Repair of a ruptured Achilles tendon. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
85 hospitals in 32 markets. National Medicare rate $7,413, surgery center $4,682.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,232–$6,232 |
| Austin TX | 2 | — | — | — | $5,743–$8,483 |
| Boston MA | 7 | $5,916 | $6,288 | $8,070 | $5,031–$9,729 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $7,446 | $8,820 | $9,618 | $6,180–$15,611 |
| Cleveland OH | 5 | $7,561 | $7,624 | $10,286 | $4,457–$16,831 |
| Columbus OH | 1 | — | — | — | $26,099–$26,099 |
| Dallas-Fort Worth TX | 4 | — | — | — | $8,568–$23,116 |
| Denver CO | 7 | $5,512 | $5,642 | $8,018 | $5,392–$9,170 |
| Detroit MI | 6 | $5,132 | $5,132 | $5,502 | $4,779–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $5,843–$5,843 |
| Houston TX | 1 | — | — | — | $7,288–$7,288 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Kansas (statewide) | 1 | — | — | — | $6,290–$6,290 |
| Las Vegas NV | 1 | — | — | — | $9,266–$9,266 |
| Los Angeles CA | 2 | — | — | — | $12,975–$22,055 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $5,286–$5,286 |
| Nashville TN | 2 | — | — | — | $3,603–$7,073 |
| New York City | 3 | — | — | — | $7,966–$12,256 |
| Ohio (statewide) | 1 | — | — | — | $10,800–$10,800 |
| Philadelphia PA | 5 | $5,480 | $7,689 | $9,172 | $5,156–$11,208 |
| Phoenix AZ | 3 | — | — | — | $4,611–$4,725 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $16,131 | $16,131 | $21,030 | $16,131–$22,663 |
| Richmond VA | 2 | — | — | — | $6,644–$6,644 |
| San Antonio TX | 1 | — | — | — | $7,845–$7,845 |
| San Diego CA | 1 | — | — | — | $9,333–$9,333 |
| San Francisco Bay Area CA | 1 | — | — | — | $31,275–$31,275 |
| Seattle-Tacoma WA | 6 | $22,205 | $24,030 | $29,360 | $19,451–$31,977 |
| Tampa FL | 2 | — | — | — | $9,732–$10,864 |
| Washington DC | 3 | — | — | — | $6,862–$8,272 |
| Wisconsin (statewide) | 1 | — | — | — | $7,117–$7,117 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 0.5× | 5 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,457 | 0.7× | 3 | 2026-07-14 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,611 | 0.6× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,725 | 0.6× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,725 | 0.6× | 4 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,779 | 0.7× | 16 | 2026-03-31 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,031 | 0.6× | 1 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 0.7× | 1 | 2026-03-06 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,132 | 0.7× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,132 | 0.7× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,132 | 0.7× | 1 | 2026-05-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,156 | 0.7× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $5,286 | 0.7× | 4 | 2026-03-31 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,392 | 0.7× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $5,402 | 0.7× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $5,480 | 0.7× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $5,622 | 0.7× | 4 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,626 | 0.8× | 1 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $5,642 | 0.7× | 4 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,743 | 0.8× | 1 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $5,793 | 0.7× | 1 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,843 | 0.9× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 0.7× | 1 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 0.8× | 3 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,232 | 0.9× | 6 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,288 | 0.7× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $6,290 | 0.9× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,644 | 0.9× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,644 | 0.9× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $6,862 | 0.9× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 0.9× | 3 | 2025-11-01 |
| Stonesprings Hospital Center | Washington DC | $6,874 | 0.9× | 4 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $7,073 | 1.0× | 7 | 2025-10-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $7,117 | 1.0× | 3 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $7,288 | 1.0× | 5 | 2026-04-01 |
| Winchester Hospital | Boston MA | $7,298 | 0.8× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $7,446 | 1.0× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $7,561 | 1.1× | 3 | 2026-06-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,624 | 1.1× | 1 | 2026-06-16 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,689 | 0.9× | 3 | 2026-09-15 |
| Methodist Hospital | San Antonio TX | $7,845 | 1.1× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $7,966 | 0.9× | 8 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $8,165 | 1.1× | 1 | 2026-09-02 |
| Inova Alexandria Hospital | Washington DC | $8,272 | 1.1× | 5 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,483 | 1.2× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $8,568 | 1.2× | 3 | 2026-06-29 |
| Medical City Plano | Dallas-Fort Worth TX | $8,580 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,820 | 1.1× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $8,842 | 1.0× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $9,170 | 1.2× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $9,170 | 1.2× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.2× | 3 | 2026-09-15 |
| University Medical Center of Southern Nevada | Las Vegas NV | $9,266 | 1.2× | 7 | 2026-07-01 |
| Scripps Green Hospital | San Diego CA | $9,333 | 1.0× | 1 | 2026-03-30 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,475 | 1.3× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $9,618 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $9,729 | 1.1× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $9,732 | 1.3× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,024 | 1.1× | 7 | 2026-01-01 |
| Medina Hospital | Cleveland OH | $10,286 | 1.5× | 2 | 2026-06-15 |
| Bethesda North | Ohio (statewide) | $10,800 | 1.5× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $10,864 | 1.4× | 2 | 2026-01-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 1.3× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $11,926 | 1.6× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,256 | 1.4× | 6 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $12,975 | 1.4× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $15,611 | 2.0× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,831 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $19,451 | 2.3× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $22,055 | 2.4× | 3 | 2025-11-26 |
| St Clare Hospital | Seattle-Tacoma WA | $22,107 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $22,498 | 2.7× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $22,663 | 2.8× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,663 | 2.8× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $23,116 | 3.2× | 2 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $25,561 | 3.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $26,099 | 3.7× | 20 | 2026-03-31 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $30,626 | 3.6× | 5 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $31,275 | 2.9× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $31,977 | 3.8× | 4 | 2026-08-27 |
Across 85 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 27650, hospital outpatient is $8,165, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,843 to $11,855. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 27650 is $7,413 and its surgery-center rate is $4,682, before local wage adjustment.
Lowest medians: TriStar StoneCrest Medical Center ($3,603), University Hospitals - Elyria Medical Center ($4,457), HonorHealth Scottsdale Thompson Peak Medical Center ($4,611). Highest: Multicare Good Samaritan Hospital ($31,977), Stanford Health Care ($31,275), Tacoma General Allenmore Hospital ($30,626). Coverage is limited to the markets listed on this page.