Payer comparison · CPT 27486 · SOUTHBRIDGE, MA

27486 — Revise/replace Knee Joint

What each payer pays UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL (CCN 220019) 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.

$71,522 All-payer median here

$137,542 Cash / self-pay here

23 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

ConnectiCare	$137,542	92.3%	1
MBHP MA Behavioral Health Partnership	$137,542	92.3%	1
Harvard Pilgrim Health Care	$137,542	92.3%	1
GRANTS [20507]	$137,542	92.3%	1
BMC HealthNet Plan	$137,542	92.3%	1
Aetna	$110,584	54.6%	3
Evernorth Health Services	$110,034	53.8%	1
First Health Network	$103,156	44.2%	1
Anthem (Elevance Health)	$101,286	41.6%	1
Fallon Health	$98,934	38.3%	5
HEALTH NEW ENGLAND	$89,512	25.2%	1
Medicaid (Generic)	$71,522	0.0%	1
WORKERS COMPENSATION [20501]	$67,093	-6.2%	1
UnitedHealthcare	$66,734	-6.7%	4
Cigna Healthcare	$56,671	-20.8%	2
Tufts Health Plan	$21,426	-70.0%	4
SENIOR WHOLE HEALTH [10110]	$16,667	-76.7%	1
COMMONWEALTH CARE ALLIANCE (CCA) (DOS 4/1/23 AND AFTER) (MEDICARE ADVANTAGE)	$16,356	-77.1%	1
BCBS MCR [10102]	$16,094	-77.5%	1
Mass General Brigham Incorporated	$15,577	-78.2%	1
INSTITUTION [10406]	$15,577	-78.2%	1
BCBS [10301]	$14,803	-79.3%	2
VA / CHAMPVA	$1,395	-98.0%	1

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.