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: Treatment of Tibia Fracture
82 hospitals in 32 markets. National Medicare rate $13,117, surgery center $8,846.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,797–$7,797 |
| Austin TX | 2 | — | — | — | $9,780–$11,425 |
| Boston MA | 7 | $17,208 | $20,546 | $22,276 | $15,097–$25,680 |
| California (statewide) | 1 | — | — | — | $21,550–$21,550 |
| Chicago IL | 5 | $12,918 | $14,832 | $20,291 | $12,481–$22,164 |
| Cleveland OH | 4 | — | — | — | $9,257–$29,779 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,126–$41,120 |
| Denver CO | 7 | $10,196 | $10,722 | $16,008 | $9,685–$19,278 |
| Detroit MI | 2 | — | — | — | $9,407–$9,646 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $15,546–$15,546 |
| Illinois (statewide) | 1 | — | — | — | $15,030–$15,030 |
| Indianapolis IN | 1 | — | — | — | $23,708–$23,708 |
| Kansas (statewide) | 1 | — | — | — | $10,705–$10,705 |
| Las Vegas NV | 2 | — | — | — | $7,907–$18,279 |
| Los Angeles CA | 2 | — | — | — | $16,754–$26,623 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $11,329–$11,329 |
| Nashville TN | 2 | — | — | — | $6,960–$13,006 |
| New York City | 3 | — | — | — | $12,386–$15,171 |
| Ohio (statewide) | 1 | — | — | — | $18,767–$18,767 |
| Pennsylvania (statewide) | 1 | — | — | — | $20,420–$20,420 |
| Philadelphia PA | 5 | $10,365 | $12,364 | $12,434 | $9,071–$13,320 |
| Phoenix AZ | 3 | — | — | — | $10,746–$10,746 |
| Pittsburgh PA | 1 | — | — | — | $6,910–$6,910 |
| Portland OR | 6 | $20,708 | $20,708 | $23,593 | $20,708–$24,555 |
| Richmond VA | 2 | — | — | — | $12,959–$12,992 |
| San Antonio TX | 1 | — | — | — | $8,373–$8,373 |
| San Francisco Bay Area CA | 1 | — | — | — | $38,045–$38,045 |
| Seattle-Tacoma WA | 6 | $40,850 | $44,140 | $56,744 | $35,533–$60,220 |
| Tampa FL | 2 | — | — | — | $14,016–$16,642 |
| Washington DC | 4 | — | — | — | $12,328–$16,441 |
| Wisconsin (statewide) | 1 | — | — | — | $12,152–$12,152 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,910 | 0.6× | 1 | 2026-03-06 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,797 | 0.6× | 5 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $7,907 | 0.6× | 1 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $8,373 | 0.7× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,071 | 0.6× | 3 | 2026-09-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,126 | 0.7× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 0.8× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $9,257 | 0.8× | 1 | 2026-07-14 |
| Harper University Hospital | Detroit MI | $9,407 | 0.7× | 1 | 2026-09-02 |
| Henry Ford Health Rochester Hospital | Detroit MI | $9,646 | 0.8× | 1 | 2026-01-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $9,685 | 0.7× | 3 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $9,750 | 0.7× | 3 | 2026-09-01 |
| St David's Medical Center | Austin TX | $9,780 | 0.8× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,910 | 0.8× | 6 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $10,365 | 0.8× | 2 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $10,482 | 0.8× | 6 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $10,641 | 0.8× | 3 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $10,705 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $10,722 | 0.8× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $10,746 | 0.8× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $10,746 | 0.8× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $10,746 | 0.8× | 1 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $11,329 | 0.8× | 1 | 2026-06-15 |
| Ascension Seton Medical Center Austin | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $12,152 | 0.9× | 3 | 2026-01-01 |
| George Washington Univ Hospital | Washington DC | $12,328 | 0.8× | 1 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $12,364 | 0.9× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,386 | 0.8× | 6 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $12,434 | 0.9× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $12,481 | 0.9× | 1 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $12,621 | 0.9× | 3 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $12,621 | 0.9× | 3 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $12,739 | 0.9× | 3 | 2025-11-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $12,918 | 0.9× | 2 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $12,959 | 1.0× | 3 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,992 | 1.0× | 3 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $13,006 | 1.1× | 4 | 2025-10-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 0.9× | 1 | 2026-03-24 |
