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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.

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CPT 27650: Repair Achilles Tendon

85 hospitals in 32 markets. National Medicare rate $7,413, surgery center $4,682.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$6,232–$6,232
Austin TX2———$5,743–$8,483
Boston MA7$5,916$6,288$8,070$5,031–$9,729
California (statewide)1———$11,855–$11,855
Chicago IL5$7,446$8,820$9,618$6,180–$15,611
Cleveland OH5$7,561$7,624$10,286$4,457–$16,831
Columbus OH1———$26,099–$26,099
Dallas-Fort Worth TX4———$8,568–$23,116
Denver CO7$5,512$5,642$8,018$5,392–$9,170
Detroit MI6$5,132$5,132$5,502$4,779–$8,165
Georgia (statewide)1———$5,843–$5,843
Houston TX1———$7,288–$7,288
Indianapolis IN1———$11,926–$11,926
Kansas (statewide)1———$6,290–$6,290
Las Vegas NV1———$9,266–$9,266
Los Angeles CA2———$12,975–$22,055
Minneapolis-St. Paul MN1———$5,286–$5,286
Nashville TN2———$3,603–$7,073
New York City3———$7,966–$12,256
Ohio (statewide)1———$10,800–$10,800
Philadelphia PA5$5,480$7,689$9,172$5,156–$11,208
Phoenix AZ3———$4,611–$4,725
Pittsburgh PA1———$5,031–$5,031
Portland OR6$16,131$16,131$21,030$16,131–$22,663
Richmond VA2———$6,644–$6,644
San Antonio TX1———$7,845–$7,845
San Diego CA1———$9,333–$9,333
San Francisco Bay Area CA1———$31,275–$31,275
Seattle-Tacoma WA6$22,205$24,030$29,360$19,451–$31,977
Tampa FL2———$9,732–$10,864
Washington DC3———$6,862–$8,272
Wisconsin (statewide)1———$7,117–$7,117
HospitalMarketMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$4,4570.7×32026-07-14
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$4,6110.6×32026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,7250.6×42026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,7250.6×42026-04-01
Trinity Health Oakland HospitalDetroit MI$4,7790.7×162026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$5,0310.6×12026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$5,0310.7×12026-03-06
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$5,1320.7×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$5,1320.7×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$5,1320.7×12026-05-01
Riddle Memorial HospitalPhiladelphia PA$5,1560.7×22026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$5,2860.7×42026-03-31
HCA HealthONE Presbyterian/St. Luke'sDenver CO$5,3920.7×42026-09-01
HCA HealthONE SwedishDenver CO$5,4020.7×42026-09-01
Bryn Mawr HospitalPhiladelphia PA$5,4800.7×22026-04-01
HCA HealthONE Sky RidgeDenver CO$5,6220.7×42026-09-01
Henry Ford Health Rochester HospitalDetroit MI$5,6260.8×12026-01-01
Hca Healthone RoseDenver CO$5,6420.7×42026-09-01
Ascension Seton Medical Center AustinAustin TX$5,7430.8×12026-01-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$5,7930.7×12026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,8430.9×32026-04-01
Beverly Hospital CorporationBoston MA$6,0380.7×12026-04-01
Endeavor Health Evanston HospitalChicago IL$6,1800.8×32026-04-01
Emory University HospitalAtlanta GA$6,2320.9×62026-04-01
Beth Israel Deaconess Medical CenterBoston MA$6,2880.7×22026-04-01
Menorah Medical CenterKansas (statewide)$6,2900.9×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,6440.9×42026-09-01
Henrico Doctors' HospitalRichmond VA$6,6440.9×42026-09-01
Reston Hospital CenterWashington DC$6,8620.9×42026-09-01
UCHealth University of Colorado HospitalDenver CO$6,8660.9×32025-11-01
Stonesprings Hospital CenterWashington DC$6,8740.9×42026-09-01
Vanderbilt University Medical CenterNashville TN$7,0731.0×72025-10-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$7,1171.0×32026-01-01
Houston Methodist HospitalHouston TX$7,2881.0×52026-04-01
Winchester HospitalBoston MA$7,2980.8×22026-04-01
Endeavor Health Northwest Community HospitalChicago IL$7,4461.0×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$7,5611.1×32026-06-15
Cleveland Clinic (main campus)Cleveland OH$7,6241.1×12026-06-16
Jefferson Stratford HospitalPhiladelphia PA$7,6890.9×32026-09-15
Methodist HospitalSan Antonio TX$7,8451.1×42026-09-01
Montefiore Medical CenterNew York City$7,9660.9×82026-04-01
Harper University HospitalDetroit MI$8,1651.1×12026-09-02
Inova Alexandria HospitalWashington DC$8,2721.1×52026-04-01
St David's Medical CenterAustin TX$8,4831.2×52026-09-01
Baylor University Medical CenterDallas-Fort Worth TX$8,5681.2×32026-06-29
Medical City PlanoDallas-Fort Worth TX$8,5801.2×52026-09-01
Endeavor Health Edward HospitalChicago IL$8,8201.1×22026-04-01
Anna Jaques HospitalBoston MA$8,8421.0×22026-04-01
Adventhealth PorterDenver CO$9,1701.2×22026-04-01
Adventhealth ParkerDenver CO$9,1701.2×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.2×32026-09-15
University Medical Center of Southern NevadaLas Vegas NV$9,2661.2×72026-07-01
Scripps Green HospitalSan Diego CA$9,3331.0×12026-03-30
Medical City MckinneyDallas-Fort Worth TX$9,4751.3×52026-09-01
Endeavor Health Elmhurst HospitalChicago IL$9,6181.2×22026-04-01
New England Baptist HospitalBoston MA$9,7291.1×22026-04-01
Tampa General HospitalTampa FL$9,7321.3×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0241.1×72026-01-01
Medina HospitalCleveland OH$10,2861.5×22026-06-15
Bethesda NorthOhio (statewide)$10,8001.5×42026-04-01
Morton Plant HospitalTampa FL$10,8641.4×22026-01-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.4×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8551.3×52026-09-01
Riverview HealthIndianapolis IN$11,9261.6×22026-04-01
Hospital for Special SurgeryNew York City$12,2561.4×62026-04-01
Keck Hospital Of UscLos Angeles CA$12,9751.4×52026-04-01
University of Chicago Medical CenterChicago IL$15,6112.0×22026-04-01
Legacy Emanuel Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$16,1312.0×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$16,8312.5×12026-06-15
Overlake Hospital Medical CenterSeattle-Tacoma WA$19,4512.3×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$22,0552.4×32025-11-26
St Clare HospitalSeattle-Tacoma WA$22,1072.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$22,4982.7×62026-02-28
Providence St Vincent Medical CenterPortland OR$22,6632.8×32026-04-01
Providence Portland Medical CenterPortland OR$22,6632.8×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$23,1163.2×22026-04-21
Swedish Medical CenterSeattle-Tacoma WA$25,5613.0×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$26,0993.7×202026-03-31
Tacoma General Allenmore HospitalSeattle-Tacoma WA$30,6263.6×52026-08-27
Stanford Health CareSan Francisco Bay Area CA$31,2752.9×42026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$31,9773.8×42026-08-27

Questions

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

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.

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: 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.