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Knee replacement revision in New York: what insurers pay

Posted commercial rates at 59 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27487

HospitalMedian across insurers× MedicareInsurersFile date
Oneida Health Oneida$17,0220.8×62026-09-27
Montefiore Mount Vernon Hospital Mount Vernon$24,0661.1×72026-04-01
Montefiore Medical Center Bronx$25,1541.1×102026-04-01
Samaritan Medical Center Watertown$27,8481.3×42026-02-02
Highland Hospital Rochester$31,4291.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$32,8311.5×12026-09-05
Jacobi Medical Center Bronx$32,8311.5×12026-09-05
Elmhurst Hospital Center Elmhurst$32,8311.5×12026-09-05
South Brooklyn Health Brooklyn$32,8311.5×12026-09-05
Metropolitan Hospital Center New York$32,8311.5×12026-09-05
Kings County Hospital Center Brooklyn$32,8311.5×12026-09-05
Bellevue Hospital Center New York$32,8311.5×12026-09-05
Queens Hospital Center Jamaica$32,8311.5×12026-09-05
Harlem Hospital Center New York$32,8311.5×12026-09-05
Garnet Health Medical Center Catskills Harris$33,6111.5×22026-04-01
Roswell Park Cancer Institute Buffalo$33,7711.5×32026-04-01
St Joseph'S Medical Center Yonkers$35,2731.6×12026-07-13
Strong Memorial Hospital Rochester$37,5541.7×42026-07-01
Jones Memorial Hospital Wellsville$37,6141.7×72026-01-01
Hospital for Special Surgery New York$38,2971.8×122026-04-01
Geneva General Hospital Geneva$38,6161.8×32026-08-27
Maimonides Medical Center Brooklyn$38,9281.8×22026-04-01
Erie County Medical Center Buffalo$41,5721.9×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$44,8462.0×62026-01-01
Garnet Health Medical Center Middletown$44,8692.0×32026-04-01
St James Hospital Hornell$51,4092.4×52026-01-01

CPT 27486

HospitalMedian across insurers× MedicareInsurersFile date
Maimonides Medical Center Brooklyn$10,5260.7×52026-04-01
Glens Falls Hospital Glens Falls$10,7340.7×12025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$18,1491.1×82026-04-01
Bronxcare Hospital Center Bronx$19,9271.2×12026-05-05
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$21,0691.3×52026-08-25
Highland Hospital Rochester$23,0131.4×42026-07-01
Jacobi Medical Center Bronx$24,0391.5×12026-09-05
Elmhurst Hospital Center Elmhurst$24,0391.5×12026-09-05
South Brooklyn Health Brooklyn$24,0391.5×12026-09-05
Metropolitan Hospital Center New York$24,0391.5×12026-09-05
Queens Hospital Center Jamaica$24,0391.5×12026-09-05
Harlem Hospital Center New York$24,0391.5×12026-09-05
Roswell Park Cancer Institute Buffalo$24,7281.5×32026-04-01
Garnet Health Medical Center Catskills Harris$25,0441.6×22026-04-01
Montefiore Medical Center Bronx$25,1541.6×102026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Jones Memorial Hospital Wellsville$27,5421.7×72026-01-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$28,7731.8×22026-09-05
Kings County Hospital Center Brooklyn$28,7731.8×22026-09-05
Bellevue Hospital Center New York$28,7731.8×22026-09-05
Crouse Hospital Syracuse$28,7821.8×32026-05-19
Garnet Health Medical Center Middletown$30,4501.9×42026-04-01
Nicholas H Noyes Memorial Hospital Dansville$32,8382.0×62026-01-01
St James Hospital Hornell$37,6432.4×52026-01-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$37,9252.4×72026-01-01
Hospital for Special Surgery New York$38,2972.4×122026-04-01