| Tampa General Hospital | Tampa FL | $14,016 | 1.1× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $14,620 | 0.9× | 6 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $14,832 | 1.1× | 2 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $15,030 | 1.1× | 1 | 2026-06-03 |
| Winchester Hospital | Boston MA | $15,097 | 1.0× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $15,171 | 0.9× | 6 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $15,546 | 1.2× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $16,441 | 1.2× | 3 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $16,687 | 1.1× | 3 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $16,754 | 1.0× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $17,729 | 1.1× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $18,279 | 1.4× | 7 | 2026-07-01 |
| Bethesda North | Ohio (statewide) | $18,767 | 1.5× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $19,278 | 1.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $19,278 | 1.4× | 2 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $20,291 | 1.5× | 2 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $20,420 | 1.6× | 8 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $20,546 | 1.3× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $20,894 | 1.4× | 2 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $21,550 | 1.3× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $22,164 | 1.6× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $23,019 | 1.9× | 1 | 2026-06-15 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $23,658 | 1.5× | 1 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $23,708 | 1.8× | 2 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,555 | 1.7× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,555 | 1.7× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $25,680 | 1.7× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $26,296 | 2.2× | 1 | 2026-06-15 |
| Cedars-Sinai Medical Center | Los Angeles CA | $26,623 | 1.6× | 3 | 2025-11-26 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $29,779 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $35,533 | 2.4× | 5 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $38,045 | 2.0× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $40,670 | 2.7× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $41,120 | 3.2× | 2 | 2026-04-21 |
| St Anthony Hospital | Seattle-Tacoma WA | $41,388 | 2.8× | 6 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $46,893 | 3.1× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $60,028 | 4.0× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $60,220 | 4.0× | 4 | 2026-08-27 |
MS-DRG 493: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur With Cc
127 hospitals in 39 markets. National Medicare rate $18,455.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 3 | — | — | — | $43,328–$50,414 |
| Austin TX | 2 | — | — | — | $18,718–$20,471 |
| Boston MA | 7 | $22,541 | $23,459 | $26,144 | $19,051–$36,964 |
| California (statewide) | 1 | — | — | — | $28,431–$28,431 |
| Charlotte NC | 2 | — | — | — | $39,824–$45,643 |
| Chicago IL | 7 | $27,756 | $33,513 | $37,187 | $22,804–$47,171 |
| Cleveland OH | 5 | $19,424 | $20,542 | $23,100 | $19,100–$29,846 |
| Columbus OH | 2 | — | — | — | $56,251–$67,960 |
| Dallas-Fort Worth TX | 4 | — | — | — | $32,950–$58,059 |
| Denver CO | 7 | $21,800 | $31,694 | $44,948 | $20,694–$53,382 |
| Detroit MI | 8 | $35,526 | $43,988 | $51,447 | $35,526–$52,852 |
| Florida (statewide) | 1 | — | — | — | $67,711–$67,711 |
| Georgia (statewide) | 1 | — | — | — | $47,598–$47,598 |
| Houston TX | 1 | — | — | — | $41,493–$41,493 |
| Illinois (statewide) | 1 | — | — | — | $20,206–$20,206 |
| Indianapolis IN | 3 | — | — | — | $16,376–$36,834 |
| Kansas (statewide) | 1 | — | — | — | $27,593–$27,593 |
| Las Vegas NV | 1 | — | — | — | $24,454–$24,454 |
| Los Angeles CA | 2 | — | — | — | $52,322–$77,630 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $25,707–$30,976 |
| Minneapolis-St. Paul MN | 6 | $37,922 | $38,692 | $42,046 | $30,788–$42,971 |
| Nashville TN | 4 | — | — | — | $19,970–$52,085 |
| New York (statewide) | 1 | — | — | — | $43,640–$43,640 |
| New York City | 3 | — | — | — | $23,605–$81,391 |
