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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 27487
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Palomar Health Downtown Campus median $38,834 · local Medicare $22,551 · file 2026-04-01 | |||
| Health Net | $41,585 | 1.8× | 1 |
| Scripps | $36,082 | 1.6× | 1 |
| Palomar Medical Center Poway median $41,585 · local Medicare $22,551 · file 2026-04-01 | |||
| Health Net | $41,585 | 1.8× | 1 |
CPT 27486
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Palomar Health Downtown Campus median $28,434 · local Medicare $16,513 · file 2026-04-01 | |||
| Health Net | $30,449 | 1.8× | 1 |
| Scripps | $26,420 | 1.6× | 1 |
| Palomar Medical Center Poway median $30,449 · local Medicare $16,513 · file 2026-04-01 | |||
| Health Net | $30,449 | 1.8× | 1 |
MS-DRG 468
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $30,258 · local Medicare $25,682 · file 2026-03-30 | |||
| Aetna | $29,295 | 1.1× | 5 |
| Blue Shield of California | $26,692 | 1.0× | 2 |
| Centivo | $38,472 | 1.5× | 1 |
| Cigna | $39,827 | 1.6× | 5 |
| Elevance/Anthem/Empire | $39,321 | 1.5× | 11 |
| Health Net | $26,893 | 1.0× | 2 |
| HealthPartners | $39,321 | 1.5× | 1 |
| Mc Alignment | $26,692 | 1.0× | 1 |
| Mc Health Net | $26,692 | 1.0× | 1 |
| Mc Scan | $26,692 | 1.0× | 1 |
| Mpmg | $31,221 | 1.2× | 1 |
| Prime Healthcare | $26,893 | 1.0× | 1 |
| Ucsd | $63,058 | 2.5× | 1 |
| UnitedHealthcare | $43,575 | 1.7× | 6 |
| Scripps Green Hospital median $31,011 · local Medicare $25,682 · file 2026-03-30 | |||
| Aetna | $29,295 | 1.1× | 5 |
| Blue Shield of California | $26,626 | 1.0× | 2 |
| Centivo | $38,472 | 1.5× | 1 |
| Cigna | $39,827 | 1.6× | 5 |
| Elevance/Anthem/Empire | $39,321 | 1.5× | 11 |
| Health Net | $31,011 | 1.2× | 2 |
| HealthPartners | $39,321 | 1.5× | 1 |
| Mc Alignment | $26,626 | 1.0× | 1 |
| Mc Health Net | $26,626 | 1.0× | 1 |
| Mc Scan | $26,626 | 1.0× | 1 |
| Mpmg | $31,221 | 1.2× | 1 |
| Prime Healthcare | $31,011 | 1.2× | 1 |
| Prospect Med Group | $31,011 | 1.2× | 1 |
| Ucsd | $63,058 | 2.5× | 1 |
| UnitedHealthcare | $43,575 | 1.7× | 6 |
| Scripps Mercy Hospital median $31,221 · local Medicare $25,682 · file 2026-03-30 | |||
| Aetna | $29,295 | 1.1× | 5 |
| Blue Shield of California | $29,095 | 1.1× | 2 |
| Centivo | $38,472 | 1.5× | 1 |
| Cigna | $39,827 | 1.6× | 5 |
| Elevance/Anthem/Empire | $39,321 | 1.5× | 11 |
| Health Net | $31,221 | 1.2× | 2 |
| HealthPartners | $39,321 | 1.5× | 1 |
| Mc Alignment | $29,095 | 1.1× | 1 |
| Mc Health Net | $29,095 | 1.1× | 1 |
| Mc Scan | $29,095 | 1.1× | 1 |
| Mpmg | $31,221 | 1.2× | 1 |
| Prime Healthcare | $31,221 | 1.2× | 1 |
| Prospect Med Group | $31,221 | 1.2× | 1 |
| Ucsd | $63,058 | 2.5× | 1 |
| UnitedHealthcare | $43,575 | 1.7× | 6 |
| Scripps Memorial Hospital La Jolla median $38,472 · local Medicare $25,682 · file 2026-03-30 | |||
| Aetna | $29,295 | 1.1× | 5 |
| Blue Shield of California | $26,576 | 1.0× | 2 |
| Centivo | $38,472 | 1.5× | 1 |
| Cigna | $39,827 | 1.6× | 5 |
| Elevance/Anthem/Empire | $39,321 | 1.5× | 11 |
| Health Net | $26,576 | 1.0× | 2 |
| HealthPartners | $39,321 | 1.5× | 1 |
| Mc Alignment | $26,576 | 1.0× | 1 |
| Mc Health Net | $26,576 | 1.0× | 1 |
| Mc Scan | $26,576 | 1.0× | 1 |
| Mpmg | $31,221 | 1.2× | 1 |
| Prime Healthcare | $45,180 | 1.8× | 1 |
| Prospect Med Group | $46,509 | 1.8× | 1 |
| Ucsd | $63,058 | 2.5× | 1 |
| UnitedHealthcare | $43,575 | 1.7× | 6 |
