Price Checker / CPT 27428
How much does Reconstruction Knee cost?
CPT 27428 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 20x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,550–$3,100
What this should cost
With insurance
~$5,450
Typical out-of-pocket
Overcharged if over
$3,900
Push back above this
The average hospital charge of $47,725 is $45,375 over the fair price (about 20x the fair rate).
What hospitals charge for Reconstruction Knee
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| AdventHealth Dade City Dade City, FL | $196,939 | — | 16936% |
| AdventHealth Redmond Rome, GA | $165,960 | — | 13937% |
| AdventHealth Carrollwood Tampa, FL | $149,274 | — | 12812% |
| AdventHealth Tampa Tampa, FL | $149,274 | — | 12812% |
| AdventHealth Wesley Chapel Wesley Chapel, FL | $149,274 | — | 12812% |
| AdventHealth Zephyrhills Zephyrhills, FL | $149,274 | — | 12812% |
| AdventHealth Ocala Ocala, FL | $108,563 | — | 9291% |
| Lincoln Health Damariscotta, ME | — | — | 7297% |
| Baylor Scott & White Surgical Hospital Sherman Sherman, TX | $65,533 | — | 6199% |
| Hamilton General Hospital HAMILTON, TX | $58,671 | — | 5261% |
| MaineHealth - Memorial Hospital North Conway, NH | — | — | 4088% |
| ST ELIZABETH BOARDMAN HOSPITAL Youngstown, OH | $140,558 | — | 4061% |
| Highpoint Health - Riverview with Ascension Saint Thomas , TN | $41,264 | — | 3866% |
| Harris Regional Hospital SYLVA, NC | $38,483 | — | 3599% |
| Wellfound Behavioral Health Hospital Tacoma, WA | — | — | 3437% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Reconstruction Knee
CPT code 27428 refers to reconstruction knee (billing description: "Reconstruction knee"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,040 in a facility (hospital or surgery center) and $1,040 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.