| Ohio (statewide) | 1 | — | — | — | $44,361–$44,361 |
| Pennsylvania (statewide) | 1 | — | — | — | $49,506–$49,506 |
| Philadelphia PA | 5 | $42,349 | $47,565 | $62,156 | $38,645–$68,987 |
| Phoenix AZ | 3 | — | — | — | $41,463–$41,838 |
| Pittsburgh PA | 1 | — | — | — | $51,574–$51,574 |
| Portland OR | 6 | $52,778 | $53,884 | $60,483 | $52,574–$62,517 |
| Research Triangle NC | 5 | $28,634 | $30,922 | $35,127 | $21,150–$39,797 |
| Richmond VA | 4 | — | — | — | $29,312–$61,020 |
| Salt Lake City UT | 3 | — | — | — | $51,203–$53,250 |
| San Antonio TX | 1 | — | — | — | $26,810–$26,810 |
| San Diego CA | 1 | — | — | — | $41,413–$41,413 |
| Seattle-Tacoma WA | 6 | $54,370 | $55,006 | $55,641 | $47,516–$68,133 |
| St. Louis MO | 5 | $23,054 | $23,054 | $23,054 | $12,959–$41,375 |
| Tampa FL | 4 | — | — | — | $48,523–$60,279 |
| Washington DC | 6 | $34,140 | $46,592 | $51,818 | $30,149–$60,050 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $12,959 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $16,376 | 0.8× | 4 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $16,728 | 0.9× | 4 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $18,718 | 1.0× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $19,051 | 0.9× | 1 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $19,100 | 1.1× | 4 | 2026-06-15 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $19,424 | 1.1× | 4 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $19,970 | 1.2× | 6 | 2026-01-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $20,206 | 1.0× | 1 | 2026-06-03 |
| TriStar StoneCrest Medical Center | Nashville TN | $20,257 | 1.2× | 7 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $20,300 | 1.2× | 5 | 2026-01-01 |
| St David's Medical Center | Austin TX | $20,471 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $20,542 | 1.2× | 5 | 2026-06-15 |
| Hca Healthone Rose | Denver CO | $20,694 | 1.1× | 5 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $21,150 | 1.2× | 2 | 2026-02-25 |
| HCA HealthONE Sky Ridge | Denver CO | $21,481 | 1.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $21,623 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $22,119 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $22,804 | 1.2× | 3 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $23,054 | 1.3× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $23,054 | 1.3× | 4 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $23,054 | 1.3× | 4 | 2025-12-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $23,100 | 1.4× | 5 | 2026-06-16 |
| Beverly Hospital Corporation | Boston MA | $23,459 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $23,459 | 1.1× | 1 | 2026-04-01 |
| Montefiore Medical Center | New York City | $23,605 | 1.0× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $24,454 | 1.3× | 2 | 2026-07-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $25,254 | 1.1× | 2 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $25,707 | 1.4× | 5 | 2026-03-13 |
| Endeavor Health Edward Hospital | Chicago IL | $26,322 | 1.4× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $26,810 | 1.5× | 4 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $27,035 | 1.2× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $27,593 | 1.6× | 6 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $28,431 | 1.2× | 3 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $28,634 | 1.6× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $29,190 | 1.5× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $29,312 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $29,312 | 1.7× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $29,846 | 1.8× | 4 | 2026-06-15 |
| Reston Hospital Center | Washington DC | $30,149 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $30,149 | 1.6× | 5 | 2026-09-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $30,788 | 1.6× | 3 | 2026-03-31 |
| UNC Rex Hospital | Research Triangle NC | $30,922 | 1.7× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $30,976 | 1.6× | 4 | 2026-06-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $31,694 | 1.7× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $32,950 | 1.8× | 6 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $33,513 | 1.7× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $33,671 | 1.9× | 4 | 2026-06-29 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $35,127 | 2.0× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $35,526 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $35,526 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $35,526 | 2.0× | 3 | 2026-05-01 |