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$19,9370.8×12026-01-01
Ira Davenport Memorial Hospital Bath$20,8600.8×12026-03-27
Arnot Ogden Medical Center Elmira$22,3730.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$22,3730.9×22026-03-27
Montefiore Medical Center Bronx$23,3780.9×22026-04-01
St Charles Hospital Port Jefferson$23,6280.9×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$24,1941.0×42026-03-31
Corning Hospital Corning$24,3801.0×62026-03-31
Geneva General Hospital Geneva$24,9991.0×32026-08-27
St James Hospital Hornell$25,3121.0×12026-01-01
Schuyler Hospital Montour Falls$26,3321.1×22026-03-27
Highland Hospital Rochester$28,7231.1×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$30,8451.2×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$31,4561.3×32026-04-01
United Memorial Medical Center Batavia$31,6351.3×32026-04-01
Medina Memorial Hospital Medina$31,6681.3×22026-07-29
Samaritan Medical Center Watertown$32,2521.3×42026-02-02
St Joseph'S Medical Center Yonkers$32,5501.3×32026-07-13
Canton-Potsdam Hospital Potsdam$32,5561.3×32026-04-01
Nassau University Medical Center East Meadow$33,1861.3×62025-10-28
Unity Hospital Of Rochester Rochester$34,3501.4×32026-04-01
Unity Specialty Hospital Rochester$34,3501.4×32026-04-01
Bronxcare Hospital Center Bronx$34,3661.4×72026-05-05
Rochester General Hospital Rochester$35,2331.4×32026-04-01
St John'S Riverside Hospital Yonkers$35,6321.4×62026-03-27
Newark-Wayne Community Hospital Newark$36,8231.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$38,6561.6×12026-01-01
Wynn Hospital Utica$41,7431.7×52026-08-07
Saratoga Hospital Saratoga Springs$42,4141.7×12025-12-31
Glens Falls Hospital Glens Falls$42,5981.7×22025-12-31
Flushing Hospital Medical Center Flushing$42,9701.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$44,6581.8×82026-03-25
Columbia Memorial Hospital Hudson$46,4171.9×42025-12-31
Strong Memorial Hospital Rochester$46,8451.9×32026-07-01
Crouse Hospital Syracuse$47,1601.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$47,4031.9×62026-04-01
Sisters Of Charity Hospital Buffalo$48,3741.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$48,3741.9×72026-04-01
South Brooklyn Health Brooklyn$51,4592.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$51,5362.1×82026-09-05
Elmhurst Hospital Center Elmhurst$52,9312.1×82026-09-05
Jacobi Medical Center Bronx$53,9612.2×82026-09-05
Metropolitan Hospital Center New York$53,9612.2×82026-09-05
Queens Hospital Center Jamaica$53,9612.2×82026-09-05
Harlem Hospital Center New York$53,9612.2×82026-09-05
Kings County Hospital Center Brooklyn$54,6522.2×82026-09-05
Bellevue Hospital Center New York$54,6522.2×82026-09-05
Nathan Littauer Hospital Gloversville$56,2212.3×32026-03-04
Stony Brook University Hospital Stony Brook$59,2882.4×12026-06-10
Hospital for Special Surgery New York$75,0223.0×132026-04-01
Albany Medical Center Hospital Albany$77,1703.1×32025-12-31
Maimonides Medical Center Brooklyn$80,0463.2×82026-04-01
Garnet Health Medical Center Catskills Harris$80,6433.2×82026-04-01
Garnet Health Medical Center Middletown$82,7273.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$84,1163.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$84,6113.4×92026-01-01

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$25,5850.8×12026-01-01
Ira Davenport Memorial Hospital Bath$26,7700.8×12026-03-27
Guthrie Cortland Regional Medical Center Cortland$28,3120.9×42026-03-31
Arnot Ogden Medical Center Elmira$28,7120.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$28,7120.9×22026-03-27
St Charles Hospital Port Jefferson$30,1430.9×152026-04-01
Montefiore Medical Center Bronx$30,5231.0×22026-04-01
Corning Hospital Corning$31,1521.0×62026-03-31
Geneva General Hospital Geneva$32,0811.0×32026-08-27
St James Hospital Hornell$32,4841.0×12026-01-01
Schuyler Hospital Montour Falls$33,7921.1×22026-03-27
Highland Hospital Rochester$37,3501.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$39,8221.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$40,3681.3×32026-04-01
Medina Memorial Hospital Medina$40,4201.3×22026-07-29
United Memorial Medical Center Batavia$40,5981.3×32026-04-01
Samaritan Medical Center Watertown$41,5611.3×42026-02-02
St Joseph'S Medical Center Yonkers$41,7731.3×32026-07-13
Canton-Potsdam Hospital Potsdam$41,7801.3×32026-04-01
Nassau University Medical Center East Meadow$43,3281.4×62025-10-28
Unity Hospital Of Rochester Rochester$44,0821.4×32026-04-01
Unity Specialty Hospital Rochester$44,0821.4×32026-04-01
Bronxcare Hospital Center Bronx$44,8791.4×72026-05-05
Rochester General Hospital Rochester$45,2161.4×32026-04-01
St John'S Riverside Hospital Yonkers$46,0981.4×62026-03-27
Newark-Wayne Community Hospital Newark$47,2561.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$49,6091.6×12026-01-01
Wynn Hospital Utica$53,4161.7×52026-08-07
Saratoga Hospital Saratoga Springs$55,3791.7×12025-12-31
Glens Falls Hospital Glens Falls$55,6181.7×22025-12-31
Flushing Hospital Medical Center Flushing$56,1061.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$58,3101.8×82026-03-25
Strong Memorial Hospital Rochester$60,1181.9×32026-07-01
Crouse Hospital Syracuse$60,2181.9×42026-05-19
Columbia Memorial Hospital Hudson$60,6061.9×42025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$60,8341.9×62026-04-01
Sisters Of Charity Hospital Buffalo$62,0791.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$62,0791.9×72026-04-01
South Brooklyn Health Brooklyn$66,0392.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$66,1382.1×82026-09-05
Harlem Hospital Center New York$66,1382.1×82026-09-05
Elmhurst Hospital Center Elmhurst$67,9282.1×82026-09-05
Jacobi Medical Center Bronx$69,2502.2×82026-09-05
Metropolitan Hospital Center New York$69,2502.2×82026-09-05
Kings County Hospital Center Brooklyn$69,2502.2×82026-09-05
Queens Hospital Center Jamaica$69,2502.2×82026-09-05
Bellevue Hospital Center New York$70,1372.2×82026-09-05
Nathan Littauer Hospital Gloversville$72,1512.3×32026-03-04
Stony Brook University Hospital Stony Brook$72,6782.3×12026-06-10
Hospital for Special Surgery New York$79,2372.5×132026-04-01
Maimonides Medical Center Brooklyn$102,7263.2×82026-04-01
Garnet Health Medical Center Catskills Harris$105,3143.3×82026-04-01
Garnet Health Medical Center Middletown$106,1663.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$107,7403.4×92026-01-01
Albany Medical Center Hospital Albany$108,1993.4×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$109,8233.4×102026-04-01

