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.
Open the interactive explorerAll operations
CPT 27535: Tibial Plateau (Knee) Fracture Fixation
828 hospitals in 73 markets. National Medicare rate $7,413, surgery center $5,060.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $7,848 | $8,588 | $11,351 | $3,690–$24,095 |
| Alaska (statewide) | 4 | — | — | — | $6,136–$14,278 |
| Arizona (statewide) | 6 | $6,260 | $8,114 | $8,684 | $4,667–$15,863 |
| Arkansas (statewide) | 4 | — | — | — | $4,353–$6,741 |
| Atlanta GA | 6 | $6,277 | $6,277 | $10,486 | $6,277–$11,889 |
| Austin TX | 6 | $7,053 | $7,053 | $7,726 | $7,053–$9,169 |
| Boston MA | 10 | $9,165 | $11,952 | $14,581 | $6,735–$15,184 |
| California (statewide) | 24 | $9,407 | $11,084 | $12,889 | $5,665–$17,244 |
| Chicago IL | 7 | $8,133 | $9,618 | $10,607 | $6,180–$15,611 |
| Cleveland OH | 10 | $6,606 | $7,554 | $11,591 | $5,345–$13,262 |
| Colorado (statewide) | 12 | $7,363 | $8,658 | $9,665 | $5,819–$13,580 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$14,788 |
| Dallas-Fort Worth TX | 12 | $9,049 | $9,266 | $9,626 | $8,375–$10,516 |
| Denver CO | 15 | $7,137 | $9,170 | $9,414 | $6,745–$13,580 |
| Detroit MI | 5 | $5,812 | $10,454 | $11,481 | $5,812–$12,636 |
| Florida (statewide) | 58 | $7,790 | $8,771 | $11,624 | $4,014–$17,625 |
| Georgia (statewide) | 22 | $6,388 | $9,590 | $11,889 | $3,958–$18,463 |
| Hawaii (statewide) | 2 | — | — | — | $7,701–$10,048 |
| Houston TX | 19 | $6,685 | $7,799 | $12,880 | $4,000–$13,850 |
| Idaho (statewide) | 12 | $7,706 | $10,650 | $10,964 | $3,952–$16,130 |
| Illinois (statewide) | 17 | $5,861 | $8,692 | $10,326 | $4,464–$10,607 |
| Indiana (statewide) | 22 | $11,996 | $13,691 | $17,079 | $7,204–$25,870 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Iowa (statewide) | 10 | $5,201 | $8,174 | $8,755 | $3,690–$12,511 |
| Kansas (statewide) | 12 | $4,828 | $7,048 | $10,165 | $3,839–$14,278 |
| Kentucky (statewide) | 6 | $9,508 | $10,482 | $12,601 | $8,434–$13,146 |
| Las Vegas NV | 2 | — | — | — | $4,380–$5,894 |
| Los Angeles CA | 17 | $8,335 | $9,648 | $10,956 | $5,934–$22,055 |
| Louisiana (statewide) | 24 | $6,400 | $8,010 | $8,768 | $4,548–$15,326 |
| Maine (statewide) | 9 | $27,763 | $27,763 | $48,526 | $5,130–$48,526 |
| Massachusetts (statewide) | 1 | — | — | — | $8,562–$8,562 |
| Michigan (statewide) | 18 | $9,544 | $11,244 | $11,458 | $7,230–$14,762 |
| Minneapolis-St. Paul MN | 6 | $5,547 | $5,547 | $5,547 | $5,524–$6,251 |
| Minnesota (statewide) | 11 | $5,547 | $6,251 | $13,206 | $5,171–$15,502 |
| Mississippi (statewide) | 10 | $5,026 | $5,354 | $6,639 | $4,248–$19,790 |
| Missouri (statewide) | 13 | $7,268 | $9,341 | $9,883 | $3,852–$13,550 |
| Montana (statewide) | 2 | — | — | — | $27,026–$28,377 |
| Nashville TN | 5 | $5,748 | $5,851 | $6,165 | $5,748–$6,193 |
| Nebraska (statewide) | 11 | $8,645 | $8,645 | $9,782 | $5,894–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $4,459–$5,894 |
| New Hampshire (statewide) | 5 | $14,466 | $14,703 | $18,889 | $8,425–$32,494 |
| New Jersey (statewide) | 19 | $8,623 | $9,176 | $11,580 | $4,570–$19,373 |
| New Mexico (statewide) | 7 | $11,902 | $13,842 | $15,894 | $11,335–$21,378 |
| New York (statewide) | 24 | $9,398 | $13,587 | $15,548 | $4,705–$21,275 |
| New York City | 8 | $12,152 | $13,254 | $13,587 | $6,997–$13,587 |
| North Carolina (statewide) | 2 | — | — | — | $6,041–$17,486 |
| North Dakota (statewide) | 2 | — | — | — | $5,000–$11,484 |
| Ohio (statewide) | 33 | $10,860 | $14,827 | $16,064 | $4,120–$27,890 |
| Oklahoma (statewide) | 6 | $9,246 | $12,300 | $15,426 | $7,107–$19,373 |
| Oregon (statewide) | 5 | $6,891 | $16,268 | $27,890 | $6,891–$32,796 |
| Pennsylvania (statewide) | 23 | $7,786 | $18,240 | $23,124 | $3,577–$32,089 |
| Philadelphia PA | 9 | $7,409 | $7,485 | $8,915 | $4,689–$11,208 |