| Loyola University Medical Center | Chicago IL | $35,538 | 1.8× | 4 | 2026-03-31 |
| Hendricks Regional Health | Indianapolis IN | $36,834 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $36,964 | 1.7× | 4 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $37,922 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $37,922 | 2.0× | 4 | 2026-06-16 |
| Riddle Memorial Hospital | Philadelphia PA | $38,645 | 2.1× | 4 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $38,836 | 2.0× | 4 | 2026-09-25 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $39,462 | 2.1× | 2 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $39,600 | 2.2× | 6 | 2026-09-01 |
| Duke University Hospital | Research Triangle NC | $39,797 | 2.2× | 3 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $39,824 | 2.3× | 2 | 2025-12-05 |
| Barnes Jewish Hospital | St. Louis MO | $41,375 | 2.3× | 5 | 2025-12-15 |
| Scripps Green Hospital | San Diego CA | $41,413 | 1.8× | 6 | 2026-03-30 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $41,463 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $41,463 | 2.1× | 5 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $41,493 | 2.3× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $41,838 | 2.2× | 4 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $42,336 | 2.4× | 2 | 2026-05-01 |
| Bryn Mawr Hospital | Philadelphia PA | $42,349 | 2.3× | 4 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $42,907 | 2.3× | 5 | 2026-06-16 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $42,971 | 2.3× | 3 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $43,328 | 2.4× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $43,640 | 1.9× | 1 | 2026-06-10 |
| Bethesda North | Ohio (statewide) | $44,361 | 2.5× | 5 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $44,948 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $44,948 | 2.4× | 2 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $45,640 | 2.5× | 1 | 2025-12-31 |
| Novant Health Matthews Medical Center | Charlotte NC | $45,643 | 2.6× | 3 | 2026-03-30 |
| George Washington Univ Hospital | Washington DC | $46,111 | 2.1× | 3 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $47,074 | 2.5× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $47,171 | 2.4× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $47,516 | 2.2× | 6 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $47,565 | 2.3× | 5 | 2026-09-15 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $47,598 | 3.0× | 4 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $47,893 | 2.6× | 5 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $48,523 | 2.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $49,124 | 2.6× | 5 | 2026-01-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $49,506 | 2.7× | 5 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $50,414 | 2.8× | 5 | 2026-07-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $51,203 | 2.8× | 1 | 2026-08-05 |
| Henry Ford Health Rochester Hospital | Detroit MI | $51,259 | 2.9× | 1 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $51,574 | 2.9× | 1 | 2026-03-06 |
| Trinity Health Oakland Hospital | Detroit MI | $52,012 | 2.9× | 17 | 2026-03-31 |
| Vanderbilt University Medical Center | Nashville TN | $52,085 | 3.0× | 6 | 2025-10-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $52,322 | 2.2× | 2 | 2025-11-26 |
| Hospital for Special Surgery | New York City | $52,487 | 2.3× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $52,574 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $52,574 | 2.6× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $52,852 | 2.9× | 2 | 2026-09-02 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $53,250 | 2.9× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $53,250 | 2.9× | 1 | 2026-08-05 |
| UCHealth University of Colorado Hospital | Denver CO | $53,382 | 2.8× | 6 | 2025-11-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $53,388 | 2.6× | 4 | 2026-04-01 |
| Medstar Washington Hospital Center | Washington DC | $53,400 | 2.5× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $54,370 | 2.5× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $54,370 | 2.5× | 6 | 2026-02-28 |
