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Kneecap or quadriceps tendon repair in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27380

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$3,6530.5×12026-03-06
Thomas Jefferson University Hospital Philadelphia$5,2920.7×22026-09-15
Riddle Memorial Hospital Media$9,3181.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$9,3971.3×12026-04-01
Lehigh Valley Hospital Allentown$15,1792.1×72026-07-01

CPT 27385

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0310.7×12026-03-06
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.2×32026-09-15

Questions

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

5 Pennsylvania 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 5 hospitals is $9,318, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.