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$37,7650.8×12026-01-01
Ira Davenport Memorial Hospital Bath$39,5140.8×12026-03-27
Guthrie Cortland Regional Medical Center Cortland$40,5840.9×42026-03-31
Arnot Ogden Medical Center Elmira$42,3800.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$42,3800.9×22026-03-27
St Charles Hospital Port Jefferson$44,1900.9×152026-04-01
Montefiore Medical Center Bronx$45,4001.0×22026-04-01
Corning Hospital Corning$46,0111.0×62026-03-31
Geneva General Hospital Geneva$47,3541.0×32026-08-27
St James Hospital Hornell$47,9471.0×12026-01-01
Schuyler Hospital Montour Falls$49,8781.1×22026-03-27
Highland Hospital Rochester$55,3121.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$58,9071.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$59,5851.3×32026-04-01
Medina Memorial Hospital Medina$59,8621.3×22026-07-29
United Memorial Medical Center Batavia$59,9251.3×32026-04-01
Samaritan Medical Center Watertown$61,4601.3×42026-02-02
St Joseph'S Medical Center Yonkers$61,6581.3×32026-07-13
Canton-Potsdam Hospital Potsdam$61,6681.3×32026-04-01
Nassau University Medical Center East Meadow$64,4481.4×62025-10-28
Unity Hospital Of Rochester Rochester$65,0681.4×32026-04-01
Unity Specialty Hospital Rochester$65,0681.4×32026-04-01
Rochester General Hospital Rochester$66,7411.4×32026-04-01
St John'S Riverside Hospital Yonkers$68,2161.4×62026-03-27
Newark-Wayne Community Hospital Newark$69,7521.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$73,2241.6×12026-01-01
Wynn Hospital Utica$78,5841.7×52026-08-07
Saratoga Hospital Saratoga Springs$82,3691.8×12025-12-31
Glens Falls Hospital Glens Falls$82,7261.8×22025-12-31
Flushing Hospital Medical Center Flushing$83,4511.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$86,7291.8×82026-03-25
Crouse Hospital Syracuse$88,3751.9×42026-05-19
Strong Memorial Hospital Rochester$88,7361.9×32026-07-01
Mount St Mary'S Hospital And Health Center Lewiston$89,7931.9×62026-04-01
Columbia Memorial Hospital Hudson$90,1441.9×42025-12-31
Sisters Of Charity Hospital Buffalo$91,6311.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$91,6311.9×72026-04-01
South Brooklyn Health Brooklyn$97,4762.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$97,6222.1×82026-09-05
Elmhurst Hospital Center Elmhurst$97,6222.1×82026-09-05
Harlem Hospital Center New York$97,6222.1×82026-09-05
Queens Hospital Center Jamaica$100,9332.1×82026-09-05
Jacobi Medical Center Bronx$102,2162.2×82026-09-05
Metropolitan Hospital Center New York$102,2162.2×82026-09-05
Kings County Hospital Center Brooklyn$102,2162.2×82026-09-05
Bellevue Hospital Center New York$102,2162.2×82026-09-05
Nathan Littauer Hospital Gloversville$106,4972.3×32026-03-04
Stony Brook University Hospital Stony Brook$110,4462.3×12026-06-10
Hospital for Special Surgery New York$130,6672.8×112026-04-01
Maimonides Medical Center Brooklyn$151,6283.2×82026-04-01
Garnet Health Medical Center Catskills Harris$156,6773.3×82026-04-01
Garnet Health Medical Center Middletown$156,7063.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$159,0283.4×92026-01-01
Albany Medical Center Hospital Albany$160,9333.4×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$163,3543.5×102026-04-01

Questions

How much do insurers pay for knee replacement revision in New York?

59 New York hospitals post usable commercial rates for knee replacement revision in their federal price-transparency files. For CPT 27487, hospital outpatient, the median across 26 hospitals is $32,831, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.