| Legacy Emanuel Medical Center | Portland OR | $54,380 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $54,822 | 2.9× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $55,641 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $55,641 | 2.6× | 6 | 2026-08-27 |
| Ohio State University Hospitals | Columbus OH | $56,251 | 3.2× | 3 | 2026-07-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $58,059 | 3.2× | 3 | 2026-04-21 |
| Medstar Georgetown University Hospital | Washington DC | $60,050 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $60,279 | 3.2× | 4 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $60,887 | 3.5× | 3 | 2026-01-02 |
| Bon Secours St. Mary's Hospital | Richmond VA | $61,020 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $62,156 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $62,517 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $62,517 | 3.1× | 3 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $67,711 | 3.6× | 4 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $67,960 | 3.9× | 20 | 2026-03-31 |
| Swedish Medical Center | Seattle-Tacoma WA | $68,133 | 3.2× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $68,987 | 3.4× | 5 | 2026-03-24 |
| Keck Hospital Of Usc | Los Angeles CA | $77,630 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $81,391 | 3.5× | 7 | 2026-01-01 |
MS-DRG 494: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/McC
126 hospitals in 39 markets. National Medicare rate $14,601.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 3 | — | — | — | $34,026–$39,886 |
| Austin TX | 2 | — | — | — | $12,917–$16,805 |
| Boston MA | 7 | $17,834 | $18,560 | $20,685 | $15,073–$29,245 |
| California (statewide) | 1 | — | — | — | $24,856–$24,856 |
| Charlotte NC | 2 | — | — | — | $31,272–$32,385 |
| Chicago IL | 7 | $21,797 | $26,318 | $29,316 | $17,908–$37,321 |
| Cleveland OH | 5 | $17,338 | $20,542 | $23,100 | $16,468–$25,718 |
| Columbus OH | 1 | — | — | — | $44,504–$44,504 |
| Dallas-Fort Worth TX | 4 | — | — | — | $25,919–$45,593 |
| Denver CO | 7 | $17,234 | $18,634 | $35,561 | $16,557–$42,235 |
| Detroit MI | 8 | $28,107 | $30,900 | $35,685 | $28,107–$38,352 |
| Florida (statewide) | 1 | — | — | — | $53,173–$53,173 |
| Georgia (statewide) | 1 | — | — | — | $37,378–$37,378 |
| Houston TX | 1 | — | — | — | $32,432–$32,432 |
| Illinois (statewide) | 1 | — | — | — | $15,986–$15,986 |
| Indianapolis IN | 3 | — | — | — | $15,520–$29,142 |
| Kansas (statewide) | 1 | — | — | — | $21,831–$21,831 |
| Las Vegas NV | 1 | — | — | — | $21,602–$21,602 |
| Los Angeles CA | 2 | — | — | — | $47,356–$61,419 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $20,585–$24,508 |
| Minneapolis-St. Paul MN | 6 | $30,560 | $32,214 | $33,552 | $24,359–$37,850 |
| Nashville TN | 4 | — | — | — | $16,194–$35,208 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 3 | — | — | — | $18,537–$64,395 |
| Ohio (statewide) | 1 | — | — | — | $35,098–$35,098 |
| Pennsylvania (statewide) | 1 | — | — | — | $39,168–$39,168 |
| Philadelphia PA | 5 | $33,328 | $37,632 | $49,176 | $30,504–$54,581 |
| Phoenix AZ | 3 | — | — | — | $32,804–$33,101 |
| Pittsburgh PA | 1 | — | — | — | $36,247–$36,247 |
| Portland OR | 6 | $41,722 | $43,058 | $47,718 | $41,453–$49,095 |
| Research Triangle NC | 5 | $22,293 | $24,282 | $27,583 | $16,030–$30,252 |
| Richmond VA | 4 | — | — | — | $28,998–$48,277 |
| Salt Lake City UT | 3 | — | — | — | $34,511–$35,890 |
| San Antonio TX | 1 | — | — | — | $22,214–$22,214 |
| San Diego CA | 1 | — | — | — | $32,765–$32,765 |
| Seattle-Tacoma WA | 6 | $42,695 | $43,182 | $43,668 | $37,776–$53,505 |
| St. Louis MO | 5 | $23,207 | $23,207 | $23,207 | $10,253–$35,516 |
| Tampa FL | 4 | — | — | — | $38,105–$47,692 |
| Washington DC | 6 | $27,010 | $36,724 | $40,928 | $23,853–$47,510 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $10,253 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $12,917 | 0.9× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $15,073 | 0.9× | 1 | 2026-04-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.0× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.1× | 5 | 2026-01-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $15,986 | 1.0× | 1 | 2026-06-03 |
| North Carolina Specialty Hospital | Research Triangle NC | $16,030 | 1.1× | 2 | 2026-02-25 |
| Ascension Saint Thomas Rutherford | Nashville TN | $16,194 | 1.2× | 6 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $16,194 | 1.2× | 7 | 2026-01-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $16,468 | 1.2× | 4 | 2026-07-14 |
