Price AtlasInteractive atlas · All states · techysurgeon.comKnee replacement revision: what insurers pay
Redo surgery on a knee replacement: both parts (27487) or one part (27486) are replaced. Stays group to revision DRGs 466-468 (FY2026); FY2027 merges them into DRG 449. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27487: Revise/Replace Knee Joint
78 hospitals in 29 markets. National Medicare rate $17,914, surgery center $13,964.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $9,378–$9,378 |
| Austin TX | 1 | — | — | — | $21,234–$21,234 |
| Boston MA | 7 | $21,246 | $24,090 | $29,434 | $20,684–$31,866 |
| California (statewide) | 1 | — | — | — | $34,135–$34,135 |
| Chicago IL | 5 | $16,764 | $29,013 | $30,270 | $10,285–$30,270 |
| Cleveland OH | 4 | — | — | — | $21,120–$40,670 |
| Columbus OH | 1 | — | — | — | $27,896–$27,896 |
| Dallas-Fort Worth TX | 4 | — | — | — | $17,847–$51,674 |
| Denver CO | 7 | $20,157 | $20,268 | $20,410 | $19,106–$21,585 |
| Detroit MI | 3 | — | — | — | $11,318–$16,768 |
| Georgia (statewide) | 1 | — | — | — | $10,846–$10,846 |
| Houston TX | 1 | — | — | — | $15,084–$15,084 |
| Illinois (statewide) | 1 | — | — | — | $16,217–$16,217 |
| Indianapolis IN | 1 | — | — | — | $27,238–$27,238 |
| Kansas (statewide) | 1 | — | — | — | $25,858–$25,858 |
| Los Angeles CA | 2 | — | — | — | $23,814–$32,948 |
| Nashville TN | 3 | — | — | — | $21,294–$27,718 |
| New York City | 2 | — | — | — | $21,912–$52,328 |
| Ohio (statewide) | 1 | — | — | — | $25,631–$25,631 |
| Philadelphia PA | 5 | $11,176 | $13,385 | $16,603 | $11,078–$16,698 |
| Phoenix AZ | 3 | — | — | — | $15,169–$15,169 |
| Portland OR | 6 | $24,978 | $24,978 | $43,084 | $24,978–$49,119 |
| Richmond VA | 2 | — | — | — | $25,280–$25,280 |
| San Antonio TX | 1 | — | — | — | $24,291–$24,291 |
| San Francisco Bay Area CA | 1 | — | — | — | $44,972–$44,972 |
| Seattle-Tacoma WA | 6 | $36,981 | $43,604 | $53,559 | $36,584–$66,668 |
| Tampa FL | 2 | — | — | — | $14,979–$17,068 |
| Washington DC | 4 | — | — | — | $11,365–$32,916 |
| Wisconsin (statewide) | 1 | — | — | — | $14,424–$14,424 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Emory University Hospital | Atlanta GA | $9,378 | 0.5× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $10,285 | 0.6× | 3 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $10,846 | 0.7× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,078 | 0.6× | 3 | 2026-09-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $11,176 | 0.6× | 1 | 2026-09-15 |
| Harper University Hospital | Detroit MI | $11,318 | 0.7× | 1 | 2026-09-02 |
| George Washington Univ Hospital | Washington DC | $11,365 | 0.6× | 1 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,385 | 0.7× | 1 | 2026-03-24 |
| Trinity Health Oakland Hospital | Detroit MI | $14,244 | 0.8× | 16 | 2026-03-31 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $14,424 | 0.8× | 3 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $14,979 | 0.8× | 1 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $15,084 | 0.9× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $15,169 | 0.8× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $15,169 | 0.8× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $15,169 | 0.8× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $16,217 | 0.9× | 2 | 2026-06-03 |
| Riddle Memorial Hospital | Philadelphia PA | $16,603 | 0.9× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $16,698 | 0.9× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $16,764 | 0.9× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $16,768 | 1.0× | 1 | 2026-01-01 |
| Morton Plant Hospital | Tampa FL | $17,068 | 0.9× | 2 | 2026-01-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $17,847 | 1.0× | 1 | 2026-06-29 |
| UCHealth University of Colorado Hospital | Denver CO | $19,106 | 1.0× | 2 | 2025-11-01 |
| HCA HealthONE Sky Ridge | Denver CO | $20,046 | 1.1× | 5 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $20,268 | 1.1× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $20,268 | 1.1× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $20,338 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $20,483 | 1.1× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $20,684 | 1.0× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $20,684 | 1.0× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $21,120 | 1.3× | 2 | 2026-07-14 |
| St David's Medical Center | Austin TX | $21,234 | 1.2× | 5 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $21,294 | 1.3× | 2 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $21,585 | 1.2× | 5 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $21,636 | 1.3× | 2 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $21,809 | 1.0× | 4 | 2026-04-01 |
| Montefiore Medical Center | New York City | $21,912 | 1.0× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $23,814 | 1.1× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $24,090 | 1.1× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $24,291 | 1.4× | 5 | 2026-09-01 |
| Legacy Emanuel Medical Center | Portland OR | $24,978 | 1.3× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $24,978 | 1.3× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $24,978 | 1.3× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $24,978 | 1.3× | 4 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $25,280 | 1.5× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $25,280 | 1.5× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $25,631 | 1.5× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $25,858 | 1.6× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $27,238 | 1.5× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $27,718 | 1.6× | 4 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $27,718 | 1.5× | 3 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $27,896 | 1.6× | 3 | 2026-03-31 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $28,638 | 1.4× | 2 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $29,013 | 1.5× | 2 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $29,346 | 1.7× | 2 | 2026-04-21 |
