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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.

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CPT 27279: Arthrd Si Jt Plmt Tartclr Dv

81 hospitals in 32 markets. National Medicare rate $17,914, surgery center $14,518.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$9,932–$9,932
Austin TX2———$15,308–$18,350
Boston MA7$24,210$29,202$31,775$19,216–$36,918
California (statewide)1———$19,527–$19,527
Chicago IL5$26,156$29,013$30,270$16,764–$30,270
Cleveland OH4———$15,100–$40,670
Columbus OH1———$63,065–$63,065
Dallas-Fort Worth TX3———$20,909–$53,468
Denver CO7$14,386$14,685$33,909$13,848–$44,200
Detroit MI4———$14,920–$40,186
Georgia (statewide)1———$11,180–$11,180
Houston TX1———$21,134–$21,134
Indianapolis IN1———$21,738–$21,738
Kansas (statewide)1———$13,824–$13,824
Las Vegas NV1———$35,537–$35,537
Los Angeles CA2———$26,623–$48,305
Miami-Fort Lauderdale FL1———$57,410–$57,410
Nashville TN2———$10,679–$19,300
New York City2———$23,191–$25,236
Ohio (statewide)1———$25,631–$25,631
Pennsylvania (statewide)1———$36,678–$36,678
Philadelphia PA5$10,400$12,874$16,382$10,250–$16,478
Phoenix AZ3———$15,169–$15,169
Portland OR6$26,100$26,100$49,708$26,100–$57,578
Richmond VA2———$14,780–$14,780
San Antonio TX1———$24,918–$24,918
San Francisco Bay Area CA1———$41,632–$41,632
Seattle-Tacoma WA6$62,363$63,794$68,523$52,888–$76,894
St. Louis MO1———$10,129–$10,129
Tampa FL2———$14,979–$19,612
Washington DC4———$11,365–$27,718
Wisconsin (statewide)1———$15,962–$15,962
HospitalMarketMedian across insurers× MedicareInsurersFile date
Emory University HospitalAtlanta GA$9,9320.6×32026-04-01
Barnes Jewish HospitalSt. Louis MO$10,1290.6×22025-12-15
Thomas Jefferson University HospitalPhiladelphia PA$10,2500.6×22026-09-15
Jefferson Stratford HospitalPhiladelphia PA$10,4000.5×12026-09-15
TriStar StoneCrest Medical CenterNashville TN$10,6790.6×12026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$11,1800.7×22026-04-01
George Washington Univ HospitalWashington DC$11,3650.6×12026-09-01
Inspira Medical Center Mullica HillPhiladelphia PA$12,8740.7×12026-03-24
Menorah Medical CenterKansas (statewide)$13,8240.8×32026-09-01
HCA HealthONE SwedishDenver CO$13,8480.8×32026-09-01
HCA HealthONE Sky RidgeDenver CO$14,0860.8×32026-09-01
Hca Healthone RoseDenver CO$14,6850.8×32026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$14,6850.8×32026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$14,7800.9×42026-09-01
Henrico Doctors' HospitalRichmond VA$14,7800.9×42026-09-01
Trinity Health Oakland HospitalDetroit MI$14,9200.8×162026-03-31
Tampa General HospitalTampa FL$14,9790.8×12026-04-01
Reston Hospital CenterWashington DC$15,0670.8×22026-09-01
Stonesprings Hospital CenterWashington DC$15,0920.8×22026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$15,1000.9×12026-07-14
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$15,1690.8×12026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$15,1690.8×12026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$15,1690.8×12026-04-01
Ascension Seton Medical Center AustinAustin TX$15,3080.9×12026-01-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$15,9620.9×32026-01-01
Mclaren Port HuronDetroit MI$16,2980.9×12025-12-31
Riddle Memorial HospitalPhiladelphia PA$16,3820.9×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$16,4780.9×22026-04-01
Endeavor Health Northwest Community HospitalChicago IL$16,7640.9×22026-04-01
St David's Medical CenterAustin TX$18,3501.0×32026-09-01
Winchester HospitalBoston MA$19,2160.9×22026-04-01
Vanderbilt University Medical CenterNashville TN$19,3001.1×42025-10-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$19,5270.9×42026-09-01
