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Kneecap fracture fixation: what insurers pay

Wires, screws or partial removal for a broken kneecap. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 27524: Kneecap Fracture Fixation

1052 hospitals in 77 markets. National Medicare rate $7,413, surgery center $3,696.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$7,529$8,177$9,627$3,284–$18,846
Alaska (statewide)4———$5,132–$16,198
Arizona (statewide)12$5,723$7,624$8,764$4,465–$16,051
Arkansas (statewide)10$6,531$6,819$8,562$5,000–$9,874
Atlanta GA6$7,037$7,037$9,573$7,037–$10,418
Austin TX13$5,743$8,970$8,970$5,743–$10,892
Boston MA11$9,188$11,926$12,708$6,518–$14,320
California (statewide)56$9,832$17,330$25,787$6,354–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL7$9,164$10,014$14,716$6,180–$16,851
Cleveland OH10$7,551$8,285$11,591$7,208–$14,416
Colorado (statewide)13$8,387$10,989$11,694$7,144–$15,141
Columbus OH1———$26,099–$26,099
Connecticut (statewide)2———$5,370–$30,233
Dallas-Fort Worth TX12$9,257$10,642$12,240$8,720–$26,538
Denver CO15$8,837$9,980$14,066$8,192–$15,141
Detroit MI13$5,311$7,734$9,407$5,311–$10,629
Florida (statewide)61$10,523$11,310$13,658$4,068–$18,426
Georgia (statewide)28$7,026$9,795$12,751$4,141–$21,689
Hawaii (statewide)5$8,000$8,238$8,882$7,638–$10,048
Houston TX19$7,650$9,493$9,894$6,856–$13,850
Idaho (statewide)14$7,794$14,264$18,145$3,620–$21,676
Illinois (statewide)24$7,776$12,308$14,716$5,474–$21,223
Indiana (statewide)25$10,940$16,357$30,763$6,413–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)14$9,024$11,578$13,844$7,413–$17,545
Kansas (statewide)16$6,077$6,932$11,848$4,473–$16,198
Kentucky (statewide)14$4,968$7,928$8,770$4,231–$11,978
Las Vegas NV2———$7,340–$9,205
Los Angeles CA17$10,548$11,666$13,065$10,395–$28,632
Louisiana (statewide)23$6,947$8,213$9,804$5,982–$12,908
Maine (statewide)16$29,272$33,220$33,984$7,684–$42,727
Massachusetts (statewide)4———$7,176–$10,392
Miami-Fort Lauderdale FL1———$12,334–$12,334
Michigan (statewide)23$7,203$7,536$8,640$4,056–$12,508
Minneapolis-St. Paul MN7$8,044$8,110$11,238$7,641–$15,377
Minnesota (statewide)13$10,057$19,037$23,016$7,820–$31,617
Mississippi (statewide)15$8,695$9,728$10,386$6,136–$19,790
Missouri (statewide)15$6,348$9,341$12,225$5,756–$16,982
Montana (statewide)4———$6,181–$21,584
Nashville TN6$3,864$4,645$11,312$3,603–$13,806
Nebraska (statewide)11$8,946$9,296$10,923$7,340–$18,020
Nevada (statewide)4———$7,340–$12,646
New Hampshire (statewide)6$13,255$16,466$22,868$12,671–$32,494
New Jersey (statewide)22$8,320$8,796$12,256$8,289–$14,827
New Mexico (statewide)7$9,340$11,696$18,421$3,678–$21,147
New York (statewide)29$8,454$11,525$15,566$5,833–$24,437
New York City8$8,454$8,454$11,757$7,152–$12,267
North Carolina (statewide)4———$7,039–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,326–$16,346
Ohio (statewide)38$9,670$15,466$16,918$4,347–$27,890
Oklahoma (statewide)9$14,678$14,812$14,977$6,362–$23,262
Oregon (statewide)9$18,293$20,433$26,231$14,102–$33,060
Pennsylvania (statewide)36$8,061$13,808$23,153$4,088–$33,379
Philadelphia PA11$7,485$7,689$8,774$4,689–$11,208
Phoenix AZ6$4,839$4,839$6,826$4,839–$7,488
Pittsburgh PA8$5,578$11,628$14,791$5,031–$17,980
Portland OR9$16,131$16,131$25,165$14,746–$25,165
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$7,051–$9,260
Rio Grande Valley TX7$9,332$9,430$9,611$9,328–$12,830
Salt Lake City UT9$7,756$8,020$8,020$6,513–$8,285
San Antonio TX3———$7,778–$9,391
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA4———$10,964–$37,273
Seattle-Tacoma WA16$18,960$19,727$25,275$16,482–$28,676
South Carolina (statewide)19$9,946$14,554$16,638$7,352–$20,564
South Dakota (statewide)3———$10,499–$33,765
Tampa FL6$13,658$13,658$13,658$11,760–$14,206
Tennessee (statewide)25$4,645$6,913$8,504$3,603–$14,573
Texas (statewide)78$7,584$9,505$13,850$4,299–$32,884
Utah (statewide)7$6,744$7,756$7,888$6,513–$25,202
Virginia (statewide)16$17,729$21,450$24,186$9,764–$26,244
Washington (statewide)12$16,627$20,608$23,562$7,334–$37,385
Washington DC9$7,126$9,927$9,927$6,005–$10,924
West Virginia (statewide)4———$6,185–$48,308
Wisconsin (statewide)29$12,346$12,346$14,011$4,959–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,2840.5×12026-04-30
Usa Health University HospitalAlabama (statewide)$3,4640.5×12026-04-30
Tristar Horizon Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$3,6030.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
North Canyon Medical CenterIdaho (statewide)$3,6200.5×52026-04-13
Cibola General HospitalNew Mexico (statewide)$3,6780.5×12026-09-27
Parkridge Medical CenterTennessee (statewide)$3,9790.6×52026-09-01
Oaklawn HospitalMichigan (statewide)$4,0560.6×22026-03-27
Uf Health Leesburg HospitalFlorida (statewide)$4,0680.5×12026-03-31
Upmc ColePennsylvania (statewide)$4,0880.6×12026-03-06
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Stanford Health CareSan Francisco Bay Area CA$37,2733.5×42026-04-01
Mary Bridge Children'S HospitalWashington (statewide)$37,3854.4×52026-08-27
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for kneecap fracture fixation?

Across 1052 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27524, hospital outpatient is $10,633, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,830 to $15,580. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for kneecap fracture fixation?

Medicare's national hospital outpatient rate for CPT 27524 is $7,413 and its surgery-center rate is $3,696, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for kneecap fracture fixation?

Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), Tristar Horizon Medical Center ($3,603). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Parkview Wabash Hospital, Inc ($38,188). Coverage: every hospital whose price file we could read.