	outpatient	negotiated	$40.00
Ninnescah Valley Health Systems	KS	UnitedHealthcare	VA CCN	outpatient	negotiated	$40.00
Ninnescah Valley Health Systems	KS	WellCare	by Allwell Medicare Advantage	outpatient	negotiated	$40.00
St. Lukes South	KS	Blue Cross Blue Shield	BC KC HPN [40033]	outpatient	negotiated	$39.70
St. Lukes South	KS	Blue Cross Blue Shield	BC OUT OF AREA HPN [40034]	outpatient	negotiated	$39.70
St. Lukes South	KS	Blue Cross Blue Shield	BC KC UCM KCMO BLUE SELECT PLUS [40029]	outpatient	negotiated	$38.30
St. Lukes South	KS	Cigna	CIGNA BJC FLEX OR HDHP [70017]	outpatient	negotiated	$36.50
St. Lukes South	KS	transplants-case rates [5750]	OPTUM COMMERCIAL HEART E&P [57501]	outpatient	negotiated	$35.00
St. Lukes South	KS	transplants-case rates [5750]	OPTUM MA HEART E&P [57512]	outpatient	negotiated	$35.00
St. Lukes South	KS	commercial-contracted [8000]	PROVIDRS CARE NETWORK [80021]	outpatient	negotiated	$33.00
St. Lukes South	KS	[De-identified Max]	—	outpatient	max	$18,590
Wamego Hospital Association	KS	[De-identified Max]	—	outpatient	max	$7,703.52
Wamego Hospital Association	KS	[De-identified Max]	—	inpatient	max	$7,703.52
Via Christi Hospital Pittsburg Inc.	KS	[De-identified Max]	—	outpatient	max	$6,352.27
Via Christi Hospital Pittsburg Inc.	KS	[De-identified Max]	—	inpatient	max	$6,352.27
Mercy Regional Health Center	KS	[De-identified Max]	—	outpatient	max	$6,352.27
Mercy Regional Health Center	KS	[De-identified Max]	—	inpatient	max	$6,352.27
Via Christi Rehab Center Inc	KS	[De-identified Max]	—	outpatient	max	$5,267.25
Childrens Mercy Hospital Kansas	KS	[De-identified Max]	—	inpatient	max	$3,664.32
Childrens Mercy Hospital Kansas	KS	[De-identified Max]	—	outpatient	max	$3,664.32
Ninnescah Valley Health Systems	KS	[De-identified Max]	—	outpatient	max	$1,248.60

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).