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Kneecap stabilization (MPFL): what insurers pay

Reconstruction of the ligament that keeps the kneecap in its groove, for repeat dislocations. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 27427: Reconstruction Knee

87 hospitals in 33 markets. National Medicare rate $7,413, surgery center $4,859.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$7,045–$7,045
Austin TX2———$5,743–$7,118
Boston MA7$9,971$11,078$12,044$8,222–$13,661
California (statewide)1———$17,830–$17,830
Chicago IL5$9,107$9,220$10,014$6,180–$16,851
Cleveland OH5$10,314$13,010$14,862$6,732–$16,831
Columbus OH1———$26,099–$26,099
Dallas-Fort Worth TX3———$8,478–$24,892
Denver CO7$7,654$7,864$13,502$7,440–$17,220
Detroit MI6$6,106$6,699$8,261$6,106–$9,407
Georgia (statewide)1———$9,172–$9,172
Houston TX1———$5,454–$5,454
Indianapolis IN1———$18,846–$18,846
Kansas (statewide)1———$6,290–$6,290
Las Vegas NV2———$7,352–$9,205
Los Angeles CA2———$12,975–$22,055
Minneapolis-St. Paul MN1———$6,257–$6,257
Nashville TN2———$3,603–$7,073
New York City3———$9,190–$13,434
Ohio (statewide)1———$10,800–$10,800
Pennsylvania (statewide)1———$18,001–$18,001
Philadelphia PA5$7,524$7,689$9,172$7,485–$11,208
Phoenix AZ3———$4,839–$7,488
Pittsburgh PA1———$5,031–$5,031
Portland OR6$16,131$16,131$22,449$16,131–$24,555
Richmond VA2———$8,476–$9,436
San Antonio TX1———$5,897–$5,897
San Diego CA1———$9,333–$9,333
San Francisco Bay Area CA1———$32,856–$32,856
Seattle-Tacoma WA6$22,205$24,030$26,436$19,451–$28,676
Tampa FL2———$13,658–$14,016
Washington DC4———$9,863–$12,949
Wisconsin (statewide)1———$12,152–$12,152
HospitalMarketMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,8390.6×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,8390.6×32026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$5,0310.7×12026-03-06
Houston Methodist HospitalHouston TX$5,4540.8×52026-04-01
Ascension Seton Medical Center AustinAustin TX$5,7430.8×12026-01-01
Methodist HospitalSan Antonio TX$5,8970.8×62026-09-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$6,1060.8×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$6,1060.8×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$6,1060.8×12026-05-01
Endeavor Health Evanston HospitalChicago IL$6,1800.8×32026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$6,2570.8×32026-03-31
Menorah Medical CenterKansas (statewide)$6,2900.9×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$6,7321.0×22026-07-14
Emory University HospitalAtlanta GA$7,0451.0×62026-04-01
Vanderbilt University Medical CenterNashville TN$7,0731.0×72025-10-01
St David's Medical CenterAustin TX$7,1181.0×62026-09-01
Trinity Health Oakland HospitalDetroit MI$7,2921.0×162026-03-31
Henderson HospitalLas Vegas NV$7,3521.0×12026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$7,4401.0×42026-09-01
HCA HealthONE SwedishDenver CO$7,4661.0×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$7,4851.0×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$7,4881.0×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$7,5241.0×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,6890.9×32026-09-15
HCA HealthONE Sky RidgeDenver CO$7,8421.0×42026-09-01
Hca Healthone RoseDenver CO$7,8641.0×42026-09-01
Beverly Hospital CorporationBoston MA$8,2220.9×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$8,4761.2×42026-09-01
Medical City PlanoDallas-Fort Worth TX$8,4781.2×62026-09-01
Henry Ford Health Rochester HospitalDetroit MI$8,5841.2×12026-01-01
New England Baptist HospitalBoston MA$9,0121.0×32026-04-01
Medical City MckinneyDallas-Fort Worth TX$9,0281.2×62026-09-01
Endeavor Health Northwest Community HospitalChicago IL$9,1071.2×22026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$9,1721.4×32026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.2×32026-09-15
Montefiore Medical CenterNew York City$9,1901.0×82026-04-01
