Price AtlasInteractive atlas · All states · techysurgeon.comShin bone (tibia shaft) fracture fixation: what insurers pay
A rod down the shin bone for a tibial shaft fracture. Stays group to MS-DRG 492-494. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27759: Shin Bone (Tibia Shaft) Fracture Fixation
966 hospitals in 76 markets. National Medicare rate $13,117, surgery center $8,846.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $9,627 | $13,858 | $16,954 | $7,236–$23,708 |
| Alaska (statewide) | 3 | — | — | — | $9,604–$21,814 |
| Arizona (statewide) | 6 | $8,998 | $9,153 | $10,353 | $7,469–$15,236 |
| Arkansas (statewide) | 7 | $11,006 | $12,065 | $15,729 | $10,124–$17,784 |
| Atlanta GA | 6 | $7,797 | $7,797 | $22,073 | $7,797–$27,126 |
| Austin TX | 13 | $9,287 | $11,425 | $11,425 | $9,287–$19,281 |
| Boston MA | 11 | $18,164 | $20,894 | $23,770 | $12,252–$26,918 |
| California (statewide) | 54 | $18,088 | $24,915 | $46,008 | $8,492–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 7 | $13,817 | $14,716 | $17,562 | $12,481–$22,164 |
| Cleveland OH | 10 | $10,411 | $13,361 | $20,509 | $8,884–$25,507 |
| Colorado (statewide) | 13 | $12,531 | $12,867 | $13,682 | $9,863–$23,415 |
| Connecticut (statewide) | 1 | — | — | — | $53,492–$53,492 |
| Dallas-Fort Worth TX | 12 | $9,590 | $16,982 | $18,830 | $9,098–$38,304 |
| Denver CO | 15 | $11,395 | $12,931 | $22,468 | $10,284–$23,415 |
| Detroit MI | 7 | $9,526 | $11,427 | $13,576 | $9,407–$16,556 |
| Florida (statewide) | 54 | $11,310 | $12,886 | $14,823 | $9,003–$27,122 |
| Georgia (statewide) | 25 | $9,172 | $18,500 | $24,459 | $5,681–$31,990 |
| Hawaii (statewide) | 4 | — | — | — | $8,829–$16,015 |
| Houston TX | 19 | $8,778 | $15,566 | $24,277 | $8,576–$25,932 |
| Idaho (statewide) | 13 | $13,048 | $28,399 | $32,682 | $8,044–$39,877 |
| Illinois (statewide) | 24 | $14,654 | $16,470 | $24,246 | $8,069–$38,226 |
| Indiana (statewide) | 24 | $19,534 | $27,944 | $36,162 | $11,261–$49,858 |
| Indianapolis IN | 1 | — | — | — | $23,708–$23,708 |
| Iowa (statewide) | 16 | $12,966 | $22,276 | $28,030 | $8,792–$38,961 |
| Kansas (statewide) | 7 | $13,452 | $17,880 | $23,643 | $10,705–$35,250 |
| Kentucky (statewide) | 11 | $12,523 | $17,338 | $22,674 | $6,561–$25,283 |
| Las Vegas NV | 2 | — | — | — | $7,907–$19,662 |
| Los Angeles CA | 17 | $15,123 | $17,988 | $19,815 | $12,800–$35,667 |
| Louisiana (statewide) | 24 | $10,542 | $11,734 | $14,490 | $7,102–$21,590 |
| Maine (statewide) | 15 | $52,722 | $60,472 | $61,208 | $32,751–$76,956 |
| Massachusetts (statewide) | 5 | $15,964 | $16,020 | $17,471 | $12,252–$20,130 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $17,676–$17,676 |
| Michigan (statewide) | 20 | $11,512 | $13,088 | $14,018 | $8,368–$23,476 |
| Minneapolis-St. Paul MN | 7 | $8,918 | $8,918 | $19,288 | $8,560–$27,696 |
| Minnesota (statewide) | 12 | $20,532 | $35,445 | $42,956 | $8,918–$58,164 |
| Mississippi (statewide) | 14 | $13,705 | $17,690 | $17,946 | $6,892–$35,014 |
| Missouri (statewide) | 14 | $10,705 | $14,828 | $17,158 | $6,897–$34,343 |
| Montana (statewide) | 3 | — | — | — | $27,020–$42,576 |
| Nashville TN | 6 | $6,960 | $6,960 | $22,534 | $6,926–$27,964 |
| Nebraska (statewide) | 10 | $9,875 | $9,875 | $11,754 | $7,907–$20,585 |
| Nevada (statewide) | 5 | $7,907 | $7,907 | $19,541 | $7,907–$29,988 |
