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Shin bone (tibia shaft) fracture fixation in Cleveland OH

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 27759

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals - Elyria Medical Center median $8,884 · local Medicare $12,146 · file 2026-07-14
Medical Mutual of Ohio	$8,512	0.7×	3
UnitedHealthcare	$9,257	0.8×	2
University Hospitals St. John Medical Center median $9,141 · local Medicare $12,146 · file 2026-07-14
Elevance/Anthem/Empire	$6,933	0.6×	1
Medical Mutual of Ohio	$9,339	0.8×	3
UnitedHealthcare	$9,141	0.8×	2
University Hospitals Ahuja Medical Center median $9,630 · local Medicare $12,146 · file 2026-07-14
Elevance/Anthem/Empire	$7,562	0.6×	2
Medical Mutual of Ohio	$13,901	1.1×	3
UnitedHealthcare	$9,630	0.8×	2
Cleveland Clinic (main campus) median $12,754 · local Medicare $12,146 · file 2026-06-16
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
Cleveland Clinic Lutheran Hospital median $13,361 · local Medicare $12,146 · file 2026-06-15
Elevance/Anthem/Empire	$26,296	2.2×	1
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
Marymount Hospital median $13,361 · local Medicare $12,146 · file 2026-06-15
Elevance/Anthem/Empire	$26,296	2.2×	1
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
Medina Hospital median $17,327 · local Medicare $12,146 · file 2026-06-15
Elevance/Anthem/Empire	$23,019	1.9×	3
MMO	$21,293	1.8×	1
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
Cleveland Clinic Fairview Hospital median $21,570 · local Medicare $12,146 · file 2026-06-15
Elevance/Anthem/Empire	$29,779	2.5×	2
MMO	$33,403	2.8×	1
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
Cleveland Clinic Hillcrest Hospital median $21,570 · local Medicare $12,146 · file 2026-06-15
Elevance/Anthem/Empire	$29,779	2.5×	2
MMO	$33,403	2.8×	1
Pphp	$13,361	1.1×	1
Valor	$12,146	1.0×	1
MetroHealth System median $25,507 · local Medicare $12,146 · file 2026-04-01
Clarity Health	$31,581	2.6×	1
Elevance/Anthem/Empire	$46,309	3.8×	1
Health E Ohio	$25,507	2.1×	1
Medical Mutual	$21,421	1.8×	4
UnitedHealthcare	$6,700	0.6×	1

