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ACL reconstruction in Pennsylvania: what insurers pay

Posted commercial rates at 19 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 29888

HospitalMedian across insurers× MedicareInsurersFile date
Magee Womens Hospital Of Upmc Health System Pittsburgh$3,7960.5×12026-03-06
Upmc Mercy Pittsburgh$4,5280.6×12026-03-06
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Upmc East Monroeville$5,0390.7×12026-03-06
Jefferson Abington Hospital Abington$6,2430.9×42026-09-15
Riddle Memorial Hospital Media$6,2590.8×22026-04-01
Paoli Hospital Paoli$6,6300.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7380.9×22026-04-01
Lankenau Medical Center Wynnewood$6,8381.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.2×32026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$9,9021.4×52026-09-15
Jefferson Health-Northeast Philadelphia$10,0091.3×52026-09-15
Temple University Hospital Philadelphia$10,3101.4×62026-04-13
Upmc Washington Washington$12,4321.8×22026-03-06
Jefferson Hospital Jefferson Hills$16,7412.4×52026-04-14
Allegheny Valley Hospital Natrona$17,3462.5×52026-04-14
Forbes Hospital Monroeville$19,5862.8×52026-04-14
Ahn Wexford Hospital Wexford$20,8923.0×52026-04-14
Allegheny General Hospital Pittsburgh$22,8033.2×52026-04-14

Questions

How much do insurers pay for acl reconstruction in Pennsylvania?

19 Pennsylvania hospitals post usable commercial rates for acl reconstruction in their federal price-transparency files. For CPT 29888, hospital outpatient, the median across 19 hospitals is $9,172, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.