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Knee replacement revision in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27487

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$11,0780.6×32026-09-15
Riddle Memorial Hospital Media$16,6030.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$16,6980.9×22026-04-01

CPT 27486

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$11,0780.8×32026-09-15
Riddle Memorial Hospital Media$12,9201.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,9901.0×22026-04-01
Lehigh Valley Hospital Allentown$31,7682.4×72026-07-01

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$46,9082.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$47,1562.5×12026-03-06
Bryn Mawr Hospital Bryn Mawr$51,2742.5×42026-04-01
Lehigh Valley Hospital Allentown$53,6422.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$67,3493.4×52026-09-15

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$59,5462.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$62,0992.5×12026-03-06
Bryn Mawr Hospital Bryn Mawr$64,5932.5×42026-04-01
Lehigh Valley Hospital Allentown$68,0392.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$86,4323.4×52026-09-15

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$89,1292.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$94,0092.6×12026-03-06
Bryn Mawr Hospital Bryn Mawr$96,2912.5×42026-04-01
Lehigh Valley Hospital Allentown$98,6612.6×52026-07-01
Thomas Jefferson University Hospital Philadelphia$127,5773.4×52026-09-15

Questions

How much do insurers pay for knee replacement revision in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for knee replacement revision in their federal price-transparency files. For CPT 27487, hospital outpatient, the median across 3 hospitals is $16,603, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.