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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.

Open the interactive explorerAll operations

CPT 27427: Kneecap Stabilization (Mpfl)

1003 hospitals in 79 markets. National Medicare rate $7,413, surgery center $4,859.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$7,555$9,060$11,856$3,284–$18,846
Alaska (statewide)4———$4,847–$15,996
Arizona (statewide)9$6,041$7,488$8,459$4,667–$10,200
Arkansas (statewide)8$6,634$6,819$6,969$4,000–$9,131
Atlanta GA6$7,045$7,045$9,575$7,045–$10,418
Austin TX13$5,743$8,204$8,874$5,743–$10,637
Boston MA10$9,949$12,158$12,804$6,626–$14,320
California (statewide)50$10,252$21,078$27,033$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL7$9,164$10,014$14,716$6,180–$16,851
Cleveland OH10$7,888$8,630$11,591$7,551–$14,416
Colorado (statewide)13$8,534$11,636$12,212$7,179–$15,141
Columbus OH1———$26,099–$26,099
Connecticut (statewide)1———$5,370–$5,370
Dallas-Fort Worth TX10$8,784$9,870$15,402$8,024–$26,538
Denver CO15$8,837$9,784$14,284$7,200–$15,141
Detroit MI15$6,106$7,292$9,407$4,061–$12,768
Florida (statewide)59$7,480$8,828$11,851$5,190–$15,535
Georgia (statewide)26$7,095$8,485$10,418$4,141–$21,689
Hawaii (statewide)2———$6,487–$8,892
Houston TX19$7,535$9,493$9,894$5,549–$13,850
Idaho (statewide)12$10,244$16,519$18,145$6,615–$21,676
Illinois (statewide)24$8,747$11,278$14,716$5,474–$21,223
Indiana (statewide)21$12,502$16,861$32,508$7,144–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)12$10,145$13,333$15,562$7,413–$17,719
Kansas (statewide)15$8,429$13,384$15,822$3,992–$20,550
Kentucky (statewide)13$4,396$8,612$9,425$3,467–$13,434
Las Vegas NV2———$7,352–$10,032
Los Angeles CA17$10,395$10,688$16,125$10,072–$24,391
Louisiana (statewide)24$7,040$8,177$10,670$5,982–$12,908
Maine (statewide)16$29,272$33,220$33,984$15,489–$42,727
Maryland (statewide)1———$4,967–$4,967
Massachusetts (statewide)5$7,176$8,493$9,028$6,518–$10,392
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)22$7,278$8,116$8,996$4,056–$13,123
Minneapolis-St. Paul MN7$7,809$8,110$8,514$6,257–$15,377
Minnesota (statewide)11$13,027$20,049$23,683$7,820–$31,617
Mississippi (statewide)14$8,462$9,052$10,256$6,136–$19,790
Missouri (statewide)14$6,290$7,072$13,679$5,756–$16,982
Montana (statewide)3———$14,481–$21,584
Nashville TN6$3,864$4,645$11,312$3,603–$13,806
Nebraska (statewide)11$8,946$9,296$11,188$7,352–$18,020
Nevada (statewide)4———$7,352–$14,207
New Hampshire (statewide)6$13,255$16,466$22,868$11,248–$32,494
New Jersey (statewide)22$8,320$8,796$12,256$7,907–$14,827
New Mexico (statewide)5$7,538$9,284$19,073$6,535–$21,664
New York (statewide)29$8,454$11,182$14,597$6,181–$24,437
New York City8$7,545$10,172$11,318$6,344–$12,305
North Carolina (statewide)3———$7,039–$19,175
North Dakota (statewide)5$10,326$11,996$12,633$9,466–$16,346
Ohio (statewide)36$10,820$16,116$16,582$4,525–$27,890
Oklahoma (statewide)9$10,443$14,812$14,977$6,362–$17,467
Oregon (statewide)8$18,293$21,212$26,646$16,296–$33,060
Pennsylvania (statewide)30$11,306$14,484$24,448$3,856–$34,892
Philadelphia PA11$7,485$7,689$8,785$4,689–$12,243
Phoenix AZ6$4,839$4,839$6,826$4,839–$7,488
Pittsburgh PA8$9,230$13,536$14,791$5,758–$17,980
Portland OR9$16,131$16,131$24,555$14,746–$24,555
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$7,130–$7,208
Rio Grande Valley TX6$9,330$9,382$9,702$9,328–$14,250
Salt Lake City UT9$9,941$10,280$10,280$6,513–$10,618
San Antonio TX3———$6,850–$9,391
San Diego CA6$15,866$15,866$16,020$15,866–$17,210
San Francisco Bay Area CA4———$8,476–$32,856
Seattle-Tacoma WA16$17,416$20,274$21,002$13,944–$25,561
South Carolina (statewide)19$10,342$14,603$16,861$7,778–$20,963
South Dakota (statewide)3———$10,045–$31,387
Tampa FL6$13,658$13,658$13,658$11,760–$14,206
Tennessee (statewide)24$4,311$6,913$7,828$3,603–$14,573
Texas (statewide)75$7,420$9,112$13,880$4,299–$32,884
Utah (statewide)6$6,909$9,019$9,941$6,513–$10,280
Vermont (statewide)1———$7,697–$7,697
Virginia (statewide)19$17,257$22,266$24,798$11,982–$29,764
Washington (statewide)11$16,500$18,651$20,608$7,334–$33,206
Washington DC9$9,074$11,413$11,413$7,208–$11,413
West Virginia (statewide)4———$6,185–$48,308
Wisconsin (statewide)30$12,346$12,346$14,345$4,959–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,2840.5×12026-04-30
Usa Health University HospitalAlabama (statewide)$3,4640.5×12026-04-30
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
Tristar Horizon Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$3,6030.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
Upmc ColePennsylvania (statewide)$3,8560.6×12026-03-06
Chi Saint Joseph Berea NfKentucky (statewide)$3,9750.6×12026-02-28
Parkridge Medical CenterTennessee (statewide)$3,9790.6×52026-09-01
Salina Surgical HospitalKansas (statewide)$3,9920.6×12026-01-15
Bradley County Medical CenterArkansas (statewide)$4,0000.6×12026-04-08
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Lehigh Valley Hospital - PoconoPennsylvania (statewide)$34,7024.9×82026-07-01
Lehigh Valley Hospital - MacungiePennsylvania (statewide)$34,8924.7×82026-07-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

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

Across 1003 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27427, hospital outpatient is $10,544, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,817 to $15,646. 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: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,467). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Parkview Wabash Hospital, Inc ($38,188). Coverage: every hospital whose price file we could read.