| Beth Israel Deaconess Medical Center | Boston MA | $30,230 | 1.4× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $30,270 | 1.6× | 1 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $30,270 | 1.6× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $31,437 | 1.9× | 1 | 2026-06-15 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $31,866 | 1.5× | 1 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $32,916 | 1.8× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $32,916 | 1.8× | 4 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $32,948 | 1.5× | 3 | 2025-11-26 |
| Los Robles Hospital & Medical Center | California (statewide) | $34,135 | 1.5× | 4 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $35,912 | 2.2× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $36,584 | 1.8× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $36,628 | 1.8× | 3 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $38,039 | 1.9× | 3 | 2026-02-28 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $40,670 | 2.5× | 1 | 2026-06-15 |
| Stanford Health Care | San Francisco Bay Area CA | $44,972 | 1.7× | 4 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $46,966 | 2.7× | 6 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $49,119 | 2.5× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $49,119 | 2.5× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $49,169 | 2.4× | 3 | 2026-08-27 |
| Medical City Plano | Dallas-Fort Worth TX | $51,674 | 2.9× | 6 | 2026-09-01 |
| Hospital for Special Surgery | New York City | $52,328 | 2.4× | 5 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $55,022 | 2.7× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $66,668 | 3.3× | 2 | 2026-08-27 |
CPT 27486: Revise/Replace Knee Joint
81 hospitals in 30 markets. National Medicare rate $13,117, surgery center $6,804.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $8,502–$8,502 |
| Austin TX | 1 | — | — | — | $21,234–$21,234 |
| Boston MA | 7 | $20,684 | $21,052 | $24,704 | $20,523–$25,830 |
| California (statewide) | 1 | — | — | — | $31,624–$31,624 |
| Chicago IL | 5 | $13,559 | $15,490 | $22,164 | $10,156–$26,120 |
| Cleveland OH | 5 | $15,100 | $23,019 | $26,296 | $11,170–$29,779 |
| Columbus OH | 1 | — | — | — | $16,718–$16,718 |
| Dallas-Fort Worth TX | 4 | — | — | — | $11,550–$49,871 |
| Denver CO | 7 | $20,157 | $20,268 | $20,410 | $13,432–$21,585 |
| Detroit MI | 3 | — | — | — | $7,751–$11,318 |
| Georgia (statewide) | 1 | — | — | — | $10,846–$10,846 |
| Houston TX | 1 | — | — | — | $9,739–$9,739 |
| Indianapolis IN | 1 | — | — | — | $27,238–$27,238 |
| Kansas (statewide) | 1 | — | — | — | $25,858–$25,858 |
| Las Vegas NV | 1 | — | — | — | $7,352–$7,352 |
| Los Angeles CA | 2 | — | — | — | $23,814–$32,948 |
| Nashville TN | 3 | — | — | — | $19,904–$21,636 |
| New York City | 3 | — | — | — | $16,315–$52,328 |
| Ohio (statewide) | 1 | — | — | — | $16,268–$16,268 |
| Pennsylvania (statewide) | 1 | — | — | — | $31,768–$31,768 |
| Philadelphia PA | 5 | $11,078 | $12,920 | $12,990 | $9,751–$13,385 |
| Phoenix AZ | 3 | — | — | — | $12,646–$12,646 |
| Portland OR | 6 | $23,856 | $23,856 | $42,803 | $23,856–$49,119 |
| Richmond VA | 2 | — | — | — | $25,280–$25,280 |
| San Antonio TX | 1 | — | — | — | $24,291–$24,291 |
| San Francisco Bay Area CA | 1 | — | — | — | $43,842–$43,842 |
| Seattle-Tacoma WA | 6 | $36,981 | $42,255 | $48,494 | $27,557–$55,399 |
| Tampa FL | 2 | — | — | — | $14,979–$17,068 |
| Washington DC | 4 | — | — | — | $11,846–$30,393 |
| Wisconsin (statewide) | 1 | — | — | — | $14,424–$14,424 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henderson Hospital | Las Vegas NV | $7,352 | 0.5× | 1 | 2026-09-01 |
| Trinity Health Oakland Hospital | Detroit MI | $7,751 | 0.6× | 16 | 2026-03-31 |
| Emory University Hospital | Atlanta GA | $8,502 | 0.7× | 4 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $9,125 | 0.7× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $9,739 | 0.8× | 3 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,751 | 0.7× | 3 | 2026-09-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $10,156 | 0.7× | 3 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $10,846 | 1.0× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,078 | 0.8× | 3 | 2026-09-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $11,170 | 0.9× | 1 | 2026-06-16 |
| Harper University Hospital | Detroit MI | $11,318 | 0.9× | 1 | 2026-09-02 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $11,550 | 0.9× | 2 | 2026-06-29 |
| George Washington Univ Hospital | Washington DC | $11,846 | 0.8× | 2 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $12,646 | 0.9× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $12,646 | 0.9× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $12,646 | 0.9× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $12,920 | 1.0× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $12,990 | 1.0× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,385 | 0.9× | 1 | 2026-03-24 |
| UCHealth University of Colorado Hospital | Denver CO | $13,432 | 1.0× | 3 | 2025-11-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $13,559 | 1.0× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $14,424 | 1.1× | 3 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $14,979 | 1.1× | 1 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $15,100 | 1.2× | 3 | 2026-07-14 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $15,490 | 1.1× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $16,268 | 1.3× | 4 | 2026-04-01 |
| Montefiore Medical Center | New York City | $16,315 | 1.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $16,718 | 1.4× | 4 | 2026-03-31 |
| Morton Plant Hospital | Tampa FL | $17,068 | 1.3× | 2 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $19,904 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $20,046 | 1.5× | 5 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $20,268 | 1.5× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $20,268 | 1.5× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $20,338 | 1.5× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $20,483 | 1.5× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $20,523 | 1.3× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $20,684 | 1.3× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $20,684 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $21,052 | 1.4× | 2 | 2026-04-01 |
| St David's Medical Center | Austin TX | $21,234 | 1.6× | 5 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $21,294 | 1.7× | 2 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $21,585 | 1.6× | 5 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $21,636 | 1.8× | 2 | 2026-01-01 |