| Phoenix AZ | 8 | $7,446 | $7,920 | $7,935 | $6,024–$7,980 |
| Portland OR | 9 | $16,131 | $16,131 | $25,243 | $15,464–$25,243 |
| Rhode Island (statewide) | 4 | — | — | — | $9,771–$12,428 |
| Richmond VA | 3 | — | — | — | $5,708–$8,656 |
| Rio Grande Valley TX | 3 | — | — | — | $7,227–$8,168 |
| Salt Lake City UT | 9 | $7,268 | $7,268 | $7,507 | $7,268–$7,507 |
| San Antonio TX | 3 | — | — | — | $4,689–$6,262 |
| San Diego CA | 2 | — | — | — | $16,071–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,385–$22,299 |
| Seattle-Tacoma WA | 16 | $17,358 | $17,758 | $21,896 | $13,634–$26,727 |
| South Carolina (statewide) | 17 | $11,398 | $13,342 | $15,681 | $7,235–$17,868 |
| South Dakota (statewide) | 1 | — | — | — | $10,499–$10,499 |
| Tampa FL | 6 | $11,366 | $14,186 | $14,186 | $9,732–$14,186 |
| Tennessee (statewide) | 19 | $5,594 | $5,952 | $6,192 | $3,793–$8,068 |
| Texas (statewide) | 63 | $6,717 | $8,844 | $9,883 | $4,000–$20,580 |
| Utah (statewide) | 6 | $7,088 | $7,403 | $7,788 | $7,028–$7,871 |
| Virginia (statewide) | 17 | $13,407 | $20,635 | $21,639 | $7,735–$24,592 |
| Washington (statewide) | 11 | $15,685 | $18,356 | $23,388 | $10,499–$34,361 |
| Washington DC | 8 | $6,230 | $9,060 | $9,060 | $5,654–$10,154 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$48,308 |
| Wisconsin (statewide) | 27 | $10,590 | $19,700 | $20,541 | $4,959–$21,151 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| St Luke'S Hospital - Upper Bucks Campus | Pennsylvania (statewide) | $3,577 | 0.5× | 1 | 2026-02-26 |
| Floyd Cherokee Medical Center | Alabama (statewide) | $3,690 | 0.6× | 1 | 2025-11-19 |
| Cherokee Regional Medical Center | Iowa (statewide) | $3,690 | 0.5× | 1 | 2025-11-19 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,793 | 0.6× | 1 | 2026-04-01 |
| Russell Regional Hospital | Kansas (statewide) | $3,839 | 0.6× | 1 | 2026-06-01 |
| Freeman Health System - Freeman West | Missouri (statewide) | $3,852 | 0.5× | 1 | 2026-09-01 |
| North Canyon Medical Center | Idaho (statewide) | $3,952 | 0.6× | 8 | 2026-04-13 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $3,958 | 0.6× | 2 | 2025-11-19 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $4,000 | 0.6× | 3 | 2026-02-28 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $4,000 | 0.6× | 3 | 2026-02-28 |
| St Luke'S Hospital At The Vintage | Texas (statewide) | $4,000 | 0.6× | 3 | 2026-02-28 |
| Gulf Breeze Hospital | Florida (statewide) | $4,014 | 0.5× | 1 | 2025-12-23 |
| Salem Hospital | Oregon (statewide) | $27,890 | 3.4× | 2 | 2026-04-01 |
| Intermountain Health St James Hospital | Montana (statewide) | $28,377 | 3.8× | 3 | 2026-03-22 |
| St Luke'S Hospital - Easton Campus | Pennsylvania (statewide) | $31,398 | 4.3× | 1 | 2026-02-26 |
| Providence Centralia Hospital | Washington (statewide) | $31,417 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $32,089 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $32,494 | 4.2× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $32,796 | 3.9× | 2 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $34,361 | 4.1× | 3 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
| Northern Light A R Gould Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Maine Coast Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-02-03 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 27536: Tibial Plateau (Knee) Fracture Fixation
806 hospitals in 75 markets. National Medicare rate $7,413, surgery center $5,042.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $6,894 | $9,159 | $11,926 | $5,404–$24,095 |
| Alaska (statewide) | 4 | — | — | — | $4,292–$22,904 |
| Arizona (statewide) | 6 | $6,185 | $7,831 | $8,180 | $4,667–$15,863 |
| Arkansas (statewide) | 4 | — | — | — | $4,353–$5,991 |
| Atlanta GA | 6 | $6,000 | $6,000 | $10,417 | $6,000–$11,889 |