| New Hampshire (statewide) | 6 | $18,045 | $27,730 | $41,560 | $14,422–$57,492 |
| New Jersey (statewide) | 22 | $12,090 | $14,869 | $14,930 | $8,458–$32,626 |
| New Mexico (statewide) | 7 | $15,296 | $17,823 | $26,188 | $12,546–$34,218 |
| New York (statewide) | 29 | $15,226 | $18,669 | $28,275 | $8,204–$44,471 |
| New York City | 8 | $14,547 | $15,226 | $15,302 | $12,297–$21,908 |
| North Carolina (statewide) | 2 | — | — | — | $7,186–$27,873 |
| North Dakota (statewide) | 5 | $20,570 | $22,259 | $23,240 | $16,908–$30,070 |
| Ohio (statewide) | 34 | $17,172 | $21,226 | $29,326 | $9,353–$49,348 |
| Oklahoma (statewide) | 7 | $17,199 | $21,874 | $26,424 | $14,765–$31,460 |
| Oregon (statewide) | 8 | $32,949 | $39,129 | $49,947 | $27,710–$61,050 |
| Pennsylvania (statewide) | 27 | $18,037 | $26,828 | $42,767 | $9,176–$56,776 |
| Philadelphia PA | 11 | $11,732 | $12,434 | $15,094 | $8,412–$23,987 |
| Phoenix AZ | 6 | $10,746 | $10,746 | $10,746 | $10,746–$10,746 |
| Pittsburgh PA | 7 | $16,406 | $26,129 | $27,549 | $6,910–$32,386 |
| Portland OR | 9 | $20,708 | $20,708 | $24,555 | $17,589–$24,555 |
| Rhode Island (statewide) | 3 | — | — | — | $24,183–$26,796 |
| Richmond VA | 3 | — | — | — | $10,723–$10,996 |
| Rio Grande Valley TX | 7 | $9,659 | $16,447 | $16,684 | $9,328–$17,326 |
| Salt Lake City UT | 9 | $18,186 | $18,806 | $18,806 | $11,982–$19,426 |
| San Antonio TX | 3 | — | — | — | $8,373–$18,424 |
| San Diego CA | 3 | — | — | — | $23,366–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $12,589–$38,045 |
| Seattle-Tacoma WA | 16 | $35,503 | $36,274 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 19 | $13,081 | $17,466 | $20,678 | $10,731–$23,724 |
| South Dakota (statewide) | 2 | — | — | — | $10,499–$20,401 |
| Tampa FL | 6 | $16,642 | $16,642 | $16,642 | $15,523–$19,745 |
| Tennessee (statewide) | 20 | $7,509 | $12,231 | $13,654 | $6,960–$27,758 |
| Texas (statewide) | 75 | $11,442 | $15,566 | $18,830 | $6,561–$46,675 |
| Utah (statewide) | 6 | $12,770 | $16,660 | $18,186 | $11,982–$18,806 |
| Virginia (statewide) | 16 | $17,905 | $26,244 | $29,532 | $11,898–$43,511 |
| Washington (statewide) | 11 | $34,948 | $37,951 | $47,689 | $13,558–$68,776 |
| Washington DC | 9 | $10,915 | $14,695 | $14,695 | $8,403–$14,797 |
| West Virginia (statewide) | 6 | $16,073 | $21,535 | $44,475 | $12,304–$85,473 |
| Wisconsin (statewide) | 28 | $12,997 | $12,997 | $21,100 | $7,984–$35,534 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Saint Joseph Hospital | Kentucky (statewide) | $6,561 | 0.5× | 1 | 2026-02-28 |
| Chi St Joseph Health Regional Hospital | Texas (statewide) | $6,561 | 0.5× | 1 | 2026-02-28 |
| Jefferson County Hospital | Mississippi (statewide) | $6,892 | 0.6× | 4 | 2026-09-15 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 0.5× | 1 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,910 | 0.6× | 1 | 2026-03-06 |
| TriStar Skyline Medical Center | Nashville TN | $6,926 | 0.6× | 2 | 2026-09-01 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $6,960 | 0.6× | 2 | 2026-04-01 |
| Tristar Horizon Medical Center | Tennessee (statewide) | $6,960 | 0.6× | 2 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $60,472 | 4.8× | 1 | 2025-09-09 |