| Endeavor Health Edward Hospital | Chicago IL | $22,164 | 1.6× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $23,019 | 1.9× | 1 | 2026-06-15 |
| Keck Hospital Of Usc | Los Angeles CA | $23,814 | 1.4× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $24,291 | 1.9× | 5 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $24,584 | 1.6× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $24,825 | 1.6× | 1 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $25,280 | 2.0× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $25,280 | 2.0× | 5 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $25,410 | 2.0× | 2 | 2026-04-21 |
| Beth Israel Deaconess Medical Center | Boston MA | $25,830 | 1.7× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $25,858 | 2.1× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $26,120 | 1.9× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $26,296 | 2.2× | 1 | 2026-06-15 |
| Riverview Health | Indianapolis IN | $27,238 | 2.0× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $27,557 | 1.9× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $27,718 | 2.1× | 3 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $29,779 | 2.5× | 1 | 2026-06-15 |
| Reston Hospital Center | Washington DC | $30,393 | 2.3× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $30,393 | 2.3× | 5 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $31,624 | 1.9× | 4 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $31,768 | 2.4× | 7 | 2026-07-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $32,948 | 2.0× | 3 | 2025-11-26 |
| St Clare Hospital | Seattle-Tacoma WA | $36,628 | 2.4× | 3 | 2026-02-28 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $37,925 | 2.4× | 6 | 2026-01-01 |
| St Anthony Hospital | Seattle-Tacoma WA | $38,039 | 2.5× | 3 | 2026-02-28 |
| Stanford Health Care | San Francisco Bay Area CA | $43,842 | 2.3× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $46,471 | 3.1× | 4 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $46,966 | 3.6× | 6 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $49,119 | 3.4× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $49,119 | 3.4× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $49,169 | 3.3× | 3 | 2026-08-27 |
| Medical City Plano | Dallas-Fort Worth TX | $49,871 | 3.9× | 6 | 2026-09-01 |
| Hospital for Special Surgery | New York City | $52,328 | 3.3× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $55,399 | 3.7× | 2 | 2026-08-27 |
MS-DRG 468: Revision of Hip Or Knee Replacement Without Cc/McC
126 hospitals in 39 markets. National Medicare rate $19,997.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $47,338–$54,626 |
| Austin TX | 2 | — | — | — | $16,419–$25,675 |
| Boston MA | 7 | $24,424 | $25,419 | $28,330 | $20,643–$40,052 |
| California (statewide) | 1 | — | — | — | $48,685–$48,685 |
| Charlotte NC | 2 | — | — | — | $43,512–$53,721 |
| Chicago IL | 7 | $30,325 | $36,615 | $40,454 | $24,914–$51,113 |
| Cleveland OH | 5 | $20,542 | $23,360 | $28,245 | $19,860–$31,680 |
| Columbus OH | 2 | — | — | — | $55,856–$73,638 |
| Dallas-Fort Worth TX | 4 | — | — | — | $40,846–$71,176 |
| Denver CO | 5 | $23,691 | $23,888 | $35,004 | $22,797–$57,843 |
| Detroit MI | 8 | $38,494 | $41,593 | $48,011 | $38,494–$51,880 |
| Florida (statewide) | 1 | — | — | — | $73,978–$73,978 |
| Georgia (statewide) | 1 | — | — | — | $52,002–$52,002 |
| Houston TX | 1 | — | — | — | $48,189–$48,189 |
| Illinois (statewide) | 1 | — | — | — | $21,894–$21,894 |
| Indianapolis IN | 3 | — | — | — | $16,376–$39,912 |
| Kansas (statewide) | 1 | — | — | — | $33,947–$33,947 |
| Las Vegas NV | 1 | — | — | — | $28,312–$28,312 |
| Los Angeles CA | 2 | — | — | — | $51,535–$84,116 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $29,777–$38,103 |
| Minneapolis-St. Paul MN | 6 | $41,854 | $44,118 | $45,951 | $33,940–$51,837 |
| Nashville TN | 4 | — | — | — | $19,970–$57,193 |
| New York (statewide) | 1 | — | — | — | $59,288–$59,288 |
| New York City | 3 | — | — | — | $25,789–$88,192 |
| Ohio (statewide) | 1 | — | — | — | $48,068–$48,068 |
| Pennsylvania (statewide) | 1 | — | — | — | $53,642–$53,642 |
| Philadelphia PA | 5 | $51,274 | $51,539 | $67,349 | $46,908–$74,751 |
| Phoenix AZ | 3 | — | — | — | $45,740–$48,653 |
| Pittsburgh PA | 1 | — | — | — | $47,156–$47,156 |
| Portland OR | 6 | $57,321 | $58,216 | $67,152 | $57,183–$69,970 |
| Research Triangle NC | 5 | $31,113 | $33,785 | $43,286 | $25,374–$46,118 |
| Richmond VA | 4 | — | — | — | $31,761–$74,127 |
| Salt Lake City UT | 3 | — | — | — | $45,622–$47,446 |
| San Antonio TX | 1 | — | — | — | $30,383–$30,383 |
| San Diego CA | 1 | — | — | — | $39,321–$39,321 |
| Seattle-Tacoma WA | 6 | $59,405 | $60,232 | $61,058 | $54,122–$74,439 |
| St. Louis MO | 5 | $43,404 | $44,252 | $44,252 | $14,042–$53,913 |
| Tampa FL | 4 | — | — | — | $53,673–$65,316 |
| Washington DC | 6 | $36,927 | $50,698 | $56,254 | $31,901–$65,067 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $14,042 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $16,376 | 0.8× | 4 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $16,419 | 0.8× | 1 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $16,728 | 0.8× | 4 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $19,860 | 1.1× | 4 | 2026-06-15 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $19,970 | 1.1× | 6 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $20,300 | 1.1× | 5 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $20,542 | 1.1× | 5 | 2026-06-15 |
| Anna Jaques Hospital | Boston MA | $20,643 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $21,894 | 1.0× | 1 | 2026-06-03 |
| TriStar StoneCrest Medical Center | Nashville TN | $21,977 | 1.2× | 7 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $22,797 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $23,360 | 1.3× | 5 | 2026-06-16 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $23,429 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $23,691 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $23,888 | 1.1× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $24,914 | 1.2× | 3 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $25,374 | 1.3× | 2 | 2026-02-25 |
