Price AtlasInteractive atlas · All states · techysurgeon.comTibial plateau (knee) fracture fixation in Washington DC
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 27535
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $5,654 · local Medicare $7,507 · file 2026-09-01 | |||
| Bright Health | $3,993 | 0.5× | 1 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $5,079 | 0.7× | 4 |
| UnitedHealthcare | $8,278 | 1.1× | 1 |
| Reston Hospital Center median $6,230 · local Medicare $7,507 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $5,081 | 0.7× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,726 | 0.9× | 4 |
| UnitedHealthcare | $10,566 | 1.4× | 1 |
| Stonesprings Hospital Center median $6,230 · local Medicare $7,507 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $5,081 | 0.7× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,750 | 0.9× | 4 |
| UnitedHealthcare | $10,566 | 1.4× | 1 |
| Inova Alexandria Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $18,939 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Loudoun Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,235 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Fair Oaks Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,320 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Mount Vernon Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,104 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| George Washington Univ Hospital median $10,154 · local Medicare $8,572 · file 2026-09-01 | |||
| Cigna | $11,365 | 1.3× | 2 |
| Elevance/Anthem/Empire | $4,599 | 0.5× | 1 |
| Mdipa | $8,942 | 1.0× | 1 |
| UnitedHealthcare | $22,034 | 2.6× | 2 |
CPT 27536
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $6,230 · local Medicare $7,507 · file 2026-09-01 | |||
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $5,079 | 0.7× | 4 |
| UnitedHealthcare | $8,278 | 1.1× | 1 |
| Reston Hospital Center median $6,478 · local Medicare $7,507 · file 2026-09-01 | |||
| CareFirst BCBS | $5,081 | 0.7× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,726 | 0.9× | 4 |
| UnitedHealthcare | $10,566 | 1.4× | 1 |
| Stonesprings Hospital Center median $6,490 · local Medicare $7,507 · file 2026-09-01 | |||
| CareFirst BCBS | $5,081 | 0.7× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,750 | 0.9× | 4 |
| UnitedHealthcare | $10,566 | 1.4× | 1 |
| George Washington Univ Hospital median $8,942 · local Medicare $8,572 · file 2026-09-01 | |||
| Aetna | $5,781 | 0.7× | 1 |
| Cigna | $11,365 | 1.3× | 2 |
| Elevance/Anthem/Empire | $4,599 | 0.5× | 1 |
| Mdipa | $8,942 | 1.0× | 1 |
| UnitedHealthcare | $22,034 | 2.6× | 2 |
| Inova Alexandria Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,895 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $18,939 | 2.5× | 2 |
| Innovation | $4,185 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Loudoun Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,895 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,235 | 2.6× | 2 |
| Innovation | $4,185 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Fair Oaks Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,895 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,320 | 2.6× | 2 |
| Innovation | $4,185 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
| Inova Mount Vernon Hospital median $9,060 · local Medicare $7,507 · file 2026-04-01 | |||
| Aetna | $5,895 | 0.8× | 3 |
| CareFirst BCBS | $6,895 | 0.9× | 2 |
| Elevance/Anthem/Empire | $19,104 | 2.5× | 2 |
| Innovation | $4,185 | 0.6× | 1 |
| Sentara Health | $11,413 | 1.5× | 2 |
| UnitedHealthcare | $11,225 | 1.5× | 2 |
MS-DRG 493
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $21,861 · local Medicare $18,712 · file 2026-09-01 | |||
| Aetna | $20,164 | 1.1× | 1 |
| Bright Health | $21,861 | 1.2× | 2 |
| Cigna | $30,149 | 1.6× | 2 |
| Elevance/Anthem/Empire | $23,238 | 1.2× | 5 |
| Sentara Optima Health | $29,062 | 1.6× | 3 |
| UnitedHealthcare | $19,741 | 1.1× | 4 |
| Virginia Premier Health | $20,136 | 1.1× | 1 |
| Reston Hospital Center median $27,654 · local Medicare $18,712 · file 2026-09-01 | |||
| Aetna | $20,785 | 1.1× | 1 |
| Bright Health | $27,654 | 1.5× | 2 |
| CareFirst BCBS | $39,408 | 2.1× | 2 |
| Cigna | $30,149 | 1.6× | 2 |
| Elevance/Anthem/Empire | $34,445 | 1.8× | 5 |
| Pyramid Life | $22,385 | 1.2× | 1 |
| Sentara Optima Health | $29,062 | 1.6× | 2 |
| UnitedHealthcare | $20,350 | 1.1× | 3 |
| Virginia Premier Health | $20,757 | 1.1× | 1 |
| Stonesprings Hospital Center median $28,358 · local Medicare $18,712 · file 2026-09-01 | |||
| Aetna | $20,780 | 1.1× | 1 |
| Bright Health | $27,654 | 1.5× | 2 |
| CareFirst BCBS | $39,408 | 2.1× | 2 |
| Cigna | $30,149 | 1.6× | 2 |
| Elevance/Anthem/Empire | $36,860 | 2.0× | 5 |
| Sentara Optima Health | $29,062 | 1.6× | 2 |
| UnitedHealthcare | $20,345 | 1.1× | 3 |
| Virginia Premier Health | $20,752 | 1.1× | 1 |
| George Washington Univ Hospital median $45,336 · local Medicare $21,627 · file 2026-09-01 | |||
| Aetna | $52,084 | 2.4× | 1 |
| Cigna | $44,123 | 2.0× | 2 |
| Elevance/Anthem/Empire | $46,111 | 2.1× | 2 |
| Mdipa | $44,562 | 2.1× | 1 |
| Medstar | $30,801 | 1.4× | 1 |
| UnitedHealthcare | $75,264 | 3.5× | 2 |
| Inova Alexandria Hospital median $47,074 · local Medicare $18,712 · file 2026-04-01 | |||
| Aetna | $47,074 | 2.5× | 3 |
| CareFirst BCBS | $42,716 | 2.3× | 2 |