| Hca Healthone Rose | Denver CO | $16,557 | 1.1× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $16,667 | 1.2× | 7 | 2026-09-01 |
| St David's Medical Center | Austin TX | $16,805 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $17,107 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $17,118 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $17,338 | 1.3× | 4 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $17,350 | 1.1× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $17,908 | 1.2× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $18,537 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $18,560 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $18,560 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $18,634 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $19,981 | 1.1× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $20,542 | 1.5× | 5 | 2026-06-15 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $20,585 | 1.4× | 5 | 2026-03-13 |
| Endeavor Health Edward Hospital | Chicago IL | $20,671 | 1.3× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $21,389 | 1.2× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $21,602 | 1.4× | 2 | 2026-07-01 |
| Menorah Medical Center | Kansas (statewide) | $21,831 | 1.6× | 6 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $22,214 | 1.6× | 4 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $22,293 | 1.6× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $22,923 | 1.5× | 3 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $23,100 | 1.7× | 5 | 2026-06-16 |
| Missouri Baptist Medical Center | St. Louis MO | $23,207 | 1.6× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $23,207 | 1.6× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $23,207 | 1.6× | 5 | 2025-12-15 |
| Reston Hospital Center | Washington DC | $23,853 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $23,853 | 1.6× | 5 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $24,282 | 1.7× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $24,359 | 1.6× | 3 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $24,508 | 1.6× | 4 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $24,856 | 1.3× | 3 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $25,718 | 1.9× | 4 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $25,919 | 1.8× | 6 | 2026-06-29 |
| Medical City Mckinney | Dallas-Fort Worth TX | $26,141 | 1.8× | 6 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $26,318 | 1.7× | 3 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $27,583 | 1.9× | 3 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $27,906 | 1.8× | 4 | 2026-03-31 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $28,107 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $28,107 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $28,107 | 2.0× | 3 | 2026-05-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $28,998 | 2.1× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $28,998 | 2.1× | 5 | 2026-09-01 |
| Hendricks Regional Health | Indianapolis IN | $29,142 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $29,245 | 1.7× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $30,009 | 2.0× | 3 | 2026-03-31 |
| Duke University Hospital | Research Triangle NC | $30,252 | 2.1× | 4 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $30,504 | 2.1× | 4 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $30,726 | 2.0× | 4 | 2026-09-25 |
| Corewell Health Dearborn Hospital | Detroit MI | $30,764 | 2.2× | 2 | 2026-05-01 |
| Mclaren Port Huron | Detroit MI | $31,037 | 2.2× | 1 | 2025-12-31 |
| Atrium Health Pineville | Charlotte NC | $31,272 | 2.3× | 2 | 2025-12-05 |
| Medical City Plano | Dallas-Fort Worth TX | $31,426 | 2.2× | 6 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $32,214 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $32,214 | 2.1× | 4 | 2026-06-16 |
| Novant Health Matthews Medical Center | Charlotte NC | $32,385 | 2.3× | 3 | 2026-03-30 |
| Houston Methodist Hospital | Houston TX | $32,432 | 2.3× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $32,765 | 1.8× | 6 | 2026-03-30 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $32,804 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $32,804 | 2.1× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.8× | 1 | 2026-06-10 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $33,101 | 2.2× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $33,328 | 2.3× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $33,998 | 2.3× | 3 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $34,026 | 2.4× | 5 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $34,511 | 2.4× | 1 | 2026-08-05 |