| Beverly Hospital Corporation | Boston MA | $25,419 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $25,419 | 1.1× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $25,675 | 1.3× | 6 | 2026-09-01 |
| Montefiore Medical Center | New York City | $25,789 | 1.0× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $27,365 | 1.1× | 2 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $28,245 | 1.5× | 4 | 2026-07-14 |
| University Medical Center of Southern Nevada | Las Vegas NV | $28,312 | 1.4× | 2 | 2026-07-01 |
| Endeavor Health Edward Hospital | Chicago IL | $28,758 | 1.4× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $29,294 | 1.2× | 3 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $29,777 | 1.4× | 5 | 2026-03-13 |
| Methodist Hospital | San Antonio TX | $30,383 | 1.6× | 5 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $31,113 | 1.6× | 3 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $31,680 | 1.7× | 4 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $31,761 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $31,761 | 1.7× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $31,892 | 1.5× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $31,901 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $32,581 | 1.6× | 5 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $33,785 | 1.7× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $33,940 | 1.6× | 2 | 2026-03-31 |
| Menorah Medical Center | Kansas (statewide) | $33,947 | 1.8× | 6 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $35,004 | 1.7× | 5 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $36,615 | 1.7× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $38,103 | 1.9× | 4 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $38,494 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $38,494 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $38,494 | 2.0× | 3 | 2026-05-01 |
| Loyola University Medical Center | Chicago IL | $38,828 | 1.8× | 4 | 2026-03-31 |
| Scripps Green Hospital | San Diego CA | $39,321 | 1.5× | 6 | 2026-03-30 |
| Hendricks Regional Health | Indianapolis IN | $39,912 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $40,052 | 1.7× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $40,846 | 2.1× | 6 | 2026-06-29 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $41,099 | 2.0× | 3 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $41,562 | 2.1× | 1 | 2025-12-31 |
| Corewell Health Dearborn Hospital | Detroit MI | $41,624 | 2.1× | 2 | 2026-05-01 |
| Rush University Medical Center | Chicago IL | $42,081 | 2.0× | 4 | 2026-09-25 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $43,286 | 2.2× | 4 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $43,404 | 2.2× | 5 | 2025-12-15 |
| Atrium Health Pineville | Charlotte NC | $43,512 | 2.3× | 2 | 2025-12-05 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $44,118 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $44,118 | 2.1× | 4 | 2026-06-16 |
| Barnes-Jewish West County Hospital | St. Louis MO | $44,252 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $44,252 | 2.3× | 5 | 2025-12-15 |
| Mckay-Dee Hospital | Salt Lake City UT | $45,622 | 2.3× | 1 | 2026-08-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $45,740 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $45,740 | 2.2× | 5 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $46,118 | 2.4× | 3 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $46,562 | 2.3× | 3 | 2026-06-16 |
| Riddle Memorial Hospital | Philadelphia PA | $46,908 | 2.3× | 4 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $47,156 | 2.5× | 1 | 2026-03-06 |
| Emory University Hospital | Atlanta GA | $47,338 | 2.4× | 5 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $47,365 | 2.4× | 17 | 2026-03-31 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $47,446 | 2.4× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $47,446 | 2.4× | 1 | 2026-08-05 |
| Bethesda North | Ohio (statewide) | $48,068 | 2.5× | 5 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $48,189 | 2.5× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $48,653 | 2.3× | 4 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $48,685 | 1.9× | 5 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $49,950 | 2.6× | 1 | 2026-01-01 |
| George Washington Univ Hospital | Washington DC | $49,964 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $51,113 | 2.4× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $51,274 | 2.5× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $51,432 | 2.5× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $51,535 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $51,539 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $51,837 | 2.5× | 5 | 2026-06-16 |
| Harper University Hospital | Detroit MI | $51,880 | 2.7× | 2 | 2026-09-02 |
| Piedmont Atlanta Hospital | Atlanta GA | $51,895 | 2.6× | 5 | 2026-07-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $52,002 | 3.0× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $52,031 | 2.7× | 5 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $53,278 | 2.7× | 5 | 2026-07-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $53,642 | 2.7× | 5 | 2026-07-01 |
| Morton Plant Hospital | Tampa FL | $53,673 | 2.6× | 5 | 2026-01-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $53,721 | 2.8× | 3 | 2026-03-30 |
| Barnes Jewish Hospital | St. Louis MO | $53,913 | 2.8× | 5 | 2025-12-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $54,122 | 2.4× | 6 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $54,626 | 2.8× | 5 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $54,666 | 2.7× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $55,856 | 3.0× | 3 | 2026-07-01 |
| Legacy Mount Hood Medical Center | Portland OR | $57,183 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $57,183 | 2.6× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $57,193 | 3.0× | 6 | 2025-10-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $57,734 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $57,843 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $57,862 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $58,698 | 2.7× | 4 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $59,288 | 2.4× | 1 | 2026-06-10 |