| Austin TX | 5 | $7,054 | $7,054 | $7,054 | $7,054–$9,169 |
| Boston MA | 10 | $9,042 | $10,454 | $13,568 | $4,382–$15,184 |
| California (statewide) | 22 | $9,342 | $12,008 | $14,436 | $5,936–$19,892 |
| Chicago IL | 7 | $7,180 | $8,167 | $10,607 | $5,081–$15,611 |
| Cleveland OH | 10 | $6,606 | $7,551 | $9,715 | $6,148–$12,191 |
| Colorado (statewide) | 12 | $8,820 | $9,184 | $10,244 | $5,819–$13,580 |
| Columbus OH | 1 | — | — | — | $26,099–$26,099 |
| Connecticut (statewide) | 2 | — | — | — | $6,108–$6,700 |
| Dallas-Fort Worth TX | 12 | $8,714 | $10,776 | $13,112 | $7,711–$14,852 |
| Denver CO | 15 | $9,110 | $9,170 | $9,616 | $7,922–$13,580 |
| Detroit MI | 5 | $7,166 | $10,343 | $13,303 | $7,166–$14,099 |
| Florida (statewide) | 59 | $8,574 | $10,272 | $12,196 | $4,014–$18,482 |
| Georgia (statewide) | 23 | $6,696 | $9,324 | $11,889 | $3,297–$18,463 |
| Hawaii (statewide) | 1 | — | — | — | $8,829–$8,829 |
| Houston TX | 19 | $7,406 | $7,799 | $12,880 | $4,000–$13,850 |
| Idaho (statewide) | 12 | $7,440 | $10,650 | $10,964 | $3,787–$16,130 |
| Illinois (statewide) | 20 | $7,125 | $7,905 | $9,660 | $3,944–$10,852 |
| Indiana (statewide) | 20 | $11,876 | $14,480 | $17,095 | $5,584–$25,870 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Iowa (statewide) | 13 | $4,820 | $5,404 | $8,624 | $4,322–$14,111 |
| Kansas (statewide) | 11 | $9,380 | $12,199 | $14,436 | $6,196–$22,904 |
| Kentucky (statewide) | 6 | $9,508 | $10,482 | $12,601 | $8,434–$13,146 |
| Las Vegas NV | 2 | — | — | — | $4,218–$4,380 |
| Los Angeles CA | 15 | $8,758 | $9,648 | $13,348 | $7,730–$25,486 |
| Louisiana (statewide) | 23 | $6,007 | $7,528 | $8,780 | $3,944–$15,326 |
| Maine (statewide) | 10 | $18,558 | $27,763 | $43,335 | $5,130–$48,526 |
| Massachusetts (statewide) | 1 | — | — | — | $8,562–$8,562 |
| Michigan (statewide) | 18 | $8,946 | $10,518 | $11,446 | $4,671–$13,303 |
| Minneapolis-St. Paul MN | 7 | $5,477 | $7,090 | $7,120 | $3,944–$7,120 |
| Minnesota (statewide) | 10 | $6,232 | $7,120 | $14,698 | $5,171–$15,985 |
| Mississippi (statewide) | 11 | $5,737 | $5,737 | $7,806 | $4,248–$16,110 |
| Missouri (statewide) | 13 | $6,897 | $9,804 | $10,201 | $3,852–$13,550 |
| Montana (statewide) | 2 | — | — | — | $27,026–$28,377 |
| Nashville TN | 5 | $5,748 | $5,748 | $5,748 | $5,748–$6,165 |
| Nebraska (statewide) | 9 | $11,294 | $11,294 | $11,734 | $4,218–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $4,218–$8,431 |
| New Hampshire (statewide) | 5 | $14,703 | $17,409 | $18,889 | $8,425–$32,494 |
| New Jersey (statewide) | 19 | $8,883 | $9,176 | $12,413 | $4,570–$19,373 |
| New Mexico (statewide) | 3 | — | — | — | $21,802–$33,643 |
| New York (statewide) | 17 | $8,696 | $13,490 | $15,566 | $4,841–$21,275 |
| New York City | 4 | — | — | — | $7,302–$14,076 |
| North Carolina (statewide) | 2 | — | — | — | $7,412–$17,486 |
| North Dakota (statewide) | 2 | — | — | — | $8,500–$15,150 |
| Ohio (statewide) | 34 | $9,794 | $14,474 | $17,332 | $3,598–$27,890 |
| Oklahoma (statewide) | 6 | $7,304 | $12,300 | $15,426 | $5,964–$19,373 |
| Oregon (statewide) | 5 | $6,891 | $16,268 | $27,890 | $6,891–$32,796 |
| Pennsylvania (statewide) | 13 | $6,196 | $15,815 | $24,248 | $3,562–$32,089 |
| Philadelphia PA | 9 | $9,142 | $9,182 | $9,751 | $6,346–$12,874 |
| Phoenix AZ | 8 | $7,446 | $7,920 | $7,935 | $6,024–$7,980 |
| Pittsburgh PA | 2 | — | — | — | $5,578–$6,197 |
| Portland OR | 9 | $16,131 | $16,131 | $25,243 | $16,076–$25,243 |
| Rhode Island (statewide) | 4 | — | — | — | $9,771–$12,428 |
| Richmond VA | 3 | — | — | — | $8,874–$8,874 |
| Rio Grande Valley TX | 3 | — | — | — | $7,799–$8,168 |
| Salt Lake City UT | 9 | $9,315 | $9,632 | $9,632 | $9,315–$9,950 |
| San Antonio TX | 3 | — | — | — | $4,814–$6,668 |
| San Diego CA | 3 | — | — | — | $13,206–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,332–$28,962 |
