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Sacroiliac joint fusion: what insurers pay

Minimally invasive fusion of the sacroiliac joint with implants. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 27279: Sacroiliac Joint Fusion

930 hospitals in 78 markets. National Medicare rate $17,914, surgery center $14,518.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)9$18,926$21,738$25,157$16,038–$33,036
Alaska (statewide)3———$10,058–$26,051
Arizona (statewide)4———$11,792–$15,863
Arkansas (statewide)2———$15,388–$16,100
Atlanta GA6$9,932$9,932$28,538$9,932–$35,140
Austin TX13$13,086$15,308$15,308$13,086–$26,333
Boston MA10$25,674$30,716$34,517$19,441–$38,698
California (statewide)51$25,272$42,461$69,590$17,366–$69,590
Charlotte NC5$21,863$21,863$21,863$21,566–$21,863
Chicago IL7$26,984$27,813$29,642$16,764–$30,270
Cleveland OH10$14,702$18,247$28,009$11,426–$34,836
Colorado (statewide)12$15,788$18,044$25,193$13,426–$34,598
Columbus OH1———$63,065–$63,065
Connecticut (statewide)1———$73,054–$73,054
Dallas-Fort Worth TX12$17,954$19,497$26,344$17,544–$49,392
Denver CO15$15,896$18,482$28,918$12,858–$34,218
Detroit MI9$16,994$24,004$30,977$11,274–$40,186
Florida (statewide)56$14,224$16,310$19,322$11,882–$36,804
Georgia (statewide)22$15,834$29,132$34,124$9,672–$41,782
Hawaii (statewide)2———$22,890–$23,980
Houston TX19$12,377$27,233$32,530$11,188–$34,004
Idaho (statewide)13$22,644$38,785$46,711$17,740–$56,465
Illinois (statewide)21$20,289$24,953$31,631$17,114–$54,635
Indiana (statewide)23$18,908$39,249$40,025$11,261–$98,123
Indianapolis IN1———$21,738–$21,738
Iowa (statewide)14$26,277$31,839$39,546$11,688–$50,219
Kansas (statewide)8$17,584$22,336$33,065$13,824–$48,140
Kentucky (statewide)11$17,184$24,551$32,261$9,842–$36,136
Las Vegas NV1———$31,699–$31,699
Los Angeles CA17$23,664$26,610$30,828$16,404–$49,726
Louisiana (statewide)22$16,885$19,822$27,373$12,666–$34,410
Maine (statewide)15$75,354$86,430$87,484$46,850–$109,991
Massachusetts (statewide)2———$22,951–$28,850
Miami-Fort Lauderdale FL5$20,141$20,507$20,507$15,427–$34,335
Michigan (statewide)21$17,154$21,838$26,062$15,456–$37,629
Minneapolis-St. Paul MN7$22,440$22,440$37,452$22,218–$42,066
Minnesota (statewide)12$25,173$50,505$60,825$9,318–$82,360
Mississippi (statewide)11$17,742$21,479$26,344$7,992–$30,899
Missouri (statewide)10$15,322$19,290$29,373$14,846–$49,085
Montana (statewide)4———$14,311–$71,452
Nashville TN6$10,679$10,679$32,390$10,580–$39,967
Nebraska (statewide)9$11,688$11,734$21,560$11,688–$24,882
Nevada (statewide)2———$18,728–$40,955
New Hampshire (statewide)6$21,633$38,825$59,474$12,671–$78,517
New Jersey (statewide)21$20,098$21,338$21,338$12,874–$37,138
New Mexico (statewide)5$34,546$35,580$54,710$19,406–$54,903
New York (statewide)25$27,634$35,273$41,572$15,016–$65,600
New York City7$24,018$27,634$27,634$21,792–$27,634
North Carolina (statewide)3———$14,872–$38,066
North Dakota (statewide)12$17,756$18,174$25,012$17,756–$42,579
Ohio (statewide)36$27,382$33,878$41,103$12,471–$67,394
Oklahoma (statewide)7$22,486$31,263$36,864$19,421–$44,964
Oregon (statewide)7$47,093$61,966$74,698$36,336–$86,837
Pennsylvania (statewide)21$37,440$46,504$65,060$13,928–$84,578
Philadelphia PA10$11,645$15,289$16,454$10,390–$33,378
Phoenix AZ8$13,807$15,169$15,169$9,721–$15,169
Pittsburgh PA7$32,339$37,346$39,374$23,215–$46,288
Portland OR9$26,100$26,100$66,536$21,553–$66,536
Rhode Island (statewide)3———$33,378–$38,552
Richmond VA3———$14,780–$14,780
Rio Grande Valley TX3———$10,694–$23,507
Salt Lake City UT9$26,142$27,034$27,034$16,966–$27,925
San Antonio TX3———$12,554–$26,334
San Diego CA3———$31,910–$41,585
San Francisco Bay Area CA4———$13,547–$41,632
Seattle-Tacoma WA16$45,367$53,444$59,581$37,170–$65,224
South Carolina (statewide)17$18,323$21,721$27,080$13,303–$34,554
South Dakota (statewide)3———$18,390–$32,309
St. Louis MO1———$10,129–$10,129
Tampa FL6$19,612$19,612$19,612$15,638–$24,884
Tennessee (statewide)20$11,652$16,703$22,229$10,483–$39,672
Texas (statewide)71$17,435$19,525$26,686$9,842–$98,123
Utah (statewide)6$18,274$24,169$26,142$16,966–$27,034
Virginia (statewide)19$38,663$44,462$51,479$12,301–$59,423
Washington (statewide)10$40,372$50,300$54,366$21,712–$84,601
Washington DC9$15,092$23,898$23,898$11,403–$24,117
West Virginia (statewide)9$24,236$29,290$31,632$16,486–$74,454
Wisconsin (statewide)27$17,960$17,992$25,174$8,650–$42,887