| Providence Medford Medical Center | Oregon (statewide) | $61,050 | 4.0× | 2 | 2026-04-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $61,208 | 4.7× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $68,776 | 4.6× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 493: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur With Cc
1513 hospitals in 83 markets. National Medicare rate $18,455.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $21,097 | $25,485 | $29,260 | $16,992–$57,167 |
| Alaska (statewide) | 4 | — | — | — | $22,200–$79,389 |
| Arizona (statewide) | 28 | $28,476 | $41,202 | $46,084 | $19,068–$52,805 |
| Arkansas (statewide) | 11 | $22,108 | $23,608 | $25,409 | $18,497–$29,774 |
| Atlanta GA | 9 | $43,328 | $47,893 | $56,791 | $43,328–$70,686 |
| Austin TX | 13 | $16,926 | $25,164 | $28,551 | $15,890–$34,660 |
| Boston MA | 14 | $21,833 | $24,356 | $34,481 | $17,985–$51,933 |
| California (statewide) | 54 | $28,710 | $35,854 | $42,678 | $20,106–$120,096 |
| Charlotte NC | 8 | $36,557 | $39,591 | $45,643 | $28,450–$45,643 |
| Chicago IL | 10 | $30,271 | $36,866 | $40,152 | $22,804–$47,171 |
| Cleveland OH | 11 | $20,323 | $29,734 | $33,993 | $19,198–$42,792 |
| Colorado (statewide) | 16 | $33,314 | $45,417 | $58,643 | $15,538–$79,738 |
| Columbus OH | 3 | — | — | — | $51,549–$67,960 |
| Connecticut (statewide) | 6 | $24,966 | $36,448 | $48,400 | $16,238–$59,296 |
| Dallas-Fort Worth TX | 15 | $23,412 | $28,726 | $32,129 | $21,766–$54,006 |
| Delaware (statewide) | 2 | — | — | — | $37,603–$53,816 |
| Denver CO | 15 | $30,360 | $33,095 | $50,373 | $20,901–$65,074 |
| Detroit MI | 17 | $34,740 | $34,740 | $52,012 | $27,481–$68,171 |
| Florida (statewide) | 89 | $23,404 | $25,865 | $48,533 | $15,002–$76,176 |
| Georgia (statewide) | 42 | $33,146 | $47,658 | $56,096 | $19,910–$70,686 |
| Hawaii (statewide) | 11 | $52,235 | $54,752 | $61,996 | $43,748–$65,502 |
| Houston TX | 19 | $24,310 | $29,245 | $37,531 | $22,759–$55,189 |
| Idaho (statewide) | 16 | $35,107 | $45,913 | $52,180 | $25,688–$64,838 |
| Illinois (statewide) | 44 | $23,287 | $27,933 | $37,292 | $13,508–$140,800 |
| Indiana (statewide) | 48 | $19,970 | $32,771 | $42,614 | $16,090–$55,438 |
| Indianapolis IN | 6 | $15,419 | $31,158 | $54,724 | $15,260–$57,491 |
| Iowa (statewide) | 20 | $23,646 | $28,446 | $35,628 | $20,323–$40,745 |
| Kansas (statewide) | 22 | $20,262 | $23,499 | $32,843 | $10,486–$79,389 |
| Kentucky (statewide) | 33 | $22,082 | $25,147 | $33,041 | $14,602–$55,379 |
| Las Vegas NV | 2 | — | — | — | $26,574–$48,323 |
| Los Angeles CA | 18 | $37,412 | $43,408 | $47,092 | $33,918–$55,890 |
| Louisiana (statewide) | 23 | $18,228 | $22,570 | $24,796 | $14,422–$32,754 |
| Maine (statewide) | 13 | $48,733 | $68,774 | $76,682 | $19,554–$76,682 |
| Maryland (statewide) | 1 | — | — | — | $29,557–$29,557 |
| Massachusetts (statewide) | 6 | $26,298 | $31,966 | $34,452 | $18,081–$34,613 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $23,239–$43,256 |
| Michigan (statewide) | 37 | $30,604 | $34,028 | $42,065 | $19,985–$60,328 |
| Minneapolis-St. Paul MN | 15 | $37,922 | $41,235 | $42,071 | $25,606–$45,099 |
| Minnesota (statewide) | 22 | $30,984 | $32,362 | $41,197 | $13,923–$52,751 |
| Mississippi (statewide) | 17 | $25,615 | $27,881 | $28,993 | $18,728–$42,016 |
| Missouri (statewide) | 31 | $24,712 | $27,593 | $33,588 | $17,647–$53,366 |
| Montana (statewide) | 7 | $25,860 | $41,742 | $55,603 | $11,461–$80,264 |
| Nashville TN | 8 | $19,084 | $20,460 | $28,061 | $17,972–$46,099 |
