Price AtlasInteractive atlas · All states · techysurgeon.comTibial plateau (knee) fracture fixation: what insurers pay
Plates and screws for a break into the top of the shin bone at the knee. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 27535: Treat Knee Fracture
74 hospitals in 29 markets. National Medicare rate $7,413, surgery center $5,060.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,277–$6,277 |
| Austin TX | 1 | — | — | — | $6,490–$6,490 |
| Boston MA | 3 | — | — | — | $6,038–$9,849 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $7,446 | $8,820 | $9,618 | $6,180–$15,611 |
| Cleveland OH | 4 | — | — | — | $5,178–$16,831 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,374–$13,112 |
| Denver CO | 7 | $5,989 | $6,563 | $6,563 | $5,415–$7,529 |
| Detroit MI | 2 | — | — | — | $5,812–$10,454 |
| Georgia (statewide) | 1 | — | — | — | $7,249–$7,249 |
| Houston TX | 1 | — | — | — | $10,482–$10,482 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Kansas (statewide) | 1 | — | — | — | $9,487–$9,487 |
| Las Vegas NV | 2 | — | — | — | $4,380–$4,459 |
| Los Angeles CA | 2 | — | — | — | $10,130–$22,055 |
| Nashville TN | 2 | — | — | — | $5,748–$6,165 |
| New York City | 3 | — | — | — | $10,122–$12,256 |
| Ohio (statewide) | 1 | — | — | — | $10,800–$10,800 |
| Pennsylvania (statewide) | 1 | — | — | — | $17,464–$17,464 |
| Philadelphia PA | 5 | $7,485 | $7,524 | $8,658 | $7,409–$11,208 |
| Phoenix AZ | 3 | — | — | — | $7,920–$7,980 |
| Portland OR | 6 | $16,131 | $16,131 | $21,998 | $16,131–$23,953 |
| Richmond VA | 2 | — | — | — | $8,694–$8,863 |
| San Antonio TX | 1 | — | — | — | $8,192–$8,192 |
| San Francisco Bay Area CA | 1 | — | — | — | $22,299–$22,299 |
| Seattle-Tacoma WA | 6 | $18,814 | $21,423 | $25,919 | $15,575–$30,780 |
| Tampa FL | 2 | — | — | — | $6,808–$14,186 |
| Washington DC | 4 | — | — | — | $6,478–$9,060 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Medical Center of Southern Nevada | Las Vegas NV | $4,380 | 0.6× | 2 | 2026-07-01 |
| Henderson Hospital | Las Vegas NV | $4,459 | 0.6× | 1 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $5,178 | 0.8× | 2 | 2026-07-14 |
| Adventhealth Porter | Denver CO | $5,415 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,415 | 0.7× | 3 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,748 | 0.8× | 3 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $5,812 | 0.8× | 1 | 2026-09-02 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 0.7× | 1 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $6,165 | 0.9× | 1 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 0.8× | 3 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,277 | 0.9× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $6,478 | 0.9× | 4 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 0.9× | 3 | 2026-01-01 |
| St David's Medical Center | Austin TX | $6,490 | 0.9× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $6,490 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $6,563 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $6,563 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,563 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,563 | 0.9× | 4 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $6,808 | 0.9× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,249 | 1.1× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,374 | 1.0× | 2 | 2026-06-29 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 0.9× | 3 | 2026-09-15 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $7,446 | 1.0× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $7,485 | 1.0× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $7,524 | 1.0× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $7,529 | 1.0× | 3 | 2025-11-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $7,920 | 1.0× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $7,920 | 1.0× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,980 | 1.0× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $7,982 | 0.9× | 2 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $8,192 | 1.1× | 4 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $8,658 | 1.2× | 3 | 2026-09-15 |
| Henrico Doctors' Hospital | Richmond VA | $8,694 | 1.2× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,820 | 1.1× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $8,863 | 1.3× | 4 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $9,060 | 1.2× | 4 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $9,487 | 1.4× | 2 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $9,618 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $9,729 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $9,849 | 1.1× | 1 | 2026-04-01 |
