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Knee manipulation under anesthesia: what insurers pay

Bending a stiff knee (often after a replacement) while you are asleep. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 27570: Fixation of Knee Joint

96 hospitals in 35 markets. National Medicare rate $1,643, surgery center $873.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$3,320–$3,792
Austin TX2———$1,135–$4,120
Boston MA7$2,054$2,106$2,382$1,966–$3,148
California (statewide)1———$7,551–$7,551
Chicago IL6$2,586$2,886$3,366$1,520–$4,627
Cleveland OH5$2,525$2,883$3,730$2,351–$3,816
Columbus OH1———$5,784–$5,784
Dallas-Fort Worth TX4———$3,456–$5,178
Denver CO7$2,126$3,816$3,912$1,441–$4,020
Detroit MI6$2,010$2,010$2,146$1,862–$5,085
Georgia (statewide)1———$3,590–$3,590
Houston TX1———$2,673–$2,673
Indianapolis IN1———$4,994–$4,994
Kansas (statewide)1———$2,794–$2,794
Las Vegas NV2———$2,062–$2,102
Los Angeles CA2———$5,667–$13,037
Miami-Fort Lauderdale FL1———$1,940–$1,940
Minneapolis-St. Paul MN1———$2,126–$2,126
Nashville TN4———$1,217–$2,371
New York (statewide)1———$5,171–$5,171
New York City3———$5,277–$8,165
Ohio (statewide)1———$4,036–$4,036
Philadelphia PA5$2,299$5,051$6,185$2,196–$6,872
Phoenix AZ3———$2,242–$2,421
Pittsburgh PA1———$3,276–$3,276
Portland OR6$5,348$5,348$6,412$5,348–$6,766
Richmond VA2———$3,534–$3,564
San Antonio TX1———$2,456–$2,456
San Diego CA1———$2,068–$2,068
San Francisco Bay Area CA1———$13,308–$13,308
Seattle-Tacoma WA6$4,989$5,456$6,446$4,358–$7,054
St. Louis MO1———$4,953–$4,953
Tampa FL2———$2,190–$3,640
Washington DC4———$2,210–$3,354
Wisconsin (statewide)1———$2,183–$2,183
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$1,1350.7×22026-01-01
Ascension Saint Thomas RutherfordNashville TN$1,2170.8×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,3780.9×22026-01-01
Adventhealth PorterDenver CO$1,4410.8×42026-04-01
Adventhealth ParkerDenver CO$1,4410.8×42026-04-01
Endeavor Health Northwest Community HospitalChicago IL$1,5200.9×32026-04-01
Trinity Health Oakland HospitalDetroit MI$1,8621.2×162026-03-31
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$1,9401.2×12026-06-15
Vanderbilt University Medical CenterNashville TN$1,9621.3×72025-10-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,9661.0×22026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,0101.3×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,0101.3×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,0101.3×12026-05-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,0351.1×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,0621.2×72026-07-01
Scripps Green HospitalSan Diego CA$2,0681.0×12026-03-30
New England Baptist HospitalBoston MA$2,0741.1×42026-04-01
Henderson HospitalLas Vegas NV$2,1021.2×42026-09-01
Winchester HospitalBoston MA$2,1061.1×32026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,1261.3×32026-03-31
Beverly Hospital CorporationBoston MA$2,1731.1×42026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$2,1831.4×32026-01-01
Tampa General HospitalTampa FL$2,1901.3×32026-04-01
Henry Ford Health Rochester HospitalDetroit MI$2,1921.4×12026-01-01
Riddle Memorial HospitalPhiladelphia PA$2,1961.3×22026-04-01
George Washington Univ HospitalWashington DC$2,2101.2×32026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,2421.3×42026-04-01
Bryn Mawr HospitalPhiladelphia PA$2,2991.4×22026-04-01
Cleveland Clinic (main campus)Cleveland OH$2,3511.6×12026-06-16
TriStar StoneCrest Medical CenterNashville TN$2,3711.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,4211.4×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,4211.4×52026-04-01
Methodist HospitalSan Antonio TX$2,4561.5×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$2,5251.7×32026-07-14
Endeavor Health Evanston HospitalChicago IL$2,5501.5×32026-04-01
Anna Jaques HospitalBoston MA$2,5921.4×32026-04-01
Houston Methodist HospitalHouston TX$2,6731.7×62026-04-01
Endeavor Health Edward HospitalChicago IL$2,6941.6×22026-04-01
Menorah Medical CenterKansas (statewide)$2,7941.8×52026-09-01
UCHealth University of Colorado HospitalDenver CO$2,8121.7×32025-11-01
Inova Alexandria HospitalWashington DC$2,8571.7×52026-04-01
Medina HospitalCleveland OH$2,8831.9×12026-06-15
Rush University Medical CenterChicago IL$3,0781.8×22026-09-25
