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Kneecap or quadriceps tendon repair in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 27380

HospitalMedian across insurers× MedicareInsurersFile date
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,7021.1×62026-01-01
Montefiore Medical Center Bronx$10,6801.2×72026-04-01
Hospital for Special Surgery New York$14,5261.6×32026-04-01

CPT 27385

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$9,1901.0×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$10,0241.1×72026-01-01
Hospital for Special Surgery New York$12,3051.4×62026-04-01

Questions

How much do insurers pay for kneecap or quadriceps tendon repair in New York?

3 New York hospitals post usable commercial rates for kneecap or quadriceps tendon repair in their federal price-transparency files. For CPT 27380, hospital outpatient, the median across 3 hospitals is $10,680, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.