| Adventhealth Tampa | Tampa FL | $59,402 | 2.9× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $59,405 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $59,405 | 2.6× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $61,058 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $61,058 | 2.6× | 6 | 2026-08-27 |
| Medstar Georgetown University Hospital | Washington DC | $65,067 | 2.8× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $65,301 | 3.3× | 4 | 2026-04-21 |
| Adventhealth Carrollwood | Tampa FL | $65,316 | 3.2× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $67,349 | 3.4× | 5 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $69,418 | 3.5× | 6 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $69,970 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $69,970 | 3.2× | 3 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $71,176 | 3.6× | 6 | 2026-09-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $73,638 | 3.9× | 20 | 2026-03-31 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $73,978 | 3.6× | 4 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $74,127 | 3.9× | 3 | 2026-01-02 |
| Swedish Medical Center | Seattle-Tacoma WA | $74,439 | 3.2× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $74,751 | 3.4× | 5 | 2026-03-24 |
| Hospital for Special Surgery | New York City | $75,022 | 3.0× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $84,116 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $88,192 | 3.5× | 7 | 2026-01-01 |
MS-DRG 467: Revision of Hip Or Knee Replacement With Cc
126 hospitals in 39 markets. National Medicare rate $25,662.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $61,806–$70,104 |
| Austin TX | 2 | — | — | — | $22,010–$31,004 |
| Boston MA | 7 | $31,344 | $32,621 | $36,356 | $26,492–$51,400 |
| California (statewide) | 1 | — | — | — | $48,685–$48,685 |
| Charlotte NC | 2 | — | — | — | $56,812–$68,942 |
| Chicago IL | 7 | $39,592 | $47,805 | $52,351 | $32,529–$65,595 |
| Cleveland OH | 5 | $25,816 | $30,257 | $35,576 | $22,600–$38,096 |
| Columbus OH | 2 | — | — | — | $71,682–$94,502 |
| Dallas-Fort Worth TX | 4 | — | — | — | $52,419–$85,258 |
| Denver CO | 5 | $30,234 | $30,389 | $44,922 | $29,002–$74,231 |
| Detroit MI | 8 | $49,357 | $49,814 | $54,767 | $47,411–$62,532 |
| Florida (statewide) | 1 | — | — | — | $96,586–$96,586 |
| Georgia (statewide) | 1 | — | — | — | $67,896–$67,896 |
| Houston TX | 1 | — | — | — | $58,162–$58,162 |
| Illinois (statewide) | 1 | — | — | — | $28,097–$28,097 |
| Indianapolis IN | 3 | — | — | — | $18,036–$51,220 |
| Kansas (statewide) | 1 | — | — | — | $41,429–$41,429 |
| Las Vegas NV | 1 | — | — | — | $32,750–$32,750 |
| Los Angeles CA | 2 | — | — | — | $66,136–$107,949 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $39,320–$44,094 |
| Minneapolis-St. Paul MN | 6 | $53,712 | $56,618 | $58,970 | $43,557–$64,304 |
| Nashville TN | 4 | — | — | — | $27,553–$73,397 |
| New York (statewide) | 1 | — | — | — | $72,678–$72,678 |
| New York City | 3 | — | — | — | $33,671–$113,179 |
| Ohio (statewide) | 1 | — | — | — | $61,687–$61,687 |
| Pennsylvania (statewide) | 1 | — | — | — | $68,039–$68,039 |
| Philadelphia PA | 5 | $64,593 | $66,142 | $86,432 | $59,546–$95,931 |
| Phoenix AZ | 3 | — | — | — | $58,700–$60,548 |
| Pittsburgh PA | 1 | — | — | — | $62,099–$62,099 |
| Portland OR | 6 | $73,973 | $74,268 | $86,858 | $73,973–$90,956 |
| Research Triangle NC | 5 | $34,709 | $39,928 | $48,195 | $32,606–$56,518 |
| Richmond VA | 4 | — | — | — | $31,948–$96,786 |
| Salt Lake City UT | 3 | — | — | — | $59,379–$61,752 |
| San Antonio TX | 1 | — | — | — | $35,160–$35,160 |
| San Diego CA | 1 | — | — | — | $50,462–$50,462 |
| Seattle-Tacoma WA | 6 | $77,564 | $78,306 | $79,047 | $69,456–$97,188 |
| St. Louis MO | 5 | $44,252 | $44,252 | $47,271 | $18,021–$61,264 |
| Tampa FL | 4 | — | — | — | $69,216–$83,822 |
| Washington DC | 6 | $40,466 | $65,638 | $72,480 | $31,901–$83,503 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $18,021 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Anderson | Indianapolis IN | $18,036 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $18,036 | 0.7× | 4 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $22,010 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $22,600 | 0.9× | 4 | 2026-06-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $25,816 | 1.1× | 5 | 2026-06-15 |
| Anna Jaques Hospital | Boston MA | $26,492 | 0.9× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $27,553 | 1.1× | 7 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $28,097 | 1.0× | 1 | 2026-06-03 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $28,260 | 1.2× | 4 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $29,002 | 1.1× | 5 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $29,252 | 1.2× | 4 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $30,068 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $30,234 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $30,257 | 1.3× | 5 | 2026-06-16 |
| HCA HealthONE Swedish | Denver CO | $30,389 | 1.1× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $31,004 | 1.2× | 6 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $31,901 | 1.2× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $31,948 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $32,056 | 1.3× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $32,529 | 1.2× | 3 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $32,581 | 1.3× | 5 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $32,606 | 1.3× | 2 | 2026-02-25 |
| Beverly Hospital Corporation | Boston MA | $32,621 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $32,621 | 1.1× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $32,750 | 1.2× | 2 | 2026-07-01 |
| Montefiore Medical Center | New York City | $33,671 | 1.1× | 1 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $34,709 | 1.4× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $35,118 | 1.1× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $35,160 | 1.4× | 5 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $35,576 | 1.5× | 4 | 2026-07-14 |
| Endeavor Health Edward Hospital | Chicago IL | $37,547 | 1.4× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $37,594 | 1.2× | 3 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $38,096 | 1.6× | 4 | 2026-06-15 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $39,320 | 1.5× | 5 | 2026-03-13 |