| Seattle-Tacoma WA | 16 | $16,993 | $17,758 | $21,896 | $14,554–$26,727 |
| South Carolina (statewide) | 17 | $11,398 | $13,342 | $15,681 | $7,235–$17,868 |
| South Dakota (statewide) | 1 | — | — | — | $10,499–$10,499 |
| Tampa FL | 6 | $14,186 | $14,186 | $14,186 | $9,732–$15,638 |
| Tennessee (statewide) | 18 | $5,479 | $5,952 | $6,188 | $3,793–$8,068 |
| Texas (statewide) | 56 | $6,564 | $9,990 | $10,381 | $4,000–$20,580 |
| Utah (statewide) | 6 | $8,080 | $9,012 | $9,315 | $7,871–$9,632 |
| Virginia (statewide) | 19 | $13,543 | $21,251 | $21,983 | $7,735–$24,592 |
| Washington (statewide) | 11 | $15,685 | $18,356 | $23,388 | $13,043–$31,765 |
| Washington DC | 8 | $6,487 | $9,001 | $9,060 | $6,230–$9,060 |
| West Virginia (statewide) | 4 | — | — | — | $10,030–$48,308 |
| Wisconsin (statewide) | 32 | $7,271 | $16,830 | $20,265 | $4,239–$21,151 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $3,297 | 0.5× | 1 | 2025-11-19 |
| Upmc Altoona | Pennsylvania (statewide) | $3,562 | 0.5× | 1 | 2026-03-06 |
| Nationwide Children'S Hospital | Ohio (statewide) | $3,598 | 0.5× | 1 | 2026-04-01 |
| Weiser Memorial Hospital | Idaho (statewide) | $3,787 | 0.5× | 5 | 2026-08-18 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,793 | 0.6× | 1 | 2026-04-01 |
| Freeman Health System - Freeman West | Missouri (statewide) | $3,852 | 0.5× | 1 | 2026-09-01 |
| Alexian Brothers Medical Center 1 | Illinois (statewide) | $3,944 | 0.5× | 1 | 2026-01-01 |
| St Alexius Medical Center | Illinois (statewide) | $3,944 | 0.5× | 1 | 2026-01-01 |
| Slidell Memorial Hospital | Louisiana (statewide) | $3,944 | 0.6× | 3 | 2026-04-01 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $3,944 | 0.5× | 1 | 2025-12-17 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $3,958 | 0.6× | 2 | 2025-11-19 |
| North Memorial Health | Minneapolis-St. Paul MN | $3,986 | 0.5× | 3 | 2026-09-25 |
| Intermountain Health St James Hospital | Montana (statewide) | $28,377 | 3.8× | 3 | 2026-03-22 |
| Stanford Health Care | San Francisco Bay Area CA | $28,962 | 2.7× | 4 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $30,544 | 3.6× | 4 | 2026-08-27 |
| Providence Centralia Hospital | Washington (statewide) | $31,765 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $32,089 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $32,494 | 4.2× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $32,796 | 3.9× | 2 | 2026-04-01 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $33,643 | 4.5× | 1 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
| Northern Light A R Gould Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Maine Coast Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-02-03 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 493: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur With Cc
1513 hospitals in 83 markets. National Medicare rate $18,455.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $21,097 | $25,485 | $29,260 | $16,992–$57,167 |
| Alaska (statewide) | 4 | — | — | — | $22,200–$79,389 |
| Arizona (statewide) | 28 | $28,476 | $41,202 | $46,084 | $19,068–$52,805 |
| Arkansas (statewide) | 11 | $22,108 | $23,608 | $25,409 | $18,497–$29,774 |
| Atlanta GA | 9 | $43,328 | $47,893 | $56,791 | $43,328–$70,686 |
| Austin TX | 13 | $16,926 | $25,164 | $28,551 | $15,890–$34,660 |
| Boston MA | 14 | $21,833 | $24,356 | $34,481 | $17,985–$51,933 |
| California (statewide) | 54 | $28,710 | $35,854 | $42,678 | $20,106–$120,096 |
| Charlotte NC | 8 | $36,557 | $39,591 | $45,643 | $28,450–$45,643 |
| Chicago IL | 10 | $30,271 | $36,866 | $40,152 | $22,804–$47,171 |
| Cleveland OH | 11 | $20,323 | $29,734 | $33,993 | $19,198–$42,792 |
| Colorado (statewide) | 16 | $33,314 | $45,417 | $58,643 | $15,538–$79,738 |
| Columbus OH | 3 | — | — | — | $51,549–$67,960 |
| Connecticut (statewide) | 6 | $24,966 | $36,448 | $48,400 | $16,238–$59,296 |
