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Tibial plateau (knee) fracture fixation in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27535

HospitalMedian across insurers× MedicareInsurersFile date
Keck Hospital Of Usc Los Angeles$10,1301.1×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,8551.3×52026-09-01
Cedars-Sinai Medical Center Los Angeles$22,0552.4×32025-11-26
Stanford Health Care Stanford$22,2992.1×42026-04-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Keck Hospital Of Usc Los Angeles$10,9511.2×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$13,8781.5×52026-09-01
Cedars-Sinai Medical Center Los Angeles$25,4862.7×32025-11-26
Stanford Health Care Stanford$28,9622.7×42026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$28,4311.2×32026-09-01
Scripps Green Hospital La Jolla$41,4131.8×62026-03-30
Cedars-Sinai Medical Center Los Angeles$52,3222.2×22025-11-26
Keck Hospital Of Usc Los Angeles$77,6303.3×72026-04-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.3×32026-09-01
Scripps Green Hospital La Jolla$32,7651.8×62026-03-30
Cedars-Sinai Medical Center Los Angeles$47,3562.5×22025-11-26
Keck Hospital Of Usc Los Angeles$61,4193.3×72026-04-01

Questions

How much do insurers pay for tibial plateau (knee) fracture fixation in California?

5 California hospitals post usable commercial rates for tibial plateau (knee) fracture fixation in their federal price-transparency files. For CPT 27535, hospital outpatient, the median across 4 hospitals is $16,955, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.