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Ankle replacement in Pennsylvania: what insurers pay

Posted commercial rates at 17 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27702

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$21,5860.8×32026-09-15
Riddle Memorial Hospital Media$34,8461.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$35,1411.3×12026-04-01
Lehigh Valley Hospital Allentown$74,3052.7×62026-07-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$30,0311.4×42026-03-06
Upmc St Margaret Pittsburgh$46,1022.2×12026-03-06
Upmc Mercy Pittsburgh$46,7002.2×12026-03-06
Upmc East Monroeville$46,7282.2×12026-03-06
Jefferson Abington Hospital Abington$47,7232.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$49,4212.4×52026-09-15
Paoli Hospital Paoli$53,7082.6×42026-04-01
Upmc Passavant Pittsburgh$54,4262.6×12026-03-07
Riddle Memorial Hospital Media$54,7522.5×42026-04-01
Bryn Mawr Hospital Bryn Mawr$57,6422.6×42026-04-01
Lehigh Valley Hospital Allentown$61,4242.8×42026-07-01
Jefferson Health-Northeast Philadelphia$61,8602.8×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$64,2333.1×12026-03-06
Upmc Presbyterian Shadyside Pittsburgh$64,7823.1×12026-03-06
Temple University Hospital Philadelphia$65,6143.0×72026-04-13
Lankenau Medical Center Wynnewood$68,7023.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$74,3393.4×52026-09-15

Questions

How much do insurers pay for ankle replacement in Pennsylvania?

17 Pennsylvania hospitals post usable commercial rates for ankle replacement in their federal price-transparency files. For CPT 27702, hospital outpatient, the median across 4 hospitals is $34,994, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.