| Dallas-Fort Worth TX | 15 | $23,412 | $28,726 | $32,129 | $21,766–$54,006 |
| Delaware (statewide) | 2 | — | — | — | $37,603–$53,816 |
| Denver CO | 15 | $30,360 | $33,095 | $50,373 | $20,901–$65,074 |
| Detroit MI | 17 | $34,740 | $34,740 | $52,012 | $27,481–$68,171 |
| Florida (statewide) | 89 | $23,404 | $25,865 | $48,533 | $15,002–$76,176 |
| Georgia (statewide) | 42 | $33,146 | $47,658 | $56,096 | $19,910–$70,686 |
| Hawaii (statewide) | 11 | $52,235 | $54,752 | $61,996 | $43,748–$65,502 |
| Houston TX | 19 | $24,310 | $29,245 | $37,531 | $22,759–$55,189 |
| Idaho (statewide) | 16 | $35,107 | $45,913 | $52,180 | $25,688–$64,838 |
| Illinois (statewide) | 44 | $23,287 | $27,933 | $37,292 | $13,508–$140,800 |
| Indiana (statewide) | 48 | $19,970 | $32,771 | $42,614 | $16,090–$55,438 |
| Indianapolis IN | 6 | $15,419 | $31,158 | $54,724 | $15,260–$57,491 |
| Iowa (statewide) | 20 | $23,646 | $28,446 | $35,628 | $20,323–$40,745 |
| Kansas (statewide) | 22 | $20,262 | $23,499 | $32,843 | $10,486–$79,389 |
| Kentucky (statewide) | 33 | $22,082 | $25,147 | $33,041 | $14,602–$55,379 |
| Las Vegas NV | 2 | — | — | — | $26,574–$48,323 |
| Los Angeles CA | 18 | $37,412 | $43,408 | $47,092 | $33,918–$55,890 |
| Louisiana (statewide) | 23 | $18,228 | $22,570 | $24,796 | $14,422–$32,754 |
| Maine (statewide) | 13 | $48,733 | $68,774 | $76,682 | $19,554–$76,682 |
| Maryland (statewide) | 1 | — | — | — | $29,557–$29,557 |
| Massachusetts (statewide) | 6 | $26,298 | $31,966 | $34,452 | $18,081–$34,613 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $23,239–$43,256 |
| Michigan (statewide) | 37 | $30,604 | $34,028 | $42,065 | $19,985–$60,328 |
| Minneapolis-St. Paul MN | 15 | $37,922 | $41,235 | $42,071 | $25,606–$45,099 |
| Minnesota (statewide) | 22 | $30,984 | $32,362 | $41,197 | $13,923–$52,751 |
| Mississippi (statewide) | 17 | $25,615 | $27,881 | $28,993 | $18,728–$42,016 |
| Missouri (statewide) | 31 | $24,712 | $27,593 | $33,588 | $17,647–$53,366 |
| Montana (statewide) | 7 | $25,860 | $41,742 | $55,603 | $11,461–$80,264 |
| Nashville TN | 8 | $19,084 | $20,460 | $28,061 | $17,972–$46,099 |
| Nebraska (statewide) | 15 | $40,841 | $42,844 | $49,876 | $28,110–$60,570 |
| Nevada (statewide) | 6 | $32,727 | $38,896 | $47,043 | $27,035–$50,368 |
| New Hampshire (statewide) | 8 | $30,636 | $32,429 | $41,709 | $25,096–$59,649 |
| New Jersey (statewide) | 21 | $40,348 | $47,917 | $57,038 | $23,250–$71,442 |
| New Mexico (statewide) | 11 | $19,944 | $25,302 | $38,357 | $16,848–$72,301 |
| New York (statewide) | 48 | $27,928 | $33,369 | $44,644 | $18,399–$76,990 |
| New York City | 9 | $45,166 | $47,562 | $49,800 | $21,398–$77,479 |
| North Carolina (statewide) | 32 | $21,424 | $24,284 | $45,592 | $14,848–$58,416 |
| North Dakota (statewide) | 7 | $30,588 | $32,047 | $35,665 | $26,552–$43,352 |
| Ohio (statewide) | 50 | $25,132 | $37,472 | $44,357 | $16,291–$65,276 |
| Oklahoma (statewide) | 17 | $19,584 | $23,250 | $26,711 | $13,000–$49,596 |
| Oregon (statewide) | 14 | $32,096 | $41,780 | $50,116 | $18,742–$65,276 |
| Pennsylvania (statewide) | 61 | $29,703 | $38,051 | $44,244 | $19,666–$70,715 |
| Philadelphia PA | 11 | $42,182 | $46,338 | $50,825 | $38,645–$71,442 |
| Phoenix AZ | 11 | $41,463 | $41,463 | $42,842 | $38,135–$44,674 |
| Pittsburgh PA | 7 | $31,932 | $33,913 | $37,995 | $26,017–$43,558 |
| Portland OR | 9 | $49,920 | $54,072 | $62,517 | $48,290–$62,517 |
| Research Triangle NC | 9 | $28,634 | $31,933 | $39,113 | $21,150–$39,797 |
| Rhode Island (statewide) | 7 | $28,388 | $38,313 | $50,995 | $21,136–$54,914 |
| Richmond VA | 7 | $28,998 | $54,384 | $59,314 | $24,996–$61,020 |
| Rio Grande Valley TX | 6 | $26,170 | $29,300 | $31,447 | $23,672–$35,431 |
| Salt Lake City UT | 9 | $46,394 | $46,394 | $46,394 | $45,934–$46,394 |