MS-DRG 493

Hospital · insurer	Rate	× Medicare	Plans
Cleveland Clinic Hillcrest Hospital median $19,198 · local Medicare $17,031 · file 2026-06-15
Aetna	$36,717	2.2×	3
Elevance/Anthem/Empire	$12,225	0.7×	2
Humana	$16,711	1.0×	1
MMO	$17,737	1.0×	1
Medical Benefit	$50,500	3.0×	1
Pphp	$20,112	1.2×	1
UnitedHealthcare	$21,489	1.3×	1
Valor	$18,284	1.1×	1
Marymount Hospital median $19,681 · local Medicare $17,031 · file 2026-06-15
Aetna	$39,151	2.3×	3
Cigna	$43,241	2.5×	1
Elevance/Anthem/Empire	$16,743	1.0×	1
Humana	$16,425	1.0×	1
MMO	$19,648	1.2×	1
Medical Benefit	$50,500	3.0×	1
Pphp	$19,681	1.2×	1
UnitedHealthcare	$20,542	1.2×	1
Valor	$17,892	1.1×	1
Medina Hospital median $20,095 · local Medicare $17,031 · file 2026-06-15
Aetna	$39,151	2.3×	3
Cigna	$43,241	2.5×	1
Elevance/Anthem/Empire	$14,200	0.8×	3
MMO	$19,648	1.2×	1
Medical Benefit	$50,500	3.0×	1
Pphp	$18,531	1.1×	1
UnitedHealthcare	$20,542	1.2×	1
Valor	$16,846	1.0×	1
Cleveland Clinic Lutheran Hospital median $20,551 · local Medicare $17,031 · file 2026-06-15
Aetna	$39,151	2.3×	3
Cigna	$43,241	2.5×	1
Elevance/Anthem/Empire	$16,743	1.0×	1
Humana	$18,529	1.1×	1
MMO	$19,648	1.2×	1
Medical Benefit	$50,500	3.0×	1
Pphp	$22,606	1.3×	1
UnitedHealthcare	$20,542	1.2×	1
Valor	$20,551	1.2×	1
Cleveland Clinic Fairview Hospital median $20,636 · local Medicare $17,031 · file 2026-06-15
Aetna	$36,717	2.2×	3
Elevance/Anthem/Empire	$12,225	0.7×	2
Humana	$17,853	1.0×	1
MMO	$17,737	1.0×	1
Medical Benefit	$50,500	3.0×	1
Pphp	$21,762	1.3×	1
UnitedHealthcare	$21,489	1.3×	1
Valor	$19,784	1.2×	1
University Hospitals - Elyria Medical Center median $29,734 · local Medicare $17,031 · file 2026-07-14
Aetna	$34,925	2.1×	1
AultCare	$31,628	1.9×	1
Cigna	$23,586	1.4×	1
Elevance/Anthem/Empire	$14,517	0.9×	2
JP Farley	$27,841	1.6×	1
Medical Mutual of Ohio	$34,149	2.0×	4
SummaCare	$34,288	2.0×	1
The Health Plan	$32,652	1.9×	1
UnitedHealthcare	$15,262	0.9×	2
University Health Employee Plan (Contigo)	$24,042	1.4×	1
University Hospitals St. John Medical Center median $31,181 · local Medicare $17,031 · file 2026-07-14
Aetna	$34,925	2.1×	1
AultCare	$31,628	1.9×	1
Cigna	$24,347	1.4×	1
Elevance/Anthem/Empire	$15,851	0.9×	1
JP Farley	$10,978	0.6×	1
Medical Mutual of Ohio	$31,181	1.8×	3
SummaCare	$34,288	2.0×	1
The Health Plan	$32,652	1.9×	1
University Health Employee Plan (Contigo)	$24,042	1.4×	1
University Hospitals Ahuja Medical Center median $32,897 · local Medicare $17,031 · file 2026-07-14
Aetna	$33,180	1.9×	2
AultCare	$31,628	1.9×	1
Cigna	$30,433	1.8×	1
Elevance/Anthem/Empire	$33,142	1.9×	2
JP Farley	$30,289	1.8×	1
Medical Mutual of Ohio	$37,679	2.2×	3
SummaCare	$34,288	2.0×	1
The Health Plan	$32,652	1.9×	1
UnitedHealthcare	$36,526	2.1×	2
University Health Employee Plan (Contigo)	$24,042	1.4×	1
MetroHealth System median $35,089 · local Medicare $17,031 · file 2026-04-01
Aetna	$28,759	1.7×	2
Cigna	$29,667	1.7×	1
Clarity Health	$38,579	2.3×	1
Elevance/Anthem/Empire	$35,089	2.1×	1
Health E Ohio	$44,515	2.6×	1
Medical Mutual	$28,742	1.7×	2
Metrohealth	$37,095	2.2×	2
Ohio Health Choice	$15,217	0.9×	1
UnitedHealthcare	$35,379	2.1×	1
Cleveland Clinic (main campus) median $42,548 · local Medicare $17,031 · file 2026-06-16
Aetna	$42,548	2.5×	3
Cigna	$23,100	1.4×	1
Elevance/Anthem/Empire	$17,927	1.1×	2
Humana	$21,448	1.3×	1
MMO	$21,326	1.3×	1
Medical Benefit	$50,500	3.0×	1
Ohio Healthy	$50,500	3.0×	1
Parkview Health Plan	$50,500	3.0×	1
Pphp	$25,867	1.5×	1
Quality Care Partners	$50,500	3.0×	1
The Health Plan	$47,800	2.8×	1
UnitedHealthcare	$62,575	3.7×	2
Valor	$23,516	1.4×	1
University Hospitals Cleveland Medical Center median $42,792 · local Medicare $17,031 · file 2026-07-14
Aetna	$41,177	2.4×	2
AultCare	$42,218	2.5×	1
Cigna	$43,367	2.5×	1
Elevance/Anthem/Empire	$42,088	2.5×	2
JP Farley	$35,784	2.1×	1
Medical Mutual of Ohio	$47,260	2.8×	3
SummaCare	$46,763	2.7×	1
The Health Plan	$44,394	2.6×	1
UnitedHealthcare	$54,186	3.2×	2
University Health Employee Plan (Contigo)	$29,804	1.7×	1