| Duke Regional Hospital | Research Triangle NC | $39,928 | 1.6× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $41,429 | 1.8× | 6 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $41,638 | 1.5× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $43,557 | 1.6× | 2 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $44,094 | 1.7× | 4 | 2026-06-15 |
| Missouri Baptist Medical Center | St. Louis MO | $44,252 | 1.8× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $44,252 | 1.8× | 5 | 2025-12-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $44,922 | 1.7× | 5 | 2026-09-01 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $47,271 | 1.9× | 5 | 2025-12-15 |
| Mclaren Port Huron | Detroit MI | $47,411 | 1.9× | 1 | 2025-12-31 |
| Endeavor Health Evanston Hospital | Chicago IL | $47,805 | 1.8× | 3 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $48,195 | 1.9× | 3 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $48,685 | 1.5× | 5 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $49,224 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $49,401 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $49,401 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $50,226 | 2.0× | 2 | 2026-05-01 |
| Scripps Green Hospital | San Diego CA | $50,462 | 1.5× | 6 | 2026-03-30 |
| Loyola University Medical Center | Chicago IL | $50,698 | 1.9× | 4 | 2026-03-31 |
| Hendricks Regional Health | Indianapolis IN | $51,220 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $51,400 | 1.7× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $52,419 | 2.1× | 6 | 2026-06-29 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $52,744 | 2.0× | 3 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $54,004 | 2.0× | 4 | 2026-09-25 |
| Trinity Health Oakland Hospital | Detroit MI | $54,030 | 2.2× | 16 | 2026-03-31 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $56,518 | 2.3× | 4 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $56,618 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $56,618 | 2.1× | 4 | 2026-06-16 |
| Atrium Health Pineville | Charlotte NC | $56,812 | 2.3× | 2 | 2025-12-05 |
| Henry Ford Health Rochester Hospital | Detroit MI | $56,979 | 2.3× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $58,162 | 2.3× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $58,700 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $58,700 | 2.2× | 5 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $59,379 | 2.3× | 1 | 2026-08-05 |
| Riddle Memorial Hospital | Philadelphia PA | $59,546 | 2.3× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $59,754 | 2.3× | 3 | 2026-06-16 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $60,548 | 2.3× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $61,264 | 2.4× | 4 | 2025-12-15 |
| Bethesda North | Ohio (statewide) | $61,687 | 2.5× | 5 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $61,752 | 2.4× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $61,752 | 2.4× | 1 | 2026-08-05 |
| Emory University Hospital | Atlanta GA | $61,806 | 2.5× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $62,099 | 2.5× | 1 | 2026-03-06 |
| Harper University Hospital | Detroit MI | $62,532 | 2.5× | 2 | 2026-09-02 |
| George Washington Univ Hospital | Washington DC | $64,121 | 2.1× | 3 | 2026-09-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $64,304 | 2.4× | 5 | 2026-06-16 |
| Bryn Mawr Hospital | Philadelphia PA | $64,593 | 2.5× | 4 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $65,595 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $66,136 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $66,142 | 2.3× | 5 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $66,598 | 2.6× | 5 | 2026-07-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $66,773 | 2.7× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $67,154 | 2.6× | 5 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $67,896 | 3.1× | 4 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $68,039 | 2.7× | 5 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $68,374 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $68,942 | 2.8× | 3 | 2026-03-30 |
| Tampa General Hospital | Tampa FL | $69,216 | 2.6× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $69,456 | 2.4× | 6 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $70,080 | 2.7× | 5 | 2026-01-01 |
| Piedmont Newnan Hospital | Atlanta GA | $70,104 | 2.8× | 5 | 2026-07-01 |
| Ohio State University Hospitals | Columbus OH | $71,682 | 3.0× | 3 | 2026-07-01 |
| Stony Brook University Hospital | New York (statewide) | $72,678 | 2.3× | 1 | 2026-06-10 |
| Vanderbilt University Medical Center | Nashville TN | $73,397 | 3.0× | 6 | 2025-10-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $73,973 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $73,973 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $73,973 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $74,231 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $74,256 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $74,564 | 2.6× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $76,233 | 2.9× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $77,564 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $77,564 | 2.6× | 6 | 2026-02-28 |
| Medical City Plano | Dallas-Fort Worth TX | $77,640 | 3.1× | 6 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $79,047 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $79,047 | 2.7× | 6 | 2026-08-27 |
| Hospital for Special Surgery | New York City | $79,237 | 2.5× | 5 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $80,612 | 3.2× | 6 | 2026-09-01 |
| Medstar Georgetown University Hospital | Washington DC | $83,503 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $83,822 | 3.2× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $85,258 | 3.4× | 4 | 2026-04-21 |
| Thomas Jefferson University Hospital | Philadelphia PA | $86,432 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $90,956 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $90,956 | 3.2× | 3 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $94,502 | 3.9× | 20 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $95,931 | 3.4× | 5 | 2026-03-24 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $96,586 | 3.7× | 4 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $96,786 | 4.0× | 3 | 2026-01-02 |
