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Achilles tendon repair: what insurers pay

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

CPT 27650: Achilles Tendon Repair

1086 hospitals in 80 markets. National Medicare rate $7,413, surgery center $4,682.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)10$6,238$7,276$8,438$5,288–$12,738
Alaska (statewide)4———$4,519–$15,764
Arizona (statewide)11$4,662$6,047$8,306$4,465–$9,254
Arkansas (statewide)6$5,732$6,268$8,465$4,353–$9,874
Atlanta GA6$6,232$6,232$8,195$6,232–$8,849
Austin TX13$5,743$7,799$7,799$5,743–$10,637
Boston MA11$5,712$5,844$6,491$5,490–$9,729
California (statewide)58$9,832$14,123$21,078$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL7$8,133$9,618$10,607$6,180–$15,611
Cleveland OH10$6,436$7,558$11,040$5,302–$14,416
Colorado (statewide)14$6,400$7,162$9,918$5,074–$22,583
Columbus OH1———$26,099–$26,099
Connecticut (statewide)2———$5,370–$30,233
Dallas-Fort Worth TX12$8,529$10,642$11,352$8,048–$20,551
Delaware (statewide)1———$19,720–$19,720
Denver CO15$6,624$7,620$12,002$6,381–$12,924
Detroit MI15$5,132$5,443$7,840$4,779–$8,931
Florida (statewide)57$10,864$11,310$12,808$7,171–$18,426
Georgia (statewide)28$6,135$8,849$10,990$3,567–$17,351
Hawaii (statewide)5$6,487$7,638$8,080$6,234–$14,950
Houston TX19$8,274$8,330$10,510$7,383–$13,850
Idaho (statewide)13$7,332$16,130$18,145$6,615–$21,676
Illinois (statewide)27$7,603$10,326$13,354$4,750–$21,223
Indiana (statewide)32$10,055$14,480$19,014$5,584–$28,415
Indianapolis IN2———$11,926–$30,184
Iowa (statewide)20$6,902$8,632$14,349$5,604–$19,508
Kansas (statewide)16$4,494$6,023$7,912$3,916–$15,764
Kentucky (statewide)14$4,287$7,537$9,776$3,467–$13,434
Las Vegas NV1———$10,100–$10,100
Los Angeles CA17$8,538$9,834$13,065$7,919–$22,055
Louisiana (statewide)24$6,590$8,090$10,010$3,650–$12,908
Maine (statewide)17$29,272$32,866$33,984$7,684–$42,727
Maryland (statewide)1———$8,438–$8,438
Massachusetts (statewide)7$5,546$6,930$8,677$5,057–$15,554
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)26$5,073$6,208$7,722$3,933–$9,693
Minneapolis-St. Paul MN8$7,416$7,492$9,765$5,286–$15,377
Minnesota (statewide)13$8,810$19,037$23,016$5,604–$31,617
Mississippi (statewide)9$7,067$9,746$10,321$5,438–$19,790
Missouri (statewide)15$6,290$7,186$11,138$5,478–$13,429
Montana (statewide)5$6,181$14,481$15,002$4,454–$21,584
Nashville TN6$3,864$4,645$10,932$3,603–$13,806
Nebraska (statewide)13$6,903$8,645$9,768$5,670–$12,488
Nevada (statewide)1———$12,821–$12,821
New Hampshire (statewide)6$9,980$10,696$20,984$8,425–$32,494
New Jersey (statewide)23$8,289$8,534$12,002$8,166–$23,006
New Mexico (statewide)7$10,474$12,392$20,877$3,768–$25,306
New York (statewide)31$7,462$9,857$14,286$4,702–$21,275
New York City8$7,000$7,000$10,045$6,997–$12,267
North Carolina (statewide)6$13,165$16,824$17,850$6,041–$17,972
North Dakota (statewide)6$9,346$10,873$12,564$8,927–$16,346
Ohio (statewide)37$7,551$13,918$14,827$3,449–$27,890
Oklahoma (statewide)10$8,782$13,399$14,812$3,775–$23,373
Oregon (statewide)9$18,293$20,433$26,231$7,935–$33,060
Pennsylvania (statewide)35$7,624$12,734$16,560$3,564–$32,089
Philadelphia PA11$5,459$7,689$8,298$5,156–$11,208
Phoenix AZ6$4,640$4,725$4,725$4,611–$4,725
Pittsburgh PA9$5,998$12,174$14,507$5,031–$17,980
Portland OR9$16,131$16,131$22,663$14,746–$22,663
Rhode Island (statewide)4———$7,884–$14,799
Richmond VA3———$6,644–$7,051
Rio Grande Valley TX7$9,328$9,430$9,611$9,131–$11,777
Salt Lake City UT9$9,478$9,802$9,802$6,513–$10,125
San Antonio TX3———$6,870–$9,391
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA4———$8,476–$31,275
Seattle-Tacoma WA16$18,215$19,727$25,275$16,482–$28,676
South Carolina (statewide)25$11,670$15,985$17,124$7,778–$21,581
South Dakota (statewide)3———$6,610–$33,765
Tampa FL6$10,864$10,864$10,864$10,426–$12,064
Tennessee (statewide)24$4,771$6,913$7,959$3,603–$14,573
Texas (statewide)77$7,415$9,112$13,429$4,299–$21,342
Utah (statewide)7$6,960$9,478$9,640$6,513–$25,202
Vermont (statewide)1———$8,618–$8,618
Virginia (statewide)20$11,355$20,943$21,811$7,208–$24,592
Washington (statewide)12$15,666$20,608$24,648$7,370–$37,385
Washington DC8$6,871$8,272$8,272$5,079–$8,272
West Virginia (statewide)5$7,930$10,030$28,922$6,185–$48,308
Wisconsin (statewide)34$8,144$11,774$12,023$4,959–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Akron Children'S HospitalOhio (statewide)$3,4490.5×12025-11-11
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
Upmc ColePennsylvania (statewide)$3,5640.5×12026-03-06
Adventhealth GordonGeorgia (statewide)$3,5670.6×12026-04-01
Adventhealth MurrayGeorgia (statewide)$3,5670.5×12026-04-01
Tristar Horizon Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$3,6030.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
Starr Regional Medical Center AthensTennessee (statewide)$3,6470.6×12026-07-10
Bayou Bend Health SystemLouisiana (statewide)$3,6500.6×12026-09-15
Atrium Health Navicent PeachGeorgia (statewide)$3,6950.6×12025-11-19
Providence Centralia HospitalWashington (statewide)$33,2064.1×42026-04-01
Mainehealth Pen Bay HospitalMaine (statewide)$33,5744.7×12025-09-09
Same Day Surgery Center LlcSouth Dakota (statewide)$33,7654.5×22026-09-10
Northern Light Mercy HospitalMaine (statewide)$33,9844.6×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Mary Bridge Children'S HospitalWashington (statewide)$37,3854.4×52026-08-27
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for achilles tendon repair?

Across 1086 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27650, hospital outpatient is $9,876, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,208 to $14,444. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for achilles tendon repair?

Medicare's national hospital outpatient rate for CPT 27650 is $7,413 and its surgery-center rate is $4,682, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for achilles tendon repair?

Lowest medians: Akron Children'S Hospital ($3,449), King'S Daughters' Medical Center ($3,467), Upmc Cole ($3,564). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Mary Bridge Children'S Hospital ($37,385). Coverage: every hospital whose price file we could read.