| Nebraska (statewide) | 15 | $40,841 | $42,844 | $49,876 | $28,110–$60,570 |
| Nevada (statewide) | 6 | $32,727 | $38,896 | $47,043 | $27,035–$50,368 |
| New Hampshire (statewide) | 8 | $30,636 | $32,429 | $41,709 | $25,096–$59,649 |
| New Jersey (statewide) | 21 | $40,348 | $47,917 | $57,038 | $23,250–$71,442 |
| New Mexico (statewide) | 11 | $19,944 | $25,302 | $38,357 | $16,848–$72,301 |
| New York (statewide) | 48 | $27,928 | $33,369 | $44,644 | $18,399–$76,990 |
| New York City | 9 | $45,166 | $47,562 | $49,800 | $21,398–$77,479 |
| North Carolina (statewide) | 32 | $21,424 | $24,284 | $45,592 | $14,848–$58,416 |
| North Dakota (statewide) | 7 | $30,588 | $32,047 | $35,665 | $26,552–$43,352 |
| Ohio (statewide) | 50 | $25,132 | $37,472 | $44,357 | $16,291–$65,276 |
| Oklahoma (statewide) | 17 | $19,584 | $23,250 | $26,711 | $13,000–$49,596 |
| Oregon (statewide) | 14 | $32,096 | $41,780 | $50,116 | $18,742–$65,276 |
| Pennsylvania (statewide) | 61 | $29,703 | $38,051 | $44,244 | $19,666–$70,715 |
| Philadelphia PA | 11 | $42,182 | $46,338 | $50,825 | $38,645–$71,442 |
| Phoenix AZ | 11 | $41,463 | $41,463 | $42,842 | $38,135–$44,674 |
| Pittsburgh PA | 7 | $31,932 | $33,913 | $37,995 | $26,017–$43,558 |
| Portland OR | 9 | $49,920 | $54,072 | $62,517 | $48,290–$62,517 |
| Research Triangle NC | 9 | $28,634 | $31,933 | $39,113 | $21,150–$39,797 |
| Rhode Island (statewide) | 7 | $28,388 | $38,313 | $50,995 | $21,136–$54,914 |
| Richmond VA | 7 | $28,998 | $54,384 | $59,314 | $24,996–$61,020 |
| Rio Grande Valley TX | 6 | $26,170 | $29,300 | $31,447 | $23,672–$35,431 |
| Salt Lake City UT | 9 | $46,394 | $46,394 | $46,394 | $45,934–$46,394 |
| San Antonio TX | 3 | — | — | — | $24,580–$47,594 |
| San Diego CA | 7 | $30,542 | $36,289 | $38,893 | $28,888–$41,972 |
| San Francisco Bay Area CA | 2 | — | — | — | $30,994–$40,046 |
| Seattle-Tacoma WA | 16 | $48,171 | $52,781 | $54,526 | $46,365–$68,133 |
| South Carolina (statewide) | 33 | $41,730 | $47,276 | $56,066 | $19,530–$76,856 |
| South Dakota (statewide) | 4 | — | — | — | $27,897–$41,250 |
| St. Louis MO | 7 | $27,107 | $27,107 | $27,148 | $12,959–$42,992 |
| Tampa FL | 11 | $48,398 | $48,533 | $52,354 | $36,990–$56,248 |
| Tennessee (statewide) | 33 | $20,342 | $23,795 | $26,892 | $18,492–$46,099 |
| Texas (statewide) | 87 | $23,366 | $28,726 | $37,541 | $12,423–$62,426 |
| Utah (statewide) | 6 | $39,725 | $54,620 | $64,752 | $18,603–$65,388 |
| Vermont (statewide) | 3 | — | — | — | $30,017–$66,352 |
| Virginia (statewide) | 26 | $38,232 | $46,784 | $51,926 | $21,543–$87,313 |
| Washington (statewide) | 14 | $35,481 | $45,848 | $51,324 | $19,647–$100,882 |
| Washington DC | 11 | $36,847 | $47,091 | $48,524 | $21,861–$53,400 |
| West Virginia (statewide) | 13 | $14,149 | $15,243 | $46,944 | $11,982–$61,084 |
| Wisconsin (statewide) | 49 | $35,744 | $45,368 | $52,751 | $13,088–$61,001 |
| Wyoming (statewide) | 2 | — | — | — | $40,261–$53,366 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $10,486 | 0.6× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $11,461 | 0.6× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $11,982 | 0.7× | 2 | 2026-07-10 |
| Peterson Regional Medical Center | Texas (statewide) | $12,423 | 0.7× | 1 | 2026-08-17 |