| Swedish Medical Center | Seattle-Tacoma WA | $97,188 | 3.3× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $107,949 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $113,179 | 3.5× | 7 | 2026-01-01 |
MS-DRG 466: Revision of Hip Or Knee Replacement With McC
125 hospitals in 39 markets. National Medicare rate $37,878.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $91,932–$116,565 |
| Austin TX | 2 | — | — | — | $33,565–$40,280 |
| Boston MA | 7 | $46,266 | $48,150 | $53,662 | $39,103–$75,869 |
| California (statewide) | 1 | — | — | — | $58,031–$58,031 |
| Charlotte NC | 2 | — | — | — | $84,502–$101,760 |
| Chicago IL | 7 | $58,892 | $71,107 | $77,560 | $48,384–$96,820 |
| Cleveland OH | 5 | $44,617 | $53,504 | $71,538 | $35,119–$80,145 |
| Columbus OH | 2 | — | — | — | $115,456–$139,489 |
| Dallas-Fort Worth TX | 4 | — | — | — | $77,373–$126,815 |
| Denver CO | 7 | $43,502 | $48,343 | $66,629 | $41,737–$109,568 |
| Detroit MI | 8 | $71,333 | $72,239 | $78,694 | $68,123–$91,032 |
| Florida (statewide) | 1 | — | — | — | $143,666–$143,666 |
| Georgia (statewide) | 1 | — | — | — | $100,990–$100,990 |
| Houston TX | 1 | — | — | — | $60,140–$60,140 |
| Illinois (statewide) | 1 | — | — | — | $41,473–$41,473 |
| Indianapolis IN | 2 | — | — | — | $24,983–$75,603 |
| Kansas (statewide) | 1 | — | — | — | $56,635–$56,635 |
| Las Vegas NV | 1 | — | — | — | $49,215–$49,215 |
| Los Angeles CA | 2 | — | — | — | $97,619–$159,337 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $57,059–$83,232 |
| Minneapolis-St. Paul MN | 6 | $77,838 | $77,845 | $85,514 | $63,194–$88,200 |
| Nashville TN | 4 | — | — | — | $39,184–$91,339 |
| New York (statewide) | 1 | — | — | — | $110,446–$110,446 |
| New York City | 3 | — | — | — | $50,083–$167,057 |
| Ohio (statewide) | 1 | — | — | — | $91,053–$91,053 |
| Pennsylvania (statewide) | 1 | — | — | — | $98,661–$98,661 |
| Philadelphia PA | 5 | $96,291 | $97,628 | $127,577 | $89,129–$141,597 |
| Phoenix AZ | 3 | — | — | — | $85,103–$85,874 |
| Pittsburgh PA | 1 | — | — | — | $94,009–$94,009 |
| Portland OR | 6 | $109,579 | $109,579 | $126,878 | $109,579–$132,645 |
| Research Triangle NC | 5 | $51,626 | $71,137 | $81,329 | $48,940–$82,698 |
| Richmond VA | 4 | — | — | — | $54,368–$147,168 |
| Salt Lake City UT | 3 | — | — | — | $87,785–$91,294 |
| San Antonio TX | 1 | — | — | — | $47,667–$47,667 |
| San Diego CA | 1 | — | — | — | $54,358–$54,358 |
| Seattle-Tacoma WA | 6 | $115,367 | $116,254 | $117,141 | $102,520–$144,561 |
| St. Louis MO | 3 | — | — | — | $49,952–$102,531 |
| Tampa FL | 4 | — | — | — | $102,953–$123,725 |
| Washington DC | 6 | $56,087 | $97,265 | $107,175 | $42,872–$123,254 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $33,565 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $35,119 | 1.0× | 3 | 2026-06-15 |
| Anna Jaques Hospital | Boston MA | $39,103 | 0.9× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $39,184 | 1.1× | 7 | 2026-09-01 |
| St David's Medical Center | Austin TX | $40,280 | 1.1× | 6 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $41,473 | 1.0× | 1 | 2026-06-03 |
| Hca Healthone Rose | Denver CO | $41,737 | 1.1× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $42,872 | 1.1× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $43,234 | 1.1× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $43,470 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $43,535 | 1.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $44,381 | 1.0× | 1 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $44,617 | 1.3× | 5 | 2026-06-16 |
| Ascension Saint Thomas Rutherford | Nashville TN | $44,809 | 1.3× | 3 | 2026-01-01 |
| Methodist Hospital | San Antonio TX | $47,667 | 1.3× | 5 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $48,150 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $48,150 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $48,343 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $48,384 | 1.2× | 3 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $48,940 | 1.3× | 2 | 2026-02-25 |
| University Medical Center of Southern Nevada | Las Vegas NV | $49,215 | 1.3× | 2 | 2026-07-01 |
| Missouri Baptist Medical Center | St. Louis MO | $49,952 | 1.4× | 4 | 2025-12-15 |
| Montefiore Medical Center | New York City | $50,083 | 1.1× | 1 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $51,626 | 1.4× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $51,835 | 1.1× | 2 | 2026-04-01 |
| Barnes-Jewish West County Hospital | St. Louis MO | $52,634 | 1.4× | 3 | 2025-12-15 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $53,504 | 1.5× | 4 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $53,577 | 1.5× | 3 | 2026-01-01 |
| Scripps Green Hospital | San Diego CA | $54,358 | 1.1× | 5 | 2026-03-30 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $54,368 | 1.5× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $55,490 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $55,849 | 1.4× | 3 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $56,130 | 1.6× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $56,635 | 1.6× | 6 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $57,059 | 1.5× | 4 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $58,031 | 1.2× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $60,140 | 1.6× | 6 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $61,934 | 1.6× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $63,194 | 1.6× | 1 | 2026-03-31 |
| Adventhealth Porter | Denver CO | $66,629 | 1.7× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $66,629 | 1.7× | 1 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $68,123 | 1.9× | 1 | 2025-12-31 |
| Endeavor Health Evanston Hospital | Chicago IL | $71,107 | 1.8× | 3 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $71,137 | 1.9× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $71,305 | 1.9× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $71,342 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $71,342 | 1.9× | 3 | 2026-05-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $71,538 | 2.0× | 3 | 2026-06-15 |
| Corewell Health Dearborn Hospital | Detroit MI | $73,136 | 2.0× | 2 | 2026-05-01 |