| Montefiore Medical Center | New York City | $10,122 | 1.1× | 6 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,130 | 1.1× | 5 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $10,454 | 1.4× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $10,482 | 1.4× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,618 | 1.5× | 2 | 2026-04-21 |
| Bethesda North | Ohio (statewide) | $10,800 | 1.5× | 4 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.4× | 1 | 2026-03-24 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $11,805 | 1.3× | 6 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 1.3× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $11,926 | 1.6× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,256 | 1.4× | 6 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $12,435 | 1.7× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $13,010 | 1.9× | 1 | 2026-06-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $13,112 | 1.8× | 5 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $14,186 | 1.9× | 2 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,862 | 2.2× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $15,575 | 1.9× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $15,611 | 2.0× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,831 | 2.5× | 1 | 2026-06-15 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $17,464 | 2.4× | 7 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $18,634 | 2.2× | 3 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $19,352 | 2.3× | 3 | 2026-02-28 |
| Cedars-Sinai Medical Center | Los Angeles CA | $22,055 | 2.4× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,299 | 2.1× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,494 | 2.8× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $23,953 | 3.0× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $23,953 | 3.0× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $26,727 | 3.2× | 3 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,780 | 3.6× | 2 | 2026-08-27 |
CPT 27536: Treat Knee Fracture
76 hospitals in 29 markets. National Medicare rate $7,413, surgery center $5,042.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,000–$6,000 |
| Austin TX | 1 | — | — | — | $7,751–$7,751 |
| Boston MA | 5 | $4,474 | $6,038 | $9,729 | $4,382–$9,849 |
| California (statewide) | 1 | — | — | — | $13,878–$13,878 |
| Chicago IL | 5 | $6,780 | $7,580 | $8,167 | $5,081–$15,611 |
| Cleveland OH | 4 | — | — | — | $6,053–$16,831 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,038–$15,630 |
| Denver CO | 7 | $6,656 | $7,972 | $8,160 | $5,415–$8,766 |
| Detroit MI | 2 | — | — | — | $7,166–$10,343 |
| Georgia (statewide) | 1 | — | — | — | $7,249–$7,249 |
| Houston TX | 1 | — | — | — | $10,482–$10,482 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Kansas (statewide) | 1 | — | — | — | $10,124–$10,124 |
| Las Vegas NV | 2 | — | — | — | $4,218–$4,380 |
| Los Angeles CA | 2 | — | — | — | $10,951–$25,486 |
| Nashville TN | 2 | — | — | — | $5,748–$6,165 |
| New York City | 3 | — | — | — | $7,699–$12,926 |
| Ohio (statewide) | 1 | — | — | — | $11,746–$11,746 |
| Philadelphia PA | 5 | $9,142 | $9,182 | $9,751 | $8,658–$12,874 |
| Phoenix AZ | 3 | — | — | — | $7,920–$7,980 |
| Pittsburgh PA | 1 | — | — | — | $6,197–$6,197 |
| Portland OR | 6 | $16,131 | $16,131 | $21,998 | $16,131–$23,953 |
| Richmond VA | 2 | — | — | — | $8,874–$8,874 |
| San Antonio TX | 1 | — | — | — | $6,668–$6,668 |
| San Francisco Bay Area CA | 1 | — | — | — | $28,962–$28,962 |
| Seattle-Tacoma WA | 6 | $18,814 | $21,423 | $25,919 | $15,575–$30,780 |
| Tampa FL | 2 | — | — | — | $6,808–$14,186 |
| Washington DC | 4 | — | — | — | $5,781–$9,060 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henderson Hospital | Las Vegas NV | $4,218 | 0.6× | 2 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,380 | 0.6× | 3 | 2026-07-01 |
| Anna Jaques Hospital | Boston MA | $4,382 | 0.5× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $4,474 | 0.5× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $5,081 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $5,415 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,415 | 0.7× | 3 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,748 | 0.8× | 3 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $5,781 | 0.7× | 3 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $6,000 | 0.8× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 0.7× | 1 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $6,053 | 0.9× | 2 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $6,165 | 0.9× | 1 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,197 | 0.9× | 1 | 2026-03-06 |
| Reston Hospital Center | Washington DC | $6,478 | 0.9× | 4 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 0.9× | 3 | 2026-01-01 |