| Mercy Hospital South | St. Louis MO | $12,959 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $13,000 | 0.8× | 3 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Thedacare Medical Center - Berlin Inc | Wisconsin (statewide) | $13,130 | 0.8× | 2 | 2026-08-08 |
| Hammond Henry Hospital | Illinois (statewide) | $13,508 | 0.7× | 2 | 2026-01-22 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $13,690 | 0.8× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $13,739 | 0.8× | 3 | 2026-07-09 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $13,923 | 0.8× | 1 | 2026-01-28 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $77,479 | 3.4× | 9 | 2026-01-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $79,389 | 3.9× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $79,389 | 4.7× | 4 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $79,738 | 4.2× | 4 | 2026-03-22 |
| Providence St Joseph Medical Center | Montana (statewide) | $80,264 | 4.3× | 1 | 2026-04-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $80,369 | 4.6× | 1 | 2025-12-15 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $82,203 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $87,313 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $88,295 | 3.7× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $100,882 | 5.0× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $120,096 | 5.1× | 1 | 2026-03-12 |
| Mason District Hospital | Illinois (statewide) | $140,800 | 7.2× | 1 | 2026-03-10 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 494: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/McC
1506 hospitals in 83 markets. National Medicare rate $14,601.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $17,022 | $20,163 | $22,892 | $13,444–$44,890 |
| Alaska (statewide) | 4 | — | — | — | $17,666–$62,344 |
| Arizona (statewide) | 28 | $22,566 | $32,000 | $35,151 | $14,973–$39,559 |
| Arkansas (statewide) | 11 | $17,490 | $18,678 | $20,064 | $14,525–$23,556 |
| Atlanta GA | 9 | $34,026 | $38,902 | $39,886 | $34,026–$55,510 |
| Austin TX | 13 | $12,656 | $20,284 | $22,136 | $9,828–$24,646 |
| Boston MA | 15 | $17,440 | $18,560 | $24,990 | $14,229–$41,088 |
| California (statewide) | 53 | $22,687 | $28,248 | $33,836 | $15,907–$108,076 |
| Charlotte NC | 8 | $28,706 | $31,089 | $32,385 | $22,509–$32,385 |
| Chicago IL | 11 | $21,797 | $26,672 | $31,300 | $13,362–$37,321 |
| Cleveland OH | 11 | $19,648 | $23,525 | $26,895 | $16,868–$33,856 |
| Colorado (statewide) | 16 | $26,356 | $36,176 | $46,397 | $12,294–$63,086 |
| Columbus OH | 2 | — | — | — | $35,588–$40,784 |
| Connecticut (statewide) | 6 | $24,966 | $31,489 | $38,486 | $16,238–$50,052 |
| Dallas-Fort Worth TX | 15 | $19,195 | $21,411 | $25,786 | $18,116–$41,908 |
| Delaware (statewide) | 2 | — | — | — | $24,818–$38,215 |
| Denver CO | 15 | $22,257 | $26,184 | $39,854 | $16,722–$51,325 |
| Detroit MI | 17 | $27,485 | $27,485 | $35,874 | $19,948–$46,359 |
| Florida (statewide) | 90 | $18,990 | $20,754 | $38,111 | $14,074–$60,269 |
| Georgia (statewide) | 43 | $25,566 | $38,230 | $46,980 | $15,964–$55,510 |
| Hawaii (statewide) | 12 | $32,330 | $34,180 | $42,482 | $20,204–$46,515 |
| Houston TX | 19 | $20,159 | $23,904 | $29,537 | $18,003–$46,014 |
| Idaho (statewide) | 15 | $24,598 | $30,172 | $38,034 | $9,545–$45,975 |
| Illinois (statewide) | 44 | $18,391 | $21,557 | $28,704 | $9,990–$43,401 |