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Jefferson County HospitalMississippi (statewide)$7,9920.5×32026-09-15
Unitypoint Health - MeriterWisconsin (statewide)$8,6500.5×12026-01-28
Watertown Regional Medical CenterWisconsin (statewide)$8,8280.5×12026-04-01
Grand Itasca Clinic And HospitalMinnesota (statewide)$9,3180.5×12026-01-28
Emory Hillandale HospitalGeorgia (statewide)$9,6720.6×22026-04-01
Chandler Regional Medical Center (Dignity)Phoenix AZ$9,7210.5×12026-02-28
Mercy Gilbert Medical Center (Dignity)Phoenix AZ$9,7210.5×12026-02-28
Saint Joseph HospitalKentucky (statewide)$9,8420.6×12026-02-28
Chi St Joseph Health Regional HospitalTexas (statewide)$9,8420.6×12026-02-28
Emory University HospitalAtlanta GA$9,9320.6×32026-04-01
Emory Decatur HospitalGeorgia (statewide)$9,9320.6×32026-04-01
Emory Saint Joseph's HospitalAtlanta GA$9,9320.6×32026-04-01
Mainehealth Stephens HospitalMaine (statewide)$84,6074.9×12025-09-09
Mainehealth Pen Bay HospitalMaine (statewide)$86,4305.0×12025-09-09
Samaritan Albany General HospitalOregon (statewide)$86,8374.5×12026-01-31
Northern Light Mercy HospitalMaine (statewide)$87,4844.9×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$87,4845.1×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$87,4845.1×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$87,4845.1×22026-03-30
Mainehealth Waldo HospitalMaine (statewide)$90,3555.2×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$92,1405.3×22026-03-30
Parkview Regional Medical CenterIndiana (statewide)$98,1235.3×12026-09-01
Parkview HospitalTexas (statewide)$98,1235.6×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$109,9916.4×12025-09-09

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 sacroiliac joint fusion?

Across 930 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27279, hospital outpatient is $24,110, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $17,498 to $35,827. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for sacroiliac joint fusion?

Medicare's national hospital outpatient rate for CPT 27279 is $17,914 and its surgery-center rate is $14,518, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for sacroiliac joint fusion?

Lowest medians: Jefferson County Hospital ($7,992), Unitypoint Health - Meriter ($8,650), Watertown Regional Medical Center ($8,828). Highest: Mainehealth Lincoln Hospital ($109,991), Parkview Hospital ($98,123), Parkview Regional Medical Center ($98,123). Coverage: every hospital whose price file we could read.