| San Antonio TX | 3 | — | — | — | $24,580–$47,594 |
| San Diego CA | 7 | $30,542 | $36,289 | $38,893 | $28,888–$41,972 |
| San Francisco Bay Area CA | 2 | — | — | — | $30,994–$40,046 |
| Seattle-Tacoma WA | 16 | $48,171 | $52,781 | $54,526 | $46,365–$68,133 |
| South Carolina (statewide) | 33 | $41,730 | $47,276 | $56,066 | $19,530–$76,856 |
| South Dakota (statewide) | 4 | — | — | — | $27,897–$41,250 |
| St. Louis MO | 7 | $27,107 | $27,107 | $27,148 | $12,959–$42,992 |
| Tampa FL | 11 | $48,398 | $48,533 | $52,354 | $36,990–$56,248 |
| Tennessee (statewide) | 33 | $20,342 | $23,795 | $26,892 | $18,492–$46,099 |
| Texas (statewide) | 87 | $23,366 | $28,726 | $37,541 | $12,423–$62,426 |
| Utah (statewide) | 6 | $39,725 | $54,620 | $64,752 | $18,603–$65,388 |
| Vermont (statewide) | 3 | — | — | — | $30,017–$66,352 |
| Virginia (statewide) | 26 | $38,232 | $46,784 | $51,926 | $21,543–$87,313 |
| Washington (statewide) | 14 | $35,481 | $45,848 | $51,324 | $19,647–$100,882 |
| Washington DC | 11 | $36,847 | $47,091 | $48,524 | $21,861–$53,400 |
| West Virginia (statewide) | 13 | $14,149 | $15,243 | $46,944 | $11,982–$61,084 |
| Wisconsin (statewide) | 49 | $35,744 | $45,368 | $52,751 | $13,088–$61,001 |
| Wyoming (statewide) | 2 | — | — | — | $40,261–$53,366 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $10,486 | 0.6× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $11,461 | 0.6× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $11,982 | 0.7× | 2 | 2026-07-10 |
| Peterson Regional Medical Center | Texas (statewide) | $12,423 | 0.7× | 1 | 2026-08-17 |
| Mercy Hospital South | St. Louis MO | $12,959 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $13,000 | 0.8× | 3 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Thedacare Medical Center - Berlin Inc | Wisconsin (statewide) | $13,130 | 0.8× | 2 | 2026-08-08 |
| Hammond Henry Hospital | Illinois (statewide) | $13,508 | 0.7× | 2 | 2026-01-22 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $13,690 | 0.8× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $13,739 | 0.8× | 3 | 2026-07-09 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $13,923 | 0.8× | 1 | 2026-01-28 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $77,479 | 3.4× | 9 | 2026-01-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $79,389 | 3.9× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $79,389 | 4.7× | 4 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $79,738 | 4.2× | 4 | 2026-03-22 |
| Providence St Joseph Medical Center | Montana (statewide) | $80,264 | 4.3× | 1 | 2026-04-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $80,369 | 4.6× | 1 | 2025-12-15 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $82,203 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $87,313 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $88,295 | 3.7× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $100,882 | 5.0× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $120,096 | 5.1× | 1 | 2026-03-12 |
| Mason District Hospital | Illinois (statewide) | $140,800 | 7.2× | 1 | 2026-03-10 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 494: Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/McC
1506 hospitals in 83 markets. National Medicare rate $14,601.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $17,022 | $20,163 | $22,892 | $13,444–$44,890 |
| Alaska (statewide) | 4 | — | — | — | $17,666–$62,344 |
| Arizona (statewide) | 28 | $22,566 | $32,000 | $35,151 | $14,973–$39,559 |
| Arkansas (statewide) | 11 | $17,490 | $18,678 | $20,064 | $14,525–$23,556 |
| Atlanta GA | 9 | $34,026 | $38,902 | $39,886 | $34,026–$55,510 |
| Austin TX | 13 | $12,656 | $20,284 | $22,136 | $9,828–$24,646 |
| Boston MA | 15 | $17,440 | $18,560 | $24,990 | $14,229–$41,088 |
| California (statewide) | 53 | $22,687 | $28,248 | $33,836 | $15,907–$108,076 |
