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Knee replacement revision in New York: what insurers pay

Posted commercial rates at 4 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
Montefiore Medical Center Bronx$21,9121.0×52026-04-01
Hospital for Special Surgery New York$52,3282.4×52026-04-01

CPT 27486

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$16,3151.0×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$37,9252.4×62026-01-01
Hospital for Special Surgery New York$52,3283.3×52026-04-01

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$25,7891.0×12026-04-01
Stony Brook University Hospital Stony Brook$59,2882.4×12026-06-10
Hospital for Special Surgery New York$75,0223.0×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$88,1923.5×72026-01-01

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$33,6711.1×12026-04-01
Stony Brook University Hospital Stony Brook$72,6782.3×12026-06-10
Hospital for Special Surgery New York$79,2372.5×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$113,1793.5×72026-01-01

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$50,0831.1×12026-04-01
Stony Brook University Hospital Stony Brook$110,4462.3×12026-06-10
Hospital for Special Surgery New York$129,6272.8×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$167,0573.5×72026-01-01

Questions

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

4 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 2 hospitals is $37,120, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.