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Ankle replacement in Pennsylvania: what insurers pay

Posted commercial rates at 84 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27702

HospitalMedian across insurers× MedicareInsurersFile date
Upmc East Monroeville$17,9110.7×12026-03-06
Upmc Altoona Altoona$18,1740.7×12026-03-06
Jefferson Lansdale Hospital Lansdale$21,3440.8×32026-09-15
Jefferson Abington Hospital Abington$21,3440.8×32026-09-15
Thomas Jefferson University Hospital Philadelphia$23,7440.8×42026-09-15
Upmc Memorial York$25,2620.9×42026-03-06
Wellspan Evangelical Community Hospital Lewisburg$26,3661.0×52026-01-01
Temple Health - Chestnut Hill Hospital Philadelphia$27,8761.0×32026-04-08
Upmc Hamot Erie$29,0621.1×22026-03-06
St Luke'S Hospital Bethlehem Bethlehem$31,3981.1×32026-02-26
Saint Vincent Hospital Erie$32,7801.2×62026-04-14
Jefferson Hospital Jefferson Hills$33,3381.3×62026-04-14
Paoli Hospital Paoli$34,8461.3×12026-04-01
Riddle Memorial Hospital Media$34,8461.3×12026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$34,8921.3×22026-09-21
Bryn Mawr Hospital Bryn Mawr$35,1411.3×12026-04-01
Lankenau Medical Center Wynnewood$35,1411.3×12026-04-01
Temple University Hospital Philadelphia$36,6361.3×72026-04-13
Grove City Hospital Grove City$37,6301.4×52026-04-14
Allegheny Valley Hospital Natrona$38,6621.5×62026-04-14
Canonsburg General Hospital Canonsburg$39,0721.5×62026-04-14
Forbes Hospital Monroeville$39,6401.5×62026-04-14
Ahn Wexford Hospital Wexford$41,3201.6×62026-04-14
Wellspan Surgery And Rehabilitation Hospital York$43,7361.6×22026-01-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$45,4681.7×22026-02-26
Allegheny General Hospital Pittsburgh$47,7721.8×62026-04-14
West Penn Hospital Pittsburgh$48,0131.8×62026-04-14
Wellspan York Hospital York$53,4022.0×22026-01-01
St Clair Hospital Pittsburgh$60,6472.3×72026-03-31
Lehigh Valley Hospital Allentown$74,3052.7×62026-07-01
Penn State Health Hampden Medical Center Enola$90,6743.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$91,6713.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$93,0923.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$95,9383.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$108,8394.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$109,5844.2×82026-07-01
Penn State Health St. Joseph Reading$119,9944.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$124,8184.5×82026-07-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$23,5211.1×32026-08-06
Conemaugh Miners Medical Center Hastings$24,6071.2×52026-07-30
Punxsutawney Area Hospital Punxsutawney$25,1601.2×72026-03-02
Upmc Horizon Greenville$25,7311.2×32026-03-06
Upmc Cole Coudersport$26,5541.3×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$27,0761.3×72026-07-01
Troy Community Hospital Troy$28,0841.3×32026-03-31
Upmc Jameson New Castle$28,4251.4×42026-03-06
Conemaugh Nason Medical Center Roaring Spring$28,4971.4×72026-07-30
Upmc Somerset Somerset$29,1571.4×42026-03-06
Upmc Northwest Seneca$30,3341.4×22026-03-06
Upmc Washington Washington$30,5581.5×82026-03-06
Upmc Hamot Erie$30,8461.5×32026-03-06
Upmc Bedford Memorial Everett$30,9221.5×22026-03-06
Upmc Kane Kane$31,0351.5×42026-03-06
Upmc Passavant Pittsburgh$32,5021.6×32026-03-07
Titusville Area Hospital Titusville$32,6611.6×52026-09-11
Wayne Memorial Hospital Honesdale$35,7561.7×62026-09-16
Upmc East Monroeville$36,8221.8×22026-03-06
Upmc Mckeesport Mc Keesport$37,0101.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$37,9151.7×82026-04-08
Upmc St Margaret Pittsburgh$38,6721.8×22026-03-06
Uniontown Hospital Uniontown$38,9131.9×62026-07-09
Lower Bucks Hospital Bristol$38,9621.9×62026-09-01
Upmc Altoona Altoona$39,3361.9×52026-03-06
Upmc Mercy Pittsburgh$39,7731.9×22026-03-06
Conemaugh Memorial Medical Center Johnstown$40,0821.9×82026-04-15
Roxborough Memorial Hospital Philadelphia$40,3101.8×62024-06-21
St Clair Hospital Pittsburgh$40,9481.9×72026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$41,4002.0×62026-09-21
St Luke'S Hospital - Upper Bucks Campus Quakertown$42,0192.0×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$44,5262.1×42026-02-27
Robert Packer Hospital Sayre$45,3442.2×82026-03-31
Jefferson Lansdale Hospital Lansdale$45,4962.2×92026-09-15
Upmc Wellsboro Wellsboro$45,7672.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$45,9202.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$45,9202.1×52026-02-27
Geisinger-Lewistown Hospital Lewistown$45,9842.2×72026-07-01
Upmc Muncy Muncy$47,1322.2×32026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$47,3962.3×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$48,1362.3×62026-07-01
Upmc Williamsport Williamsport$49,0142.3×32026-03-06
St Luke'S Hospital - Easton Campus Easton$49,2712.2×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$50,0652.4×52026-02-27
Jefferson Abington Hospital Abington$50,2512.4×92026-09-15
St Mary Medical Center Langhorne$50,3202.4×212026-03-31
Upmc Presbyterian Shadyside Pittsburgh$50,6442.4×22026-03-06
Geisinger St. Luke'S Hospital Orwigsburg$50,7222.4×42026-02-26
Upmc Memorial York$53,0922.5×82026-03-06
Paoli Hospital Paoli$53,7082.6×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$53,7882.5×62026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$53,9302.4×52026-04-08
Lehigh Valley Hospital - Pocono East Stroudsburg$54,5012.6×62026-07-01
Riddle Memorial Hospital Media$54,7522.5×42026-04-01
Lehigh Valley Hospital - Dickson City Dickson City$55,5122.6×62026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$55,6402.6×62026-09-15
Upmc Hanover Hanover$56,2622.7×82026-03-06
Penn State Health Holy Spirit Medical Center Camp Hill$57,1722.6×42026-03-27
Penn State Health Hampden Medical Center Enola$57,1722.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$57,1722.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$57,6422.6×42026-04-01
Upmc Lititz Lititz$59,1812.8×72026-03-06
Penn State Health St. Joseph Reading$59,2382.7×52026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$59,3282.8×72026-07-01
Lehigh Valley Hospital Allentown$61,4242.8×42026-07-01
Jefferson Health-Northeast Philadelphia$62,4832.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$63,6003.0×52026-01-01
Upmc Carlisle Carlisle$64,1343.0×72026-03-06
Temple University Hospital Philadelphia$65,6143.0×102026-04-13
Lankenau Medical Center Wynnewood$68,7023.3×42026-04-01
Geisinger Community Medical Center Scranton$70,9603.4×82026-07-01
Wellspan Surgery And Rehabilitation Hospital York$76,8703.6×42026-01-01
Thomas Jefferson University Hospital Philadelphia$80,6803.6×92026-09-15
Wellspan York Hospital York$85,6544.1×42026-01-01

Questions

How much do insurers pay for ankle replacement in Pennsylvania?

84 Pennsylvania hospitals post usable commercial rates for ankle replacement in their federal price-transparency files. For CPT 27702, hospital outpatient, the median across 38 hospitals is $38,146, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.