| Charlotte NC | 8 | $28,706 | $31,089 | $32,385 | $22,509–$32,385 |
| Chicago IL | 11 | $21,797 | $26,672 | $31,300 | $13,362–$37,321 |
| Cleveland OH | 11 | $19,648 | $23,525 | $26,895 | $16,868–$33,856 |
| Colorado (statewide) | 16 | $26,356 | $36,176 | $46,397 | $12,294–$63,086 |
| Columbus OH | 2 | — | — | — | $35,588–$40,784 |
| Connecticut (statewide) | 6 | $24,966 | $31,489 | $38,486 | $16,238–$50,052 |
| Dallas-Fort Worth TX | 15 | $19,195 | $21,411 | $25,786 | $18,116–$41,908 |
| Delaware (statewide) | 2 | — | — | — | $24,818–$38,215 |
| Denver CO | 15 | $22,257 | $26,184 | $39,854 | $16,722–$51,325 |
| Detroit MI | 17 | $27,485 | $27,485 | $35,874 | $19,948–$46,359 |
| Florida (statewide) | 90 | $18,990 | $20,754 | $38,111 | $14,074–$60,269 |
| Georgia (statewide) | 43 | $25,566 | $38,230 | $46,980 | $15,964–$55,510 |
| Hawaii (statewide) | 12 | $32,330 | $34,180 | $42,482 | $20,204–$46,515 |
| Houston TX | 19 | $20,159 | $23,904 | $29,537 | $18,003–$46,014 |
| Idaho (statewide) | 15 | $24,598 | $30,172 | $38,034 | $9,545–$45,975 |
| Illinois (statewide) | 44 | $18,391 | $21,557 | $28,704 | $9,990–$43,401 |
| Indiana (statewide) | 49 | $16,326 | $27,182 | $33,715 | $13,858–$43,862 |
| Indianapolis IN | 5 | $15,001 | $15,002 | $36,729 | $14,482–$45,485 |
| Iowa (statewide) | 18 | $18,143 | $21,385 | $27,690 | $15,980–$31,995 |
| Kansas (statewide) | 23 | $16,071 | $17,927 | $25,514 | $10,546–$62,344 |
| Kentucky (statewide) | 31 | $17,474 | $19,896 | $25,920 | $11,658–$43,487 |
| Las Vegas NV | 2 | — | — | — | $22,335–$38,602 |
| Los Angeles CA | 18 | $31,652 | $34,302 | $37,191 | $26,835–$44,143 |
| Louisiana (statewide) | 23 | $14,128 | $17,812 | $20,550 | $11,569–$25,860 |
| Maine (statewide) | 13 | $38,268 | $54,412 | $60,669 | $15,470–$60,669 |
| Maryland (statewide) | 1 | — | — | — | $25,176–$25,176 |
| Massachusetts (statewide) | 7 | $21,802 | $27,385 | $27,985 | $14,306–$35,615 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $18,780–$33,837 |
| Michigan (statewide) | 36 | $22,644 | $26,280 | $31,749 | $15,812–$41,735 |
| Minneapolis-St. Paul MN | 15 | $30,009 | $32,382 | $33,190 | $15,042–$37,850 |
| Minnesota (statewide) | 22 | $24,490 | $25,604 | $32,382 | $11,016–$41,735 |
| Mississippi (statewide) | 17 | $20,266 | $21,670 | $22,938 | $14,706–$33,242 |
| Missouri (statewide) | 28 | $19,445 | $22,142 | $25,922 | $13,858–$41,908 |
| Montana (statewide) | 7 | $20,459 | $33,186 | $44,148 | $9,000–$63,811 |
| Nashville TN | 8 | $16,182 | $16,498 | $21,634 | $15,836–$36,200 |
| Nebraska (statewide) | 15 | $32,144 | $33,644 | $39,212 | $22,073–$47,921 |
| Nevada (statewide) | 5 | $27,830 | $30,454 | $38,602 | $25,654–$39,850 |
| New Hampshire (statewide) | 8 | $23,676 | $25,466 | $32,934 | $19,856–$47,193 |
| New Jersey (statewide) | 21 | $32,008 | $37,433 | $44,736 | $18,938–$56,814 |
| New Mexico (statewide) | 11 | $16,103 | $20,088 | $28,916 | $13,230–$56,778 |
| New York (statewide) | 46 | $20,556 | $25,793 | $35,171 | $14,557–$60,460 |
| New York City | 9 | $33,131 | $37,630 | $39,401 | $16,804–$61,300 |
| North Carolina (statewide) | 32 | $15,903 | $18,846 | $32,582 | $11,660–$48,026 |
| North Dakota (statewide) | 7 | $24,110 | $25,268 | $30,368 | $23,682–$53,144 |
| Ohio (statewide) | 52 | $19,648 | $29,961 | $35,088 | $12,889–$51,384 |
| Oklahoma (statewide) | 17 | $14,912 | $19,424 | $21,221 | $11,033–$39,239 |
| Oregon (statewide) | 13 | $31,112 | $33,540 | $39,929 | $14,717–$51,384 |
| Pennsylvania (statewide) | 62 | $21,934 | $27,096 | $33,852 | $14,468–$55,774 |
| Philadelphia PA | 11 | $33,285 | $36,807 | $40,110 | $30,504–$56,814 |
| Phoenix AZ | 11 | $32,804 | $32,804 | $33,414 | $29,946–$34,347 |
| Pittsburgh PA | 7 | $23,538 | $25,048 | $27,898 | $19,517–$31,860 |
| Portland OR | 9 | $40,071 | $42,920 | $49,095 | $37,922–$49,095 |
