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Ankle fusion in Pennsylvania: what insurers pay

Posted commercial rates at 43 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27870

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$6,9100.6×12026-03-06
Jefferson Abington Hospital Abington$8,4120.7×22026-09-15
Jefferson Lansdale Hospital Lansdale$9,1760.7×32026-09-15
Thomas Jefferson University Hospital Philadelphia$11,1000.8×32026-09-15
Paoli Hospital Paoli$12,3641.0×22026-04-01
Riddle Memorial Hospital Media$12,3640.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,4340.9×22026-04-01
Lankenau Medical Center Wynnewood$12,4341.0×22026-04-01
Wellspan Surgery And Rehabilitation Hospital York$12,4561.0×32026-01-01
Upmc East Monroeville$12,5321.0×12026-03-06
Wellspan York Hospital York$12,5981.0×32026-01-01
Upmc Altoona Altoona$12,7161.0×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$13,7101.1×32026-09-21
Temple University Hospital Philadelphia$16,8681.3×82026-04-13
Upmc Hamot Erie$18,3901.5×22026-03-06
Forbes Hospital Monroeville$18,5641.5×72026-04-14
Upmc Washington Washington$21,9271.8×42026-03-06
Upmc Memorial York$22,3091.8×52026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$22,4741.8×42026-09-15
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Jefferson Health-Northeast Philadelphia$23,9871.8×42026-09-15
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
St Mary Medical Center Langhorne$28,1662.3×62026-03-31
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
Wellspan Ephrata Community Hospital Ephrata$28,3802.3×22026-01-01
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
Lehigh Valley Hospital Allentown$29,0582.2×82026-07-01
Nazareth Hospital Philadelphia$31,1422.4×52026-03-31
Allegheny General Hospital Pittsburgh$32,3862.6×62026-04-14
West Penn Hospital Pittsburgh$32,5372.6×62026-04-14
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$44,8283.4×22026-02-26
Lehigh Valley Hospital - Dickson City Dickson City$45,3943.6×82026-07-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$45,5203.6×12026-02-26
Lehigh Valley Hospital - Pocono East Stroudsburg$51,4984.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$51,8514.2×82026-07-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$59,0584.5×82026-07-01

Questions

How much do insurers pay for ankle fusion in Pennsylvania?

43 Pennsylvania hospitals post usable commercial rates for ankle fusion in their federal price-transparency files. For CPT 27870, hospital outpatient, the median across 43 hospitals is $23,987, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.