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Ankle fusion in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27870

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$6,9100.6×12026-03-06
Thomas Jefferson University Hospital Philadelphia$10,3650.8×22026-09-15
Riddle Memorial Hospital Media$12,3640.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,4340.9×22026-04-01
Lehigh Valley Hospital Allentown$29,0582.2×82026-07-01

Questions

How much do insurers pay for ankle fusion in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for ankle fusion in their federal price-transparency files. For CPT 27870, hospital outpatient, the median across 5 hospitals is $12,364, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.