| Indiana (statewide) | 49 | $16,326 | $27,182 | $33,715 | $13,858–$43,862 |
| Indianapolis IN | 5 | $15,001 | $15,002 | $36,729 | $14,482–$45,485 |
| Iowa (statewide) | 18 | $18,143 | $21,385 | $27,690 | $15,980–$31,995 |
| Kansas (statewide) | 23 | $16,071 | $17,927 | $25,514 | $10,546–$62,344 |
| Kentucky (statewide) | 31 | $17,474 | $19,896 | $25,920 | $11,658–$43,487 |
| Las Vegas NV | 2 | — | — | — | $22,335–$38,602 |
| Los Angeles CA | 18 | $31,652 | $34,302 | $37,191 | $26,835–$44,143 |
| Louisiana (statewide) | 23 | $14,128 | $17,812 | $20,550 | $11,569–$25,860 |
| Maine (statewide) | 13 | $38,268 | $54,412 | $60,669 | $15,470–$60,669 |
| Maryland (statewide) | 1 | — | — | — | $25,176–$25,176 |
| Massachusetts (statewide) | 7 | $21,802 | $27,385 | $27,985 | $14,306–$35,615 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $18,780–$33,837 |
| Michigan (statewide) | 36 | $22,644 | $26,280 | $31,749 | $15,812–$41,735 |
| Minneapolis-St. Paul MN | 15 | $30,009 | $32,382 | $33,190 | $15,042–$37,850 |
| Minnesota (statewide) | 22 | $24,490 | $25,604 | $32,382 | $11,016–$41,735 |
| Mississippi (statewide) | 17 | $20,266 | $21,670 | $22,938 | $14,706–$33,242 |
| Missouri (statewide) | 28 | $19,445 | $22,142 | $25,922 | $13,858–$41,908 |
| Montana (statewide) | 7 | $20,459 | $33,186 | $44,148 | $9,000–$63,811 |
| Nashville TN | 8 | $16,182 | $16,498 | $21,634 | $15,836–$36,200 |
| Nebraska (statewide) | 15 | $32,144 | $33,644 | $39,212 | $22,073–$47,921 |
| Nevada (statewide) | 5 | $27,830 | $30,454 | $38,602 | $25,654–$39,850 |
| New Hampshire (statewide) | 8 | $23,676 | $25,466 | $32,934 | $19,856–$47,193 |
| New Jersey (statewide) | 21 | $32,008 | $37,433 | $44,736 | $18,938–$56,814 |
| New Mexico (statewide) | 11 | $16,103 | $20,088 | $28,916 | $13,230–$56,778 |
| New York (statewide) | 46 | $20,556 | $25,793 | $35,171 | $14,557–$60,460 |
| New York City | 9 | $33,131 | $37,630 | $39,401 | $16,804–$61,300 |
| North Carolina (statewide) | 32 | $15,903 | $18,846 | $32,582 | $11,660–$48,026 |
| North Dakota (statewide) | 7 | $24,110 | $25,268 | $30,368 | $23,682–$53,144 |
| Ohio (statewide) | 52 | $19,648 | $29,961 | $35,088 | $12,889–$51,384 |
| Oklahoma (statewide) | 17 | $14,912 | $19,424 | $21,221 | $11,033–$39,239 |
| Oregon (statewide) | 13 | $31,112 | $33,540 | $39,929 | $14,717–$51,384 |
| Pennsylvania (statewide) | 62 | $21,934 | $27,096 | $33,852 | $14,468–$55,774 |
| Philadelphia PA | 11 | $33,285 | $36,807 | $40,110 | $30,504–$56,814 |
| Phoenix AZ | 11 | $32,804 | $32,804 | $33,414 | $29,946–$34,347 |
| Pittsburgh PA | 7 | $23,538 | $25,048 | $27,898 | $19,517–$31,860 |
| Portland OR | 9 | $40,071 | $42,920 | $49,095 | $37,922–$49,095 |
| Research Triangle NC | 9 | $22,293 | $25,076 | $30,252 | $16,030–$30,945 |
| Rhode Island (statewide) | 6 | $26,802 | $34,340 | $41,318 | $21,846–$43,446 |
| Richmond VA | 7 | $23,191 | $31,064 | $46,157 | $21,716–$48,277 |
| Rio Grande Valley TX | 6 | $21,161 | $23,475 | $24,552 | $20,486–$28,860 |
| Salt Lake City UT | 9 | $31,270 | $31,270 | $31,270 | $30,959–$31,270 |
| San Antonio TX | 3 | — | — | — | $19,506–$41,372 |
| San Diego CA | 7 | $24,315 | $28,711 | $31,060 | $23,056–$33,410 |
| San Francisco Bay Area CA | 2 | — | — | — | $24,619–$28,355 |
| Seattle-Tacoma WA | 16 | $38,064 | $41,447 | $43,198 | $36,246–$53,505 |
| South Carolina (statewide) | 32 | $30,568 | $36,410 | $43,787 | $12,530–$60,807 |