| Hospital for Special Surgery | New York City | $34,604 | 1.9× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $35,098 | 2.5× | 5 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $35,208 | 2.6× | 6 | 2025-10-01 |
| Trinity Health Oakland Hospital | Detroit MI | $35,370 | 2.5× | 17 | 2026-03-31 |
| Barnes Jewish Hospital | St. Louis MO | $35,516 | 2.5× | 5 | 2025-12-15 |
| Adventhealth Porter | Denver CO | $35,561 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $35,561 | 2.4× | 2 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $35,890 | 2.5× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $35,890 | 2.5× | 1 | 2026-08-05 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $36,247 | 2.6× | 1 | 2026-03-06 |
| George Washington Univ Hospital | Washington DC | $36,482 | 2.1× | 3 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $36,631 | 2.6× | 1 | 2026-01-01 |
| Inova Alexandria Hospital | Washington DC | $36,965 | 2.5× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $37,321 | 2.4× | 5 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $37,378 | 3.0× | 4 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $37,632 | 2.3× | 5 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $37,776 | 2.3× | 6 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $37,850 | 2.5× | 5 | 2026-06-16 |
| Tampa General Hospital | Tampa FL | $38,105 | 2.5× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $38,352 | 2.7× | 2 | 2026-09-02 |
| Morton Plant Hospital | Tampa FL | $38,575 | 2.6× | 5 | 2026-01-01 |
| Piedmont Fayette Hospital | Atlanta GA | $38,902 | 2.7× | 5 | 2026-07-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $39,168 | 2.7× | 5 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $39,886 | 2.8× | 5 | 2026-07-01 |
| Legacy Mount Hood Medical Center | Portland OR | $41,453 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $41,453 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $42,235 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $42,249 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $42,528 | 2.7× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $42,695 | 2.5× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $42,695 | 2.5× | 6 | 2026-02-28 |
| Adventhealth Tampa | Tampa FL | $43,374 | 2.9× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $43,588 | 2.7× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $43,668 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $43,668 | 2.6× | 6 | 2026-08-27 |
| Ohio State University Hospitals | Columbus OH | $44,504 | 3.2× | 3 | 2026-07-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $45,593 | 3.2× | 3 | 2026-04-21 |
| VCU Medical Center | Richmond VA | $46,630 | 3.4× | 3 | 2026-01-02 |
| Cedars-Sinai Medical Center | Los Angeles CA | $47,356 | 2.5× | 2 | 2025-11-26 |
| Medstar Georgetown University Hospital | Washington DC | $47,510 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $47,692 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $48,277 | 3.5× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $49,095 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $49,095 | 3.1× | 3 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $49,176 | 3.4× | 5 | 2026-09-15 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $53,173 | 3.6× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $53,505 | 3.2× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $54,581 | 3.4× | 5 | 2026-03-24 |
| Keck Hospital Of Usc | Los Angeles CA | $61,419 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $64,395 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for shin bone (tibia shaft) fracture fixation?
Across 82 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 27759, hospital outpatient is $14,726, 1.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $10,746 to $20,708. 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: Upmc Presbyterian Shadyside ($6,910), TriStar StoneCrest Medical Center ($6,960), Emory University Hospital ($7,797). Highest: Multicare Good Samaritan Hospital ($60,220), Tacoma General Allenmore Hospital ($60,028), Swedish Medical Center ($46,893). Coverage is limited to the markets listed on this page.