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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: Knee Manipulation Under Anesthesia

1130 hospitals in 80 markets. National Medicare rate $1,643, surgery center $873.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$1,596$2,031$2,927$729–$4,994
Alaska (statewide)4———$1,028–$7,511
Arizona (statewide)8$1,680$2,342$2,722$1,034–$3,945
Arkansas (statewide)9$1,412$1,466$1,862$1,324–$2,935
Atlanta GA10$3,320$3,391$3,792$3,320–$3,792
Austin TX13$1,135$2,721$3,348$1,135–$3,454
Boston MA11$2,243$2,519$2,824$1,454–$3,300
California (statewide)62$2,967$4,722$6,056$1,153–$9,044
Charlotte NC5$1,903$1,903$1,903$1,877–$1,903
Chicago IL8$2,658$3,270$3,622$1,520–$4,627
Cleveland OH11$2,119$2,291$2,614$1,441–$2,939
Colorado (statewide)16$1,892$2,792$3,658$934–$5,596
Columbus OH2———$5,784–$5,784
Connecticut (statewide)2———$3,181–$6,700
Dallas-Fort Worth TX14$2,839$2,970$3,272$2,415–$5,296
Delaware (statewide)1———$4,370–$4,370
Denver CO15$1,957$4,007$4,030$1,102–$4,669
Detroit MI16$2,010$2,010$2,562$995–$5,085
Florida (statewide)57$2,970$3,558$3,884$1,067–$10,568
Georgia (statewide)38$3,073$3,391$3,786$1,518–$8,775
Hawaii (statewide)3———$1,909–$2,824
Houston TX19$2,493$2,530$2,765$2,329–$3,069
Idaho (statewide)15$2,060$3,120$4,065$964–$5,886
Illinois (statewide)26$2,253$2,996$3,763$1,002–$4,755
Indiana (statewide)35$2,034$3,788$5,904$1,242–$8,220
Indianapolis IN3———$4,994–$7,216
Iowa (statewide)18$2,333$2,720$3,385$1,643–$4,880
Kansas (statewide)19$1,402$1,894$2,925$1,100–$7,511
Kentucky (statewide)16$1,932$2,201$2,436$1,202–$2,979
Las Vegas NV2———$1,763–$2,733
Los Angeles CA17$2,927$3,664$4,322$2,808–$13,037
Louisiana (statewide)24$1,505$1,768$2,506$1,120–$4,294
Maine (statewide)16$6,558$7,442$7,614$1,703–$9,572
Maryland (statewide)1———$2,468–$2,468
Massachusetts (statewide)4———$1,910–$2,724
Miami-Fort Lauderdale FL1———$2,464–$2,464
Michigan (statewide)26$1,822$2,049$2,666$873–$2,772
Minneapolis-St. Paul MN8$2,852$2,924$2,952$2,126–$3,332
Minnesota (statewide)13$2,805$4,273$5,171$2,023–$7,103
Mississippi (statewide)14$2,232$2,363$2,650$1,731–$4,386
Missouri (statewide)15$2,337$3,122$3,215$1,664–$7,109
Montana (statewide)5$3,361$3,607$4,600$3,232–$4,681
Nashville TN8$1,964$2,186$2,342$1,217–$2,736
Nebraska (statewide)14$2,140$2,761$3,010$1,763–$3,653
Nevada (statewide)5$1,763$2,102$2,102$1,061–$3,061
New Hampshire (statewide)6$3,056$4,682$6,253$2,265–$7,201
New Jersey (statewide)13$1,857$1,888$4,843$1,857–$6,872
New Mexico (statewide)7$2,037$3,168$4,014$1,237–$7,112
New York (statewide)30$1,926$2,866$3,589$1,009–$5,719
New York City8$1,130$2,660$5,590$1,113–$7,379
North Carolina (statewide)5$2,748$3,470$4,154$1,728–$4,263
North Dakota (statewide)6$2,216$2,610$3,464$1,826–$5,002
Ohio (statewide)37$2,432$3,646$4,928$1,146–$6,180
Oklahoma (statewide)10$2,248$3,308$3,764$1,150–$6,927
Oregon (statewide)9$4,099$4,486$5,689$2,850–$7,336
Pennsylvania (statewide)32$2,130$3,496$4,976$830–$7,111
Philadelphia PA11$2,310$2,663$4,268$2,196–$6,872
Phoenix AZ8$2,214$2,332$2,421$2,130–$2,421
Pittsburgh PA10$1,910$2,518$3,270$1,711–$4,028
Portland OR9$5,348$5,348$6,671$5,090–$6,671
Rhode Island (statewide)3———$4,052–$4,274
Richmond VA3———$3,534–$3,700
Rio Grande Valley TX7$2,130$2,742$3,142$2,090–$7,145
Salt Lake City UT9$2,001$2,069$2,069$1,463–$2,137
San Antonio TX3———$2,240–$2,800
San Diego CA7$3,516$3,516$3,539$2,957–$3,814
San Francisco Bay Area CA4———$3,859–$13,308
Seattle-Tacoma WA16$4,556$4,875$5,723$4,212–$6,777
South Carolina (statewide)29$4,781$5,298$5,885$2,983–$10,110
South Dakota (statewide)5$2,800$2,852$2,874$2,491–$8,156
St. Louis MO1———$4,953–$4,953
Tampa FL6$3,640$3,640$3,640$2,190–$4,633
Tennessee (statewide)25$1,641$1,751$2,212$1,532–$3,322
Texas (statewide)82$2,180$2,743$2,962$943–$8,220
Utah (statewide)7$1,580$2,001$2,035$1,463–$5,466
Virginia (statewide)16$4,150$4,941$5,220$2,640–$5,658
Washington (statewide)11$4,258$4,686$5,896$1,656–$8,399
Washington DC9$2,678$2,678$2,685$2,210–$3,354
West Virginia (statewide)11$2,291$2,686$4,064$1,401–$10,705
Wisconsin (statewide)34$3,006$3,422$4,891$1,142–$6,834