University Medical Center of Southern NevadaLas Vegas NV$9,2051.2×72026-07-01
Endeavor Health Edward HospitalChicago IL$9,2201.2×22026-04-01
Scripps Green HospitalSan Diego CA$9,3331.0×12026-03-30
Harper University HospitalDetroit MI$9,4071.3×12026-09-02
Henrico Doctors' HospitalRichmond VA$9,4361.3×42026-09-01
UCHealth University of Colorado HospitalDenver CO$9,7841.3×32025-11-01
George Washington Univ HospitalWashington DC$9,8631.1×12026-09-01
Endeavor Health Elmhurst HospitalChicago IL$10,0141.3×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0241.1×72026-01-01
Cleveland Clinic (main campus)Cleveland OH$10,3141.5×22026-06-16
Reston Hospital CenterWashington DC$10,3961.4×42026-09-01
Stonesprings Hospital CenterWashington DC$10,4141.4×42026-09-01
Bethesda NorthOhio (statewide)$10,8001.5×42026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$10,9301.3×12026-04-01
Winchester HospitalBoston MA$11,0781.3×22026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.4×12026-03-24
Anna Jaques HospitalBoston MA$11,5021.3×22026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$12,1521.7×32026-01-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$12,5861.4×12026-04-01
Inova Alexandria HospitalWashington DC$12,9491.7×52026-04-01
Keck Hospital Of UscLos Angeles CA$12,9751.4×52026-04-01
Medina HospitalCleveland OH$13,0101.9×12026-06-15
Hospital for Special SurgeryNew York City$13,4341.5×62026-04-01
Morton Plant HospitalTampa FL$13,6581.8×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$13,6611.6×22026-04-01
Tampa General HospitalTampa FL$14,0161.9×12026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$14,8622.2×12026-06-15
Legacy Emanuel Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$16,1312.0×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$16,8312.5×12026-06-15
University of Chicago Medical CenterChicago IL$16,8512.2×22026-04-01
Adventhealth PorterDenver CO$17,2202.3×22026-04-01
Adventhealth ParkerDenver CO$17,2202.3×22026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$17,8301.9×52026-09-01
Lehigh Valley HospitalPennsylvania (statewide)$18,0012.4×82026-07-01
Riverview HealthIndianapolis IN$18,8462.5×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$19,4512.3×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$22,0552.4×32025-11-26
St Clare HospitalSeattle-Tacoma WA$22,1072.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$22,4982.7×62026-02-28
Providence St Vincent Medical CenterPortland OR$24,5553.0×32026-04-01
Providence Portland Medical CenterPortland OR$24,5553.0×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$24,8923.4×22026-04-21
Swedish Medical CenterSeattle-Tacoma WA$25,5613.0×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$26,0993.7×202026-03-31
Tacoma General Allenmore HospitalSeattle-Tacoma WA$26,7273.2×72026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$28,6763.4×62026-08-27
Stanford Health CareSan Francisco Bay Area CA$32,8563.1×42026-04-01

Questions

How much do commercial insurers pay hospitals for kneecap stabilization (mpfl)?

Across 87 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 27427, hospital outpatient is $9,863, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,487 to $16,131. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for kneecap stabilization (mpfl)?

Medicare's national hospital outpatient rate for CPT 27427 is $7,413 and its surgery-center rate is $4,859, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for kneecap stabilization (mpfl)?

Lowest medians: TriStar StoneCrest Medical Center ($3,603), HonorHealth Scottsdale Osborn Medical Center ($4,839), HonorHealth Scottsdale Shea Medical Center ($4,839). Highest: Stanford Health Care ($32,856), Multicare Good Samaritan Hospital ($28,676), Tacoma General Allenmore Hospital ($26,727). Coverage is limited to the markets listed on this page.