| Tri-City Medical Center median $39,422 · local Medicare $25,682 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $40,754 | 1.6× | 1 |
| Health Net | $38,091 | 1.5× | 1 |
| Kaiser Permanente | $45,283 | 1.8× | 1 |
| Providence Health Plan | $37,292 | 1.5× | 1 |
| Palomar Health Downtown Campus median $44,632 · local Medicare $25,682 · file 2026-04-01 | |||
| Health Net | $53,754 | 2.1× | 1 |
| Prospect | $37,658 | 1.5× | 1 |
| Scripps | $44,632 | 1.7× | 1 |
| Palomar Medical Center Poway median $45,398 · local Medicare $25,682 · file 2026-04-01 | |||
| Health Net | $53,391 | 2.1× | 1 |
| Prospect | $37,404 | 1.5× | 1 |
MS-DRG 467
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $34,450 · local Medicare $32,959 · file 2026-03-30 | |||
| Aetna | $38,891 | 1.2× | 5 |
| Blue Shield of California | $34,192 | 1.0× | 2 |
| Cigna | $51,111 | 1.6× | 5 |
| Elevance/Anthem/Empire | $34,192 | 1.0× | 1 |
| Health Net | $34,450 | 1.0× | 2 |
| Mc Alignment | $34,192 | 1.0× | 1 |
| Mc Health Net | $34,192 | 1.0× | 1 |
| Mc Scan | $34,192 | 1.0× | 1 |
| Mpmg | $39,794 | 1.2× | 1 |
| Prime Healthcare | $34,450 | 1.0× | 1 |
| Ucsd | $80,925 | 2.5× | 1 |
| UnitedHealthcare | $55,921 | 1.7× | 6 |
| Scripps Memorial Hospital La Jolla median $38,891 · local Medicare $32,959 · file 2026-03-30 | |||
| Aetna | $38,891 | 1.2× | 5 |
| Blue Shield of California | $34,039 | 1.0× | 2 |
| Cigna | $51,111 | 1.6× | 5 |
| Elevance/Anthem/Empire | $34,039 | 1.0× | 1 |
| Health Net | $34,039 | 1.0× | 2 |
| Mc Alignment | $34,039 | 1.0× | 1 |
| Mc Health Net | $34,039 | 1.0× | 1 |
| Mc Scan | $34,039 | 1.0× | 1 |
| Mpmg | $39,794 | 1.2× | 1 |
| Prime Healthcare | $57,866 | 1.8× | 1 |
| Prospect Med Group | $59,568 | 1.8× | 1 |
| Ucsd | $80,925 | 2.5× | 1 |
| UnitedHealthcare | $55,921 | 1.7× | 6 |
| Scripps Mercy Hospital median $39,794 · local Medicare $32,959 · file 2026-03-30 | |||
| Aetna | $38,891 | 1.2× | 5 |
| Blue Shield of California | $37,065 | 1.1× | 2 |
| Cigna | $51,111 | 1.6× | 5 |
| Elevance/Anthem/Empire | $37,065 | 1.1× | 1 |
| Health Net | $39,794 | 1.2× | 2 |
| Mc Alignment | $37,065 | 1.1× | 1 |
| Mc Health Net | $37,065 | 1.1× | 1 |
| Mc Scan | $37,065 | 1.1× | 1 |
| Mpmg | $39,794 | 1.2× | 1 |
| Prime Healthcare | $39,794 | 1.2× | 1 |
| Prospect Med Group | $39,794 | 1.2× | 1 |
| Ucsd | $80,925 | 2.5× | 1 |
| UnitedHealthcare | $55,921 | 1.7× | 6 |
| Scripps Green Hospital median $39,797 · local Medicare $32,959 · file 2026-03-30 | |||
| Aetna | $38,891 | 1.2× | 5 |
| Blue Shield of California | $34,171 | 1.0× | 2 |
| Centivo | $49,372 | 1.5× | 1 |
| Cigna | $51,111 | 1.6× | 5 |
| Elevance/Anthem/Empire | $50,462 | 1.5× | 11 |
| Health Net | $39,797 | 1.2× | 2 |
| HealthPartners | $50,462 | 1.5× | 1 |
| Mc Alignment | $34,171 | 1.0× | 1 |
| Mc Health Net | $34,171 | 1.0× | 1 |
| Mc Scan | $34,171 | 1.0× | 1 |
| Mpmg | $39,794 | 1.2× | 1 |
| Prime Healthcare | $39,797 | 1.2× | 1 |
| Prospect Med Group | $39,797 | 1.2× | 1 |
| Ucsd | $80,925 | 2.5× | 1 |
| UnitedHealthcare | $55,921 | 1.7× | 6 |
| Tri-City Medical Center median $50,256 · local Medicare $32,959 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $51,954 | 1.6× | 1 |
| Health Net | $48,558 | 1.5× | 1 |
| Kaiser Permanente | $57,726 | 1.8× | 1 |
| Providence Health Plan | $47,539 | 1.4× | 1 |
| Palomar Health Downtown Campus median $56,831 · local Medicare $32,959 · file 2026-04-01 | |||