Beth Israel Deaconess Medical CenterBoston MA$3,1481.6×22026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$3,2762.1×12026-03-06
Emory University HospitalAtlanta GA$3,3202.1×62026-04-01
Reston Hospital CenterWashington DC$3,3482.0×42026-09-01
Stonesprings Hospital CenterWashington DC$3,3542.0×42026-09-01
Medical City PlanoDallas-Fort Worth TX$3,4562.1×52026-09-01
Endeavor Health Elmhurst HospitalChicago IL$3,4622.0×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$3,5342.3×42026-09-01
Henrico Doctors' HospitalRichmond VA$3,5642.3×42026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$3,5902.5×32026-04-01
Morton Plant HospitalTampa FL$3,6402.2×22026-01-01
Baylor University Medical CenterDallas-Fort Worth TX$3,6932.3×32026-06-29
Cleveland Clinic Hillcrest HospitalCleveland OH$3,7302.5×12026-06-15
Piedmont Atlanta HospitalAtlanta GA$3,7922.4×62026-07-01
Piedmont Fayette HospitalAtlanta GA$3,7922.4×62026-07-01
Piedmont Newnan HospitalAtlanta GA$3,7922.4×62026-07-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$3,8162.3×42026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$3,8162.5×22026-06-15
HCA HealthONE SwedishDenver CO$3,8222.3×42026-09-01
Medical City MckinneyDallas-Fort Worth TX$3,9042.4×52026-09-01
HCA HealthONE Sky RidgeDenver CO$4,0022.4×42026-09-01
Hca Healthone RoseDenver CO$4,0202.4×42026-09-01
Bethesda NorthOhio (statewide)$4,0362.6×42026-04-01
St David's Medical CenterAustin TX$4,1202.5×52026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$4,3582.3×52026-04-01
University of Chicago Medical CenterChicago IL$4,6272.7×22026-04-01
Mercy Hospital St LouisSt. Louis MO$4,9533.1×12026-06-04
St Clare HospitalSeattle-Tacoma WA$4,9672.6×62026-02-28
Riverview HealthIndianapolis IN$4,9942.9×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$5,0513.1×32026-09-15
St Anthony HospitalSeattle-Tacoma WA$5,0542.7×62026-02-28
Harper University HospitalDetroit MI$5,0853.2×12026-09-02
Stony Brook University HospitalNew York (statewide)$5,1712.6×52026-06-10
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$5,1783.2×22026-04-21
Hospital for Special SurgeryNew York City$5,2772.6×62026-04-01
Legacy Emanuel Medical CenterPortland OR$5,3483.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$5,3483.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$5,3483.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$5,3483.0×52026-04-01
Montefiore Medical CenterNew York City$5,5392.8×82026-04-01
Keck Hospital Of UscLos Angeles CA$5,6672.7×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$5,7843.7×202026-03-31
Swedish Medical CenterSeattle-Tacoma WA$5,8573.1×52026-04-01
Jefferson Stratford HospitalPhiladelphia PA$6,1853.4×32026-09-15
Tacoma General Allenmore HospitalSeattle-Tacoma WA$6,6423.5×52026-08-27
Providence St Vincent Medical CenterPortland OR$6,7663.8×32026-04-01
Providence Portland Medical CenterPortland OR$6,7663.8×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$6,8723.8×12026-03-24
Multicare Good Samaritan HospitalSeattle-Tacoma WA$7,0543.8×42026-08-27
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,5513.6×52026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$8,1654.1×72026-01-01
Cedars-Sinai Medical CenterLos Angeles CA$13,0376.3×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$13,3085.6×42026-04-01

Questions

How much do commercial insurers pay hospitals for knee manipulation under anesthesia?

Across 96 hospitals in 35 metro areas that post a usable dollar rate, the median commercial rate for CPT 27570, hospital outpatient is $3,405, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,195 to $5,008. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee manipulation under anesthesia?

Medicare's national hospital outpatient rate for CPT 27570 is $1,643 and its surgery-center rate is $873, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for knee manipulation under anesthesia?

Lowest medians: Ascension Seton Medical Center Austin ($1,135), Ascension Saint Thomas Rutherford ($1,217), Ascension Saint Thomas Hospital (Midtown + West) ($1,378). Highest: Stanford Health Care ($13,308), Cedars-Sinai Medical Center ($13,037), NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($8,165). Coverage is limited to the markets listed on this page.