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Shin bone (tibia shaft) fracture fixation in New York: what insurers pay

Posted commercial rates at 4 New York hospitals, each next to its own Medicare base rate.

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CPT 27759

HospitalMedian across insurers× MedicareInsurersFile date
Hospital for Special Surgery New York$12,3860.8×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$14,6200.9×62026-01-01
Montefiore Medical Center Bronx$15,1710.9×62026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$23,6051.0×12026-04-01
Stony Brook University Hospital Stony Brook$43,6401.9×12026-06-10
Hospital for Special Surgery New York$52,4872.3×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$81,3913.5×72026-01-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$18,5371.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.8×12026-06-10
Hospital for Special Surgery New York$34,6041.9×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$64,3953.5×72026-01-01

Questions

How much do insurers pay for shin bone (tibia shaft) fracture fixation in New York?

4 New York hospitals post usable commercial rates for shin bone (tibia shaft) fracture fixation in their federal price-transparency files. For CPT 27759, hospital outpatient, the median across 3 hospitals is $14,620, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.