| Loyola University Medical Center | Chicago IL | $75,408 | 1.9× | 4 | 2026-03-31 |
| Hendricks Regional Health | Indianapolis IN | $75,603 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $75,869 | 1.7× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $77,373 | 2.1× | 6 | 2026-06-29 |
| Trinity Health Oakland Hospital | Detroit MI | $77,634 | 2.1× | 17 | 2026-03-31 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $77,838 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $77,838 | 2.0× | 4 | 2026-06-16 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $77,852 | 2.0× | 3 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $79,712 | 2.0× | 4 | 2026-09-25 |
| Medina Hospital | Cleveland OH | $80,145 | 2.3× | 2 | 2026-06-15 |
| Duke Regional Hospital | Research Triangle NC | $81,329 | 2.2× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $81,872 | 2.2× | 1 | 2026-01-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $82,698 | 2.2× | 4 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $83,232 | 2.1× | 3 | 2026-03-13 |
| Atrium Health Pineville | Charlotte NC | $84,502 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $85,103 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $85,103 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $85,874 | 2.2× | 4 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $87,785 | 2.3× | 1 | 2026-08-05 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $88,068 | 2.3× | 5 | 2026-06-16 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $88,200 | 2.3× | 3 | 2026-06-16 |
| Riddle Memorial Hospital | Philadelphia PA | $89,129 | 2.3× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $91,032 | 2.5× | 2 | 2026-09-02 |
| Bethesda North | Ohio (statewide) | $91,053 | 2.5× | 5 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $91,294 | 2.4× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $91,294 | 2.4× | 1 | 2026-08-05 |
| Vanderbilt University Medical Center | Nashville TN | $91,339 | 2.6× | 6 | 2025-10-01 |
| Emory University Hospital | Atlanta GA | $91,932 | 2.5× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $94,009 | 2.6× | 1 | 2026-03-06 |
| George Washington Univ Hospital | Washington DC | $94,645 | 2.1× | 3 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $95,486 | 2.6× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $95,486 | 2.6× | 6 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $96,291 | 2.5× | 4 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $96,820 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $97,619 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $97,628 | 2.3× | 5 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $98,301 | 2.6× | 5 | 2026-07-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $98,559 | 2.7× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $98,661 | 2.6× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $99,885 | 2.6× | 5 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $100,990 | 3.1× | 4 | 2026-04-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $101,760 | 2.8× | 3 | 2026-03-30 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $102,520 | 2.4× | 6 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $102,531 | 2.8× | 3 | 2025-12-15 |
| Tampa General Hospital | Tampa FL | $102,953 | 2.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $104,236 | 2.7× | 5 | 2026-01-01 |
| Piedmont Fayette Hospital | Atlanta GA | $108,744 | 2.9× | 4 | 2026-07-01 |
| UCHealth University of Colorado Hospital | Denver CO | $109,568 | 2.8× | 6 | 2025-11-01 |
| Legacy Emanuel Medical Center | Portland OR | $109,579 | 2.6× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $109,579 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $109,579 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $109,579 | 2.6× | 4 | 2026-04-01 |
| Medstar Washington Hospital Center | Washington DC | $109,605 | 2.5× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $110,446 | 2.3× | 1 | 2026-06-10 |
| Adventhealth Tampa | Tampa FL | $112,522 | 2.9× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $115,367 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $115,367 | 2.6× | 6 | 2026-02-28 |
| Ohio State University Hospitals | Columbus OH | $115,456 | 3.2× | 3 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $116,565 | 3.1× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $117,141 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $117,141 | 2.7× | 6 | 2026-08-27 |
| Medstar Georgetown University Hospital | Washington DC | $123,254 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $123,725 | 3.2× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $126,815 | 3.4× | 4 | 2026-04-21 |
| Thomas Jefferson University Hospital | Philadelphia PA | $127,577 | 3.4× | 5 | 2026-09-15 |
| Hospital for Special Surgery | New York City | $129,627 | 2.8× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $132,645 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $132,645 | 3.2× | 3 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $139,489 | 3.9× | 20 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $141,597 | 3.4× | 5 | 2026-03-24 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $143,666 | 3.7× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $144,561 | 3.3× | 5 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $147,168 | 4.1× | 3 | 2026-01-02 |
| Keck Hospital Of Usc | Los Angeles CA | $159,337 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $167,057 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for knee replacement revision?
Across 78 hospitals in 29 metro areas that post a usable dollar rate, the median commercial rate for CPT 27487, hospital outpatient is $24,191, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $16,843 to $31,145. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for knee replacement revision?
Medicare's national hospital outpatient rate for CPT 27487 is $17,914 and its surgery-center rate is $13,964, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for knee replacement revision?
Lowest medians: Emory University Hospital ($9,378), Endeavor Health Evanston Hospital ($10,285), Emory Houston Hospital Warner Robins ($10,846). Highest: Multicare Good Samaritan Hospital ($66,668), Swedish Medical Center ($55,022), Hospital for Special Surgery ($52,328). Coverage is limited to the markets listed on this page.