| Stonesprings Hospital Center | Washington DC | $6,490 | 0.9× | 4 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $6,668 | 0.9× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $6,780 | 0.9× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $6,808 | 0.9× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,038 | 1.0× | 3 | 2026-06-29 |
| Harper University Hospital | Detroit MI | $7,166 | 1.0× | 1 | 2026-09-02 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,249 | 1.1× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $7,580 | 1.0× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $7,699 | 0.8× | 7 | 2026-04-01 |
| St David's Medical Center | Austin TX | $7,751 | 1.1× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $7,898 | 1.0× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $7,920 | 1.0× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $7,920 | 1.0× | 3 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,972 | 1.0× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,980 | 1.0× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $8,160 | 1.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $8,160 | 1.1× | 4 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 1.1× | 3 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $8,658 | 1.2× | 3 | 2026-09-15 |
| UCHealth University of Colorado Hospital | Denver CO | $8,766 | 1.1× | 3 | 2025-11-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $8,874 | 1.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $8,874 | 1.3× | 4 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $9,060 | 1.2× | 4 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $9,142 | 1.2× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $9,182 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $9,729 | 1.1× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,751 | 1.2× | 3 | 2026-09-15 |
| Winchester Hospital | Boston MA | $9,849 | 1.1× | 1 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $10,124 | 1.5× | 2 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $10,343 | 1.4× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $10,482 | 1.4× | 3 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,951 | 1.2× | 5 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $11,560 | 1.3× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $11,746 | 1.7× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $11,878 | 1.6× | 2 | 2026-04-21 |
| Riverview Health | Indianapolis IN | $11,926 | 1.6× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 1.6× | 1 | 2026-03-24 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $12,926 | 1.4× | 6 | 2026-01-01 |
| Medina Hospital | Cleveland OH | $13,010 | 1.9× | 1 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,878 | 1.5× | 5 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $14,186 | 1.9× | 2 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $14,862 | 2.2× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $15,575 | 1.9× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $15,611 | 2.0× | 2 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $15,630 | 2.1× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $15,630 | 2.1× | 5 | 2026-09-01 |
| Legacy Emanuel Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,831 | 2.5× | 1 | 2026-06-15 |
| St Clare Hospital | Seattle-Tacoma WA | $18,634 | 2.2× | 3 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $19,352 | 2.3× | 3 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,494 | 2.8× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $23,953 | 3.0× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $23,953 | 3.0× | 2 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 2.7× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $26,727 | 3.2× | 3 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $28,962 | 2.7× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,780 | 3.6× | 2 | 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 tibial plateau (knee) fracture fixation?
Across 74 hospitals in 29 metro areas that post a usable dollar rate, the median commercial rate for CPT 27535, hospital outpatient is $9,274, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,624 to $13,918. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for tibial plateau (knee) fracture fixation?
Medicare's national hospital outpatient rate for CPT 27535 is $7,413 and its surgery-center rate is $5,060, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for tibial plateau (knee) fracture fixation?
Lowest medians: University Medical Center of Southern Nevada ($4,380), Henderson Hospital ($4,459), University Hospitals - Elyria Medical Center ($5,178). Highest: Multicare Good Samaritan Hospital ($30,780), Tacoma General Allenmore Hospital ($26,727), Providence Portland Medical Center ($23,953). Coverage is limited to the markets listed on this page.