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Partial knee replacement in Pennsylvania: what insurers pay

Posted commercial rates at 87 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27446

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$7,9920.6×52026-09-15
Jefferson Abington Hospital Abington$7,9920.6×52026-09-15
Upmc East Monroeville$10,1760.8×22026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$10,2490.8×22026-03-06
Thomas Jefferson University Hospital Philadelphia$10,2500.8×42026-09-15
Upmc Hamot Erie$10,7230.9×32026-03-06
Paoli Hospital Paoli$12,7261.0×22026-04-01
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,7961.0×22026-04-01
Lankenau Medical Center Wynnewood$12,7961.0×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$14,5241.2×62026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$16,5101.3×42026-09-21
Wellspan Surgery And Rehabilitation Hospital York$17,1021.4×42026-01-01
Wellspan York Hospital York$17,1721.4×42026-01-01
Jefferson Health-Northeast Philadelphia$18,1931.4×52026-09-15
Upmc Carlisle Carlisle$19,6941.5×32026-03-06
Upmc Lititz Lititz$19,7731.6×32026-03-06
Wellspan Ephrata Community Hospital Ephrata$21,7471.7×32026-01-01
Upmc Memorial York$22,3091.8×52026-03-06
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
Forbes Hospital Monroeville$26,9212.1×62026-04-14
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01
St Luke'S Hospital Bethlehem Bethlehem$31,3982.4×32026-02-26
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0752.6×22026-02-26
Allegheny General Hospital Pittsburgh$32,3862.6×62026-04-14
West Penn Hospital Pittsburgh$32,5372.6×62026-04-14
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$44,8283.4×22026-02-26
Lehigh Valley Hospital - Dickson City Dickson City$45,3943.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$51,4984.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$51,8514.2×82026-07-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$59,0584.5×82026-07-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$13,2521.0×32026-08-06
Geisinger-Bloomsburg Hospital Bloomsburg$14,7021.1×72026-07-01
Conemaugh Miners Medical Center Hastings$14,7551.1×52026-07-30
Upmc Cole Coudersport$15,2341.1×42026-03-06
Troy Community Hospital Troy$15,8701.2×32026-03-31
Punxsutawney Area Hospital Punxsutawney$16,0001.2×72026-03-02
Upmc Horizon Greenville$16,3631.2×32026-03-06
Upmc Somerset Somerset$17,0651.3×42026-03-06
Conemaugh Nason Medical Center Roaring Spring$17,5241.3×62026-07-30
Upmc Northwest Seneca$17,6681.3×22026-03-06
Upmc Kane Kane$18,0491.4×42026-03-06
Upmc Bedford Memorial Everett$18,1281.4×22026-03-06
Upmc Jameson New Castle$18,2001.4×42026-03-06
Upmc Washington Washington$18,7621.4×82026-03-06
Titusville Area Hospital Titusville$18,8401.4×52026-09-11
Upmc Hamot Erie$19,6811.5×32026-03-06
Shriners Hospitals For Children - Philadelphia Philadelphia$20,2051.4×12026-03-19
Upmc East Monroeville$21,3141.6×22026-03-06
Uniontown Hospital Uniontown$21,5331.6×62026-07-09
Upmc Mckeesport Mc Keesport$21,8121.6×22026-03-06
Upmc St Margaret Pittsburgh$22,4511.7×22026-03-06
Wayne Memorial Hospital Honesdale$22,7381.7×62026-09-16
Conemaugh Memorial Medical Center Johnstown$23,2001.7×82026-04-15
Upmc Mercy Pittsburgh$23,3151.8×22026-03-06
Roxborough Memorial Hospital Philadelphia$23,9661.7×62024-06-21
Temple Health - Chestnut Hill Hospital Philadelphia$24,1121.7×82026-04-08
Lower Bucks Hospital Bristol$24,9231.9×62026-09-01
Geisinger-Lewistown Hospital Lewistown$24,9691.9×72026-07-01
Upmc Altoona Altoona$25,0151.9×52026-03-06
Robert Packer Hospital Sayre$25,5771.9×92026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$25,9781.9×62026-09-21
St Clair Hospital Pittsburgh$26,0401.9×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$27,2202.0×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$27,2202.0×52026-02-27
Upmc Presbyterian Shadyside Pittsburgh$28,0542.1×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$28,1002.1×62026-07-01
Wellspan Evangelical Community Hospital Lewisburg$28,3992.1×72026-01-01
Jefferson Lansdale Hospital Lansdale$28,9322.2×92026-09-15
Upmc Williamsport Williamsport$29,1052.2×32026-03-06
Upmc Muncy Muncy$29,1052.2×32026-03-06
Upmc Wellsboro Wellsboro$29,1052.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$29,2022.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$29,2022.1×52026-02-27
Magee Womens Hospital Of Upmc Health System Pittsburgh$29,4862.2×22026-03-06
Upmc Passavant Pittsburgh$29,5542.2×32026-03-07
Wellspan Good Samaritan Hospital Lebanon$29,7842.1×52026-01-01
St Mary Medical Center Langhorne$30,0242.3×212026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$30,5202.3×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$31,8382.4×52026-02-27
Jefferson Abington Hospital Abington$31,9562.4×92026-09-15
Lehigh Valley Hospital - Macungie Macungie$32,6202.3×62026-07-01
Riddle Memorial Hospital Media$33,3582.4×42026-04-01
Lehigh Valley Hospital - Pocono East Stroudsburg$33,3962.5×62026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$33,3962.5×62026-07-01
Paoli Hospital Paoli$33,5992.5×42026-04-01
St Luke'S Hospital - Easton Campus Easton$33,9382.4×42026-02-26
Hospital Of The Fox Chase Cancer Center Philadelphia$34,2962.4×52026-04-08
Upmc Memorial York$34,6042.6×82026-03-06
Wellspan Chambersburg Hospital Chambersburg$34,6702.5×32026-01-01
Jefferson Einstein Montgomery Hospital East Norriton$35,3832.6×62026-09-15
Lehigh Valley Hospital Allentown$36,1632.6×52026-07-01
Penn State Health Holy Spirit Medical Center Camp Hill$36,3582.6×42026-03-27
Penn State Health Hampden Medical Center Enola$36,3582.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$36,3582.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$36,6562.6×42026-04-01
Upmc Lititz Lititz$37,0982.8×72026-03-06
Penn State Health St. Joseph Reading$37,5482.7×52026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$37,7282.8×72026-07-01
Jefferson Health-Northeast Philadelphia$39,7342.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$40,4453.0×52026-01-01
Upmc Carlisle Carlisle$40,7853.0×72026-03-06
Temple University Hospital Philadelphia$42,2733.0×102026-04-13
Upmc Hanover Hanover$43,0573.2×82026-03-06
Geisinger Community Medical Center Scranton$43,3353.3×82026-07-01
Lankenau Medical Center Wynnewood$43,3973.3×42026-04-01
Wellspan Surgery And Rehabilitation Hospital York$50,4883.8×42026-01-01
Thomas Jefferson University Hospital Philadelphia$51,3073.6×92026-09-15
Wellspan York Hospital York$54,5504.1×42026-01-01

Questions

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

87 Pennsylvania hospitals post usable commercial rates for partial knee replacement in their federal price-transparency files. For CPT 27446, hospital outpatient, the median across 41 hospitals is $23,326, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.