Payer comparison · CPT 27486 · INDIANAPOLIS, IN

27486 — Revise/replace Knee Joint

What each payer pays ORTHOINDY HOSPITAL (CCN 150160) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$8,680 All-payer median here

$8,451 Cash / self-pay here

72 payer/plan-name variants

← This hospital National rates for 27486 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Surest (UHC)	$19,475	124.4%	2
United Medical Res Po 30541	$19,475	124.4%	1
United /Uhc Geha/Elevate Plus	$19,475	124.4%	1
GOLDEN RULE INSURANCE	$19,475	124.4%	1
GEHA (Government Employees Health Association)	$19,475	124.4%	3
Medica	$19,475	124.4%	1
United Options Options	$19,475	124.4%	1
United Options Ppo	$19,475	124.4%	1
UnitedHealthcare	$19,475	124.4%	12
Cofinity Via Ppom	$10,503	21.0%	1
Community Health Network Imagine Health	$10,262	18.2%	1
Imagine Health Community Health Network	$10,262	18.2%	1
COMMUNITY HEALTH ALLIANCE OF TENNESSEE	$10,262	18.2%	1
SIHO Holding, Inc.	$9,175	5.7%	1
MultiPlan	$9,175	5.7%	2
Iu Health Plan Quality Plan Out Of Area - Phcs	$9,175	5.7%	1
MultiPlan / PHCS Network	$9,175	5.7%	1
Multiplan And/Or Phcs	$9,175	5.7%	1
PHCS (Private Healthcare Systems)	$9,175	5.7%	2
Aetna	$8,969	3.3%	11
Medical Mutual of Ohio	$8,969	3.3%	2
Meritain Health	$8,969	3.3%	3
Coventry Ppo Must Use Comm Health Facility Only	$8,969	3.3%	1
First Health Must Use Comm Health Facility Only	$8,969	3.3%	1
First Health Network	$8,969	3.3%	1
Physicians Health Plan of Mid-Michigan (PHP of Michigan)	$8,813	1.5%	1
Iu Health Plan With Encore Logo	$8,813	1.5%	1
Encore Ppo	$8,813	1.5%	1
Encore Health Network	$8,813	1.5%	1
Cigna Starbridge (Must Verify Benefits)	$8,680	0.0%	1
Cigna/Cisel Cigna Insurance Services (Europe) Limited (Cisel1)	$8,680	0.0%	1
Allegiance	$8,680	0.0%	1
Nalc	$8,680	0.0%	1
Apwu	$8,680	0.0%	1
Nalc Health Benefit Plan	$8,680	0.0%	1
LUCENT HEALTH	$8,680	0.0%	1
Cigna Healthcare	$8,680	0.0%	13
Cigna Ppo + Client Logo	$8,680	0.0%	1
Sagamore Health Network	$8,571	-1.3%	4
Encircle PPO	$7,847	-9.6%	2
Smart Health	$7,719	-11.1%	1
BCBS of Michigan	$7,719	-11.1%	1
Ascension Health Partners St. Vincent Employees	$7,621	-12.2%	1
UMR (UnitedHealthcare TPA)	$7,581	-12.7%	2
Medica Ifb	$7,581	-12.7%	1
Humana	$7,397	-14.8%	3
Ichia Anthem Ichia	$6,884	-20.7%	1
Anthem (Elevance Health)	$6,884	-20.7%	5
Anthem Bcbs Anthem Enhanced Choice (Prefix E7B)	$6,884	-20.7%	1
Anthem Blue Cross And Blue Shield	$6,884	-20.7%	1
Anthem Geoblue Bcbs International Plan	$6,884	-20.7%	1
Anthem Hmo Blue Preferred	$6,884	-20.7%	1
Anthem Ichia Ichia	$6,884	-20.7%	1
Anthem Pathway Pathway Hmo	$6,884	-20.7%	1
Anthem Pathway Pathway Pos	$6,884	-20.7%	1
Anthem Pathway X Pathway X Hmo	$6,884	-20.7%	1
Anthem Pathway X Pathway X Pos	$6,884	-20.7%	1
Anthem Traditional Blue Traditional	$6,884	-20.7%	1
Bcbs - Federal Federal (Fep)	$6,884	-20.7%	1
Bcbs - Premara Please Check For Pcp Auth Requirement	$6,884	-20.7%	1
Bcbs Federal Employee Program	$6,884	-20.7%	1
BCBS of South Carolina	$6,884	-20.7%	1
Bcbs Of X (E.G. Michigan)	$6,884	-20.7%	1
Bcbs Other (E.G. Highmark)	$6,884	-20.7%	1
Blue Cross Anthem Advantage	$6,884	-20.7%	1
Blue Cross Blue Shield Association	$6,884	-20.7%	1
Blue Cross Local	$6,884	-20.7%	1
HEALTHLINK PPO	$6,884	-20.7%	1
Indiana Teamsters Master Freight - Central States Bcbs	$6,884	-20.7%	1
Anthem Sync For General Motors Employees Gm Symbol Sync	$6,540	-24.7%	1
Anthem Sync All Others Sync	$6,540	-24.7%	1
Anthem BCBS of Indiana	$6,540	-24.7%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.