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Partial knee replacement in Pennsylvania: what insurers pay

Posted commercial rates at 17 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
Thomas Jefferson University Hospital Philadelphia$10,1100.8×32026-09-15
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,7961.0×22026-04-01
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$17,6781.3×42026-03-06
Upmc St Margaret Pittsburgh$25,0341.9×12026-03-06
Upmc East Monroeville$25,3731.9×12026-03-06
Upmc Mercy Pittsburgh$25,7421.9×12026-03-06
Upmc Passavant Pittsburgh$29,5542.2×12026-03-07
Jefferson Abington Hospital Abington$30,3482.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$31,4282.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$32,8922.5×12026-03-06
Riddle Memorial Hospital Media$33,3582.4×42026-04-01
Paoli Hospital Paoli$33,5992.5×42026-04-01
Lehigh Valley Hospital Allentown$36,1632.6×52026-07-01
Bryn Mawr Hospital Bryn Mawr$36,6562.6×42026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$39,1522.9×12026-03-06
Jefferson Health-Northeast Philadelphia$39,3382.8×52026-09-15
Temple University Hospital Philadelphia$42,2733.0×72026-04-13
Lankenau Medical Center Wynnewood$43,3973.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$47,2743.4×52026-09-15

Questions

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

17 Pennsylvania hospitals post usable commercial rates for partial knee replacement in their federal price-transparency files. For CPT 27446, hospital outpatient, the median across 4 hospitals is $12,761, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.