| South Dakota (statewide) | 4 | — | — | — | $22,072–$32,636 |
| St. Louis MO | 7 | $22,936 | $22,936 | $22,936 | $10,253–$36,316 |
| Tampa FL | 11 | $38,111 | $38,111 | $41,421 | $29,044–$44,502 |
| Tennessee (statewide) | 32 | $16,233 | $18,384 | $21,118 | $12,773–$36,200 |
| Texas (statewide) | 88 | $18,482 | $22,306 | $30,987 | $9,489–$49,023 |
| Utah (statewide) | 6 | $30,179 | $36,814 | $43,642 | $14,718–$44,071 |
| Vermont (statewide) | 3 | — | — | — | $23,571–$52,103 |
| Virginia (statewide) | 26 | $30,248 | $36,041 | $39,942 | $18,476–$69,080 |
| Washington (statewide) | 15 | $27,484 | $35,960 | $39,624 | $15,472–$78,969 |
| Washington DC | 11 | $29,394 | $36,978 | $38,104 | $17,380–$42,249 |
| West Virginia (statewide) | 12 | $10,328 | $10,894 | $33,481 | $8,810–$48,329 |
| Wisconsin (statewide) | 49 | $28,280 | $35,626 | $41,735 | $13,088–$48,262 |
| Wyoming (statewide) | 2 | — | — | — | $31,853–$41,534 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Wetzel County Hospital | West Virginia (statewide) | $8,810 | 0.6× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $9,000 | 0.6× | 1 | 2026-01-01 |
| Peterson Regional Medical Center | Texas (statewide) | $9,489 | 0.7× | 1 | 2026-08-17 |
| Saint Alphonsus Regional Medical Center | Idaho (statewide) | $9,545 | 0.7× | 1 | 2026-03-31 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Hammond Henry Hospital | Illinois (statewide) | $9,990 | 0.7× | 1 | 2026-01-22 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $10,066 | 0.7× | 2 | 2026-07-10 |
| Loma Linda University Children'S Hospital | California (statewide) | $60,829 | 3.2× | 3 | 2026-09-02 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $61,300 | 3.4× | 9 | 2026-01-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $62,344 | 3.9× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $62,344 | 4.6× | 4 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $63,086 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $63,586 | 4.6× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $63,811 | 4.4× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $67,290 | 3.6× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $69,080 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $70,509 | 3.8× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $78,969 | 4.9× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $108,076 | 5.8× | 1 | 2026-03-12 |
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 shin bone (tibia shaft) fracture fixation?
Across 966 hospitals in 76 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27759, hospital outpatient is $16,684, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $12,231 to $24,505. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for shin bone (tibia shaft) fracture fixation?
Medicare's national hospital outpatient rate for CPT 27759 is $13,117 and its surgery-center rate is $8,846, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for shin bone (tibia shaft) fracture fixation?
Lowest medians: Atrium Health Navicent Peach ($5,681), Saint Joseph Hospital ($6,561), Chi St Joseph Health Regional Hospital ($6,561). Highest: Logan Regional Medical Center ($85,473), Mainehealth Lincoln Hospital ($76,956), Mary Bridge Children'S Hospital ($68,776). Coverage: every hospital whose price file we could read.