| Research Triangle NC | 9 | $22,293 | $25,076 | $30,252 | $16,030–$30,945 |
| Rhode Island (statewide) | 6 | $26,802 | $34,340 | $41,318 | $21,846–$43,446 |
| Richmond VA | 7 | $23,191 | $31,064 | $46,157 | $21,716–$48,277 |
| Rio Grande Valley TX | 6 | $21,161 | $23,475 | $24,552 | $20,486–$28,860 |
| Salt Lake City UT | 9 | $31,270 | $31,270 | $31,270 | $30,959–$31,270 |
| San Antonio TX | 3 | — | — | — | $19,506–$41,372 |
| San Diego CA | 7 | $24,315 | $28,711 | $31,060 | $23,056–$33,410 |
| San Francisco Bay Area CA | 2 | — | — | — | $24,619–$28,355 |
| Seattle-Tacoma WA | 16 | $38,064 | $41,447 | $43,198 | $36,246–$53,505 |
| South Carolina (statewide) | 32 | $30,568 | $36,410 | $43,787 | $12,530–$60,807 |
| South Dakota (statewide) | 4 | — | — | — | $22,072–$32,636 |
| St. Louis MO | 7 | $22,936 | $22,936 | $22,936 | $10,253–$36,316 |
| Tampa FL | 11 | $38,111 | $38,111 | $41,421 | $29,044–$44,502 |
| Tennessee (statewide) | 32 | $16,233 | $18,384 | $21,118 | $12,773–$36,200 |
| Texas (statewide) | 88 | $18,482 | $22,306 | $30,987 | $9,489–$49,023 |
| Utah (statewide) | 6 | $30,179 | $36,814 | $43,642 | $14,718–$44,071 |
| Vermont (statewide) | 3 | — | — | — | $23,571–$52,103 |
| Virginia (statewide) | 26 | $30,248 | $36,041 | $39,942 | $18,476–$69,080 |
| Washington (statewide) | 15 | $27,484 | $35,960 | $39,624 | $15,472–$78,969 |
| Washington DC | 11 | $29,394 | $36,978 | $38,104 | $17,380–$42,249 |
| West Virginia (statewide) | 12 | $10,328 | $10,894 | $33,481 | $8,810–$48,329 |
| Wisconsin (statewide) | 49 | $28,280 | $35,626 | $41,735 | $13,088–$48,262 |
| Wyoming (statewide) | 2 | — | — | — | $31,853–$41,534 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Wetzel County Hospital | West Virginia (statewide) | $8,810 | 0.6× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $9,000 | 0.6× | 1 | 2026-01-01 |
| Peterson Regional Medical Center | Texas (statewide) | $9,489 | 0.7× | 1 | 2026-08-17 |
| Saint Alphonsus Regional Medical Center | Idaho (statewide) | $9,545 | 0.7× | 1 | 2026-03-31 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $9,828 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $9,828 | 0.7× | 2 | 2026-01-01 |
| Hammond Henry Hospital | Illinois (statewide) | $9,990 | 0.7× | 1 | 2026-01-22 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $10,066 | 0.7× | 2 | 2026-07-10 |
| Loma Linda University Children'S Hospital | California (statewide) | $60,829 | 3.2× | 3 | 2026-09-02 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $61,300 | 3.4× | 9 | 2026-01-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $62,344 | 3.9× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $62,344 | 4.6× | 4 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $63,086 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $63,586 | 4.6× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $63,811 | 4.4× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $67,290 | 3.6× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $69,080 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $70,509 | 3.8× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $78,969 | 4.9× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $108,076 | 5.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for tibial plateau (knee) fracture fixation?
Across 828 hospitals in 73 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27535, hospital outpatient is $9,624, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,268 to $13,850. 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: St Luke'S Hospital - Upper Bucks Campus ($3,577), Floyd Cherokee Medical Center ($3,690), Cherokee Regional Medical Center ($3,690). Highest: Northern Light Eastern Maine Medical Center ($48,526), Northern Light Maine Coast Hospital ($48,526), Northern Light A R Gould Hospital ($48,526). Coverage: every hospital whose price file we could read.