MS-DRG 494

Hospital · insurer	Rate	× Medicare	Plans
Cleveland Clinic Hillcrest Hospital median $16,868 · local Medicare $13,474 · file 2026-06-15
Aetna	$28,045	2.1×	3
Elevance/Anthem/Empire	$12,225	0.9×	2
Humana	$13,188	1.0×	1
MMO	$17,737	1.3×	1
Medical Benefit	$37,500	2.8×	1
Pphp	$15,998	1.2×	1
UnitedHealthcare	$21,489	1.6×	1
Valor	$14,543	1.1×	1
Cleveland Clinic Fairview Hospital median $17,546 · local Medicare $13,474 · file 2026-06-15
Aetna	$28,045	2.1×	3
Elevance/Anthem/Empire	$12,225	0.9×	2
Humana	$14,119	1.0×	1
MMO	$17,737	1.3×	1
Medical Benefit	$37,500	2.8×	1
Pphp	$17,356	1.3×	1
UnitedHealthcare	$21,489	1.6×	1
Valor	$15,778	1.2×	1
Cleveland Clinic Lutheran Hospital median $19,648 · local Medicare $13,474 · file 2026-06-15
Aetna	$30,895	2.3×	3
Cigna	$34,211	2.5×	1
Elevance/Anthem/Empire	$16,743	1.2×	1
Humana	$14,860	1.1×	1
MMO	$19,648	1.5×	1
Medical Benefit	$37,500	2.8×	1
Pphp	$18,296	1.4×	1
UnitedHealthcare	$20,542	1.5×	1
Valor	$16,632	1.2×	1
Marymount Hospital median $19,648 · local Medicare $13,474 · file 2026-06-15
Aetna	$30,895	2.3×	3
Cigna	$34,211	2.5×	1
Elevance/Anthem/Empire	$16,743	1.2×	1
Humana	$13,020	1.0×	1
MMO	$19,648	1.5×	1
Medical Benefit	$37,500	2.8×	1
Pphp	$15,733	1.2×	1
UnitedHealthcare	$20,542	1.5×	1
Valor	$14,303	1.1×	1
Medina Hospital median $20,095 · local Medicare $13,474 · file 2026-06-15
Aetna	$30,895	2.3×	3
Cigna	$34,211	2.5×	1
Elevance/Anthem/Empire	$14,200	1.1×	3
MMO	$19,648	1.5×	1
Medical Benefit	$37,500	2.8×	1
Pphp	$14,661	1.1×	1
UnitedHealthcare	$20,542	1.5×	1
Valor	$13,328	1.0×	1
University Hospitals - Elyria Medical Center median $23,525 · local Medicare $13,474 · file 2026-07-14
Aetna	$27,632	2.1×	1
AultCare	$25,023	1.9×	1
Cigna	$18,660	1.4×	1
Elevance/Anthem/Empire	$14,276	1.1×	2
JP Farley	$22,027	1.6×	1
Medical Mutual of Ohio	$27,018	2.0×	4
SummaCare	$27,128	2.0×	1
The Health Plan	$25,834	1.9×	1
UnitedHealthcare	$11,504	0.9×	2
University Health Employee Plan (Contigo)	$19,022	1.4×	1
University Hospitals St. John Medical Center median $24,670 · local Medicare $13,474 · file 2026-07-14
Aetna	$27,632	2.1×	1
AultCare	$25,023	1.9×	1
Cigna	$19,262	1.4×	1
Elevance/Anthem/Empire	$12,541	0.9×	1
JP Farley	$10,978	0.8×	1
Medical Mutual of Ohio	$24,670	1.8×	3
SummaCare	$27,128	2.0×	1
The Health Plan	$25,834	1.9×	1
University Health Employee Plan (Contigo)	$19,022	1.4×	1
University Hospitals Ahuja Medical Center median $26,028 · local Medicare $13,474 · file 2026-07-14
Aetna	$26,251	1.9×	2
AultCare	$25,023	1.9×	1
Cigna	$24,078	1.8×	1
Elevance/Anthem/Empire	$26,221	1.9×	2
JP Farley	$23,964	1.8×	1
Medical Mutual of Ohio	$29,811	2.2×	3
SummaCare	$27,128	2.0×	1
The Health Plan	$25,834	1.9×	1
UnitedHealthcare	$28,899	2.1×	2
University Health Employee Plan (Contigo)	$19,022	1.4×	1
MetroHealth System median $27,762 · local Medicare $13,474 · file 2026-04-01
Aetna	$22,754	1.7×	2
Cigna	$23,472	1.7×	1
Clarity Health	$31,967	2.4×	1
Elevance/Anthem/Empire	$27,762	2.1×	1
Health E Ohio	$36,885	2.7×	1
Medical Mutual	$22,740	1.7×	2
Metrohealth	$30,738	2.3×	2
Ohio Health Choice	$12,039	0.9×	1
UnitedHealthcare	$27,991	2.1×	1
Cleveland Clinic (main campus) median $32,501 · local Medicare $13,474 · file 2026-06-16
Aetna	$32,501	2.4×	3
Cigna	$23,100	1.7×	1
Elevance/Anthem/Empire	$17,927	1.3×	2
Humana	$17,013	1.3×	1
MMO	$21,326	1.6×	1
Medical Benefit	$37,500	2.8×	1
Ohio Healthy	$37,500	2.8×	1
Parkview Health Plan	$37,500	2.8×	1
Pphp	$20,712	1.5×	1
Quality Care Partners	$37,500	2.8×	1
The Health Plan	$36,600	2.7×	1
UnitedHealthcare	$52,582	3.9×	2
Valor	$18,829	1.4×	1
University Hospitals Cleveland Medical Center median $33,856 · local Medicare $13,474 · file 2026-07-14
Aetna	$32,579	2.4×	2
AultCare	$33,402	2.5×	1
Cigna	$34,311	2.5×	1
Elevance/Anthem/Empire	$33,299	2.5×	2
JP Farley	$28,312	2.1×	1
Medical Mutual of Ohio	$37,391	2.8×	3
SummaCare	$36,998	2.7×	1
The Health Plan	$35,124	2.6×	1
UnitedHealthcare	$42,871	3.2×	2
University Health Employee Plan (Contigo)	$23,580	1.8×	1

Questions

How much does shin bone (tibia shaft) fracture fixation cost with commercial insurance in Cleveland OH?

10 Cleveland OH hospitals post usable commercial rates for CPT 27759, hospital outpatient. The median across hospitals is $13,361; hospital medians range from $8,884 to $25,507. Your cost depends on your plan's deductible and coinsurance.