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HCPCS 27442

Revision of knee joint

Reported by 211 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$751

Average

$16.0k

Median

$17.0k

High

$42.6k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$972$9.3k$8.7k$16.0k$3.6k
2Aiken Regional Medical CentersWashington, DC—$822$822——
3Palmdale Regional Medical CenterPalmdale, CA—$1.2k$1.2k—$291
4Temecula Valley HospitalTemecula, CA—$894$997—$128
5Southwest HealthcareTemecula, CA—$1.4k$1.3k—$316
6Corona Regional Medical CenterCorona, CA$894$929$983$13.2k$117
7St. Mary's Regional Medical CenterEnid, OK—$21.9k$21.9k——
8Ukiah Adventist HospitalUkiah, CA$66$843$804$2.7k$433
9Adventist Health Medical Center TehachapiTehachapi, CA$179$952$967$1.8k$354
10Sonora Community HospitalSonora, CA$50$803$765$2.7k$561
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