Morton Plant HospitalTampa FL$19,6121.1×22026-01-01
Medical City MckinneyDallas-Fort Worth TX$20,9091.2×42026-09-01
Houston Methodist HospitalHouston TX$21,1341.2×22026-04-01
Riverview HealthIndianapolis IN$21,7381.2×22026-04-01
New England Baptist HospitalBoston MA$22,9341.1×32026-04-01
Montefiore Medical CenterNew York City$23,1911.1×62026-04-01
Medical City PlanoDallas-Fort Worth TX$23,2181.3×42026-09-01
UCHealth University of Colorado HospitalDenver CO$23,6181.3×22025-11-01
Henry Ford Health Rochester HospitalDetroit MI$24,1021.4×12026-01-01
Methodist HospitalSan Antonio TX$24,9181.4×22026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$25,2361.1×62026-01-01
Beverly Hospital CorporationBoston MA$25,4871.2×12026-04-01
Bethesda NorthOhio (statewide)$25,6311.5×32026-04-01
Legacy Emanuel Medical CenterPortland OR$26,1001.3×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$26,1001.3×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$26,1001.3×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$26,1001.3×52026-04-01
Endeavor Health Evanston HospitalChicago IL$26,1561.4×12026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$26,6231.2×32025-11-26
Inova Alexandria HospitalWashington DC$27,7181.5×32026-04-01
University of Chicago Medical CenterChicago IL$29,0131.5×22026-04-01
Anna Jaques HospitalBoston MA$29,2021.4×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$29,5381.4×12026-04-01
Endeavor Health Elmhurst HospitalChicago IL$30,2701.6×12026-04-01
Endeavor Health Edward HospitalChicago IL$30,2701.6×12026-04-01
Medina HospitalCleveland OH$31,4371.9×12026-06-15
Lahey Hospital & Medical Center, BurlingtonBoston MA$34,0121.6×12026-04-01
University Medical Center of Southern NevadaLas Vegas NV$35,5371.9×82026-07-01
Cleveland Clinic Lutheran HospitalCleveland OH$35,9122.2×12026-06-15
Lehigh Valley HospitalPennsylvania (statewide)$36,6782.1×72026-07-01
Beth Israel Deaconess Medical CenterBoston MA$36,9181.8×12026-04-01
Harper University HospitalDetroit MI$40,1862.3×12026-09-02
Cleveland Clinic Hillcrest HospitalCleveland OH$40,6702.5×12026-06-15
Stanford Health CareSan Francisco Bay Area CA$41,6321.6×42026-04-01
Adventhealth PorterDenver CO$44,2002.4×22026-04-01
Adventhealth ParkerDenver CO$44,2002.4×22026-04-01
Keck Hospital Of UscLos Angeles CA$48,3052.1×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$52,8882.6×42026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$53,4683.0×22026-04-21
Doctors HospitalMiami-Fort Lauderdale FL$57,4103.1×22026-03-30
Providence St Vincent Medical CenterPortland OR$57,5783.0×22026-04-01
Providence Portland Medical CenterPortland OR$57,5783.0×22026-04-01
St Clare HospitalSeattle-Tacoma WA$62,3633.0×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$62,3633.0×52026-02-28
Mount Carmel New Albany Surgical HospitalColumbus OH$63,0653.7×172026-03-31
Swedish Medical CenterSeattle-Tacoma WA$65,2243.2×42026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$69,6233.4×72026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$76,8943.8×62026-08-27

Questions

How much do commercial insurers pay hospitals for sacroiliac joint fusion?

Across 81 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 27279, hospital outpatient is $23,618, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $15,169 to $35,537. 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: Emory University Hospital ($9,932), Barnes Jewish Hospital ($10,129), Thomas Jefferson University Hospital ($10,250). Highest: Multicare Good Samaritan Hospital ($76,894), Tacoma General Allenmore Hospital ($69,623), Swedish Medical Center ($65,224). Coverage is limited to the markets listed on this page.