Payer comparison · CPT 27488 · ROYERSFORD, PA

27488 — Removal Of Knee Prosthesis

What each payer pays PHYSICIANS CARE SURGICAL HOSPITAL (CCN 390324) 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.

$33,652 All-payer median here

$18,560 Cash / self-pay here

81 payer/plan-name variants

← This hospital National rates for 27488 →

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

United Healthcare Choice Plus	$49,223	46.3%	1
Allsavers	$49,223	46.3%	1
Oxford Life Insurance Company	$49,223	46.3%	1
UnitedHealthcare	$49,223	46.3%	11
UMR (UnitedHealthcare TPA)	$49,223	46.3%	2
GOLDEN RULE INSURANCE	$49,223	46.3%	1
Surest (UHC)	$49,223	46.3%	1
Highmark BCBS	$44,357	31.8%	2
Central Pa Teamsters	$37,028	10.0%	1
Bcbs Federal	$35,299	4.9%	1
Blue Cross Blue Shield Association	$35,299	4.9%	1
Capital BCBS	$35,299	4.9%	1
Carefirst Administrators	$35,299	4.9%	1
Regence Blue Shield	$35,299	4.9%	1
Independence Administrators	$35,299	4.9%	1
Independence BCBS	$35,299	4.9%	14
Keystone Direct Pos	$35,299	4.9%	1
Empire Plan	$35,299	4.9%	1
Keystone Hmo	$35,299	4.9%	1
Amerihealth Administrators	$35,299	4.9%	1
Horizon BCBS of NJ	$35,299	4.9%	2
Amerihealth New Jersey Hmo	$35,299	4.9%	1
Anthem (Elevance Health)	$35,299	4.9%	1
Healthgram Inc (formerly Primary PhysicianCare Inc)	$35,159	4.5%	1
Loomis	$35,159	4.5%	1
Sana Benefits	$35,159	4.5%	1
Apwu	$35,159	4.5%	1
Cigna Healthcare	$35,159	4.5%	8
Upmc Tower Health W/ Cigna	$35,159	4.5%	1
Cwi Benefits	$35,159	4.5%	1
Freedom Life Insurance Company	$35,159	4.5%	1
Nalc Health	$35,159	4.5%	1
Mvp Cigna	$35,159	4.5%	1
CONNECTICARE (COMMERCIAL)	$31,137	-7.5%	1
UPMC Health Plan	$28,426	-15.5%	2
Aetna Medicare Ppo	$26,854	-20.2%	1
Aetna	$26,854	-20.2%	20
Vibra Health Plan	$23,200	-31.1%	1
Capital Blue Cross / CAIC	$23,200	-31.1%	1
Csi Medicare Supplement	$23,200	-31.1%	1
Devon Health Services	$23,200	-31.1%	1
Erie Insurance Medicare Supplement	$23,200	-31.1%	1
Geisinger Medicare Advantage	$23,200	-31.1%	1
Gpm Health And Life Insurance Mc Supplement	$23,200	-31.1%	1
HealthPartners	$23,200	-31.1%	3
Humana	$23,200	-31.1%	3
Medicare (Generic)	$23,200	-31.1%	2
Medicare Novitas Solutions	$23,200	-31.1%	1
Medicare Supplement Plan F- Mutual Of Omaha	$23,200	-31.1%	1
Medicare Supplement Plan J	$23,200	-31.1%	1
Medicare Supplemental/ Plan F	$23,200	-31.1%	1
Novitas Solutions (JL)	$23,200	-31.1%	1
Pcsh Aarp	$23,200	-31.1%	1
Provider Partners Health Plan (PPHP)	$23,200	-31.1%	1
Shenandoah Life	$23,200	-31.1%	1
Spartan Plan Pa Medicare Advantage	$23,200	-31.1%	1
TRICARE	$23,200	-31.1%	1
UNIFIED HEALTH SERVICES	$23,200	-31.1%	1
HealthEZ	$21,388	-36.4%	2
GEHA (Government Employees Health Association)	$21,388	-36.4%	2
Aetna Coventry Advantra	$21,388	-36.4%	2
Continental Benefits	$21,388	-36.4%	2
Ag Administrators Inc	$21,388	-36.4%	2
Premier Care Network	$21,388	-36.4%	2
Ag Administrators	$21,388	-36.4%	2
MARPAI	$21,388	-36.4%	2
Allied Benefits Systems	$21,388	-36.4%	2
Aetna Ip	$21,388	-36.4%	2
Trustmark	$21,388	-36.4%	2
Allied Benefit Systems	$21,388	-36.4%	2
Meritain Health	$21,388	-36.4%	2
Meritan Health Aetna	$21,388	-36.4%	2
Aetna Op	$21,388	-36.4%	2
LUCENT HEALTH	$21,388	-36.4%	2
Centene	$2,850	-91.5%	1
AmeriHealth Caritas Pennsylvania Community HealthChoices	$2,850	-91.5%	1
Straight Access	$2,850	-91.5%	1
Upmc Health Plan - Medicaid	$2,850	-91.5%	1
Keystone First Vip Choice	$2,850	-91.5%	1
Keystone First	$2,850	-91.5%	3
Medicaid (Generic)	$2,850	-91.5%	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.