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$7290.5×12026-04-30
Upmc ColePennsylvania (statewide)$8300.5×12026-03-06
Holland HospitalMichigan (statewide)$8730.5×32026-09-21
Helen Newberry Joy HospitalMichigan (statewide)$8730.5×12026-09-02
Oaklawn HospitalMichigan (statewide)$8990.6×22026-03-27
Montrose Regional HealthColorado (statewide)$9340.6×12026-07-13
Ennis Regional Medical CenterTexas (statewide)$9430.6×12026-04-01
North Canyon Medical CenterIdaho (statewide)$9640.6×82026-04-13
Henry Ford Health -St John HospitalDetroit MI$9950.6×22026-01-01
John H Stroger Jr HospitalIllinois (statewide)$1,0020.6×12026-04-01
Arnot Ogden Medical CenterNew York (statewide)$1,0090.5×12026-03-27
Fairbanks Memorial HospitalAlaska (statewide)$1,0280.6×12026-06-16
Northeast Georgia Medical Center HabershamGeorgia (statewide)$8,7756.2×12026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$8,7755.4×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$8,7755.4×12026-04-01
Providence Redwood Memorial HospitalCalifornia (statewide)$9,0444.4×32026-04-01
Mcleod Loris HospitalSouth Carolina (statewide)$9,3886.3×22026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$9,3886.3×22026-07-20
Mainehealth Lincoln HospitalMaine (statewide)$9,5726.0×12025-09-09
Mcleod Medical Center - DillonSouth Carolina (statewide)$10,1106.8×12026-07-20
Holy Cross HospitalFlorida (statewide)$10,5686.3×242026-03-31
Logan Regional Medical CenterWest Virginia (statewide)$10,7056.9×12026-04-01
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

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

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

Across 1130 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27570, hospital outpatient is $2,981, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,178 to $4,217. 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: Usa Health University Hospital ($729), Upmc Cole ($830), Holland Hospital ($873). Highest: Stanford Health Care ($13,308), Cedars-Sinai Medical Center ($13,037), Logan Regional Medical Center ($10,705). Coverage: every hospital whose price file we could read.