| Health Net | $68,446 | 2.1× | 1 |
| Prospect | $47,951 | 1.5× | 1 |
| Scripps | $56,831 | 1.7× | 1 |
| Palomar Medical Center Poway median $57,984 · local Medicare $32,959 · file 2026-04-01 | |||
| Health Net | $68,194 | 2.1× | 1 |
| Prospect | $47,774 | 1.4× | 1 |
MS-DRG 466
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital La Jolla median $50,129 · local Medicare $48,649 · file 2026-03-30 | |||
| Blue Shield of California | $50,129 | 1.0× | 2 |
| Cigna | $75,442 | 1.6× | 5 |
| Elevance/Anthem/Empire | $50,129 | 1.0× | 1 |
| Health Net | $50,129 | 1.0× | 1 |
| Mc Alignment | $50,129 | 1.0× | 1 |
| Mc Health Net | $50,129 | 1.0× | 1 |
| Mc Scan | $50,129 | 1.0× | 1 |
| Mpmg | $58,279 | 1.2× | 1 |
| Prime Healthcare | $85,219 | 1.8× | 1 |
| Prospect Med Group | $87,726 | 1.8× | 1 |
| UnitedHealthcare | $54,204 | 1.1× | 2 |
| Scripps Memorial Hospital - Encinitas median $50,556 · local Medicare $48,649 · file 2026-03-30 | |||
| Blue Shield of California | $50,365 | 1.0× | 2 |
| Cigna | $75,442 | 1.6× | 5 |
| Elevance/Anthem/Empire | $50,365 | 1.0× | 1 |
| Health Net | $50,746 | 1.0× | 1 |
| Mc Alignment | $50,365 | 1.0× | 1 |
| Mc Health Net | $50,365 | 1.0× | 1 |
| Mc Scan | $50,365 | 1.0× | 1 |
| Mpmg | $58,279 | 1.2× | 1 |
| Prime Healthcare | $50,746 | 1.0× | 1 |
| UnitedHealthcare | $54,322 | 1.1× | 2 |
| Scripps Green Hospital median $56,318 · local Medicare $48,649 · file 2026-03-30 | |||
| Aetna | $71,968 | 1.5× | 5 |
| Blue Shield of California | $50,437 | 1.0× | 2 |
| Cigna | $75,442 | 1.6× | 5 |
| Elevance/Anthem/Empire | $50,437 | 1.0× | 1 |
| Health Net | $58,742 | 1.2× | 1 |
| Mc Alignment | $50,437 | 1.0× | 1 |
| Mc Health Net | $50,437 | 1.0× | 1 |
| Mc Scan | $50,437 | 1.0× | 1 |
| Mpmg | $58,279 | 1.2× | 1 |
| Prime Healthcare | $58,742 | 1.2× | 1 |
| Prospect Med Group | $58,742 | 1.2× | 1 |
| UnitedHealthcare | $54,358 | 1.1× | 2 |
| Scripps Mercy Hospital median $58,279 · local Medicare $48,649 · file 2026-03-30 | |||
| Aetna | $71,968 | 1.5× | 5 |
| Blue Shield of California | $58,279 | 1.2× | 2 |
| Cigna | $75,442 | 1.6× | 5 |
| Elevance/Anthem/Empire | $58,279 | 1.2× | 1 |
| Health Net | $58,279 | 1.2× | 2 |
| Mc Alignment | $58,279 | 1.2× | 1 |
| Mc Health Net | $58,279 | 1.2× | 1 |
| Mc Scan | $58,279 | 1.2× | 1 |
| Mpmg | $58,279 | 1.2× | 1 |
| Prime Healthcare | $58,279 | 1.2× | 1 |
| Prospect Med Group | $58,279 | 1.2× | 1 |
| Ucsd | $119,448 | 2.5× | 1 |
| UnitedHealthcare | $82,542 | 1.7× | 6 |
| Tri-City Medical Center median $73,614 · local Medicare $48,649 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $76,101 | 1.6× | 1 |
| Health Net | $71,127 | 1.5× | 1 |
| Kaiser Permanente | $84,557 | 1.7× | 1 |
| Providence Health Plan | $69,635 | 1.4× | 1 |
| Palomar Health Downtown Campus median $83,135 · local Medicare $48,649 · file 2026-04-01 | |||
| Health Net | $100,125 | 2.1× | 1 |
| Prospect | $70,145 | 1.4× | 1 |
| Scripps | $83,135 | 1.7× | 1 |
| Palomar Medical Center Poway median $85,123 · local Medicare $48,649 · file 2026-04-01 | |||
| Health Net | $100,111 | 2.1× | 1 |
| Prospect | $70,135 | 1.4× | 1 |
Questions
How much does knee replacement revision cost with commercial insurance in San Diego CA?
2 San Diego CA hospitals post usable commercial rates for CPT 27487, hospital outpatient. The median across hospitals is $40,210; hospital medians range from $38,834 to $41,585. Your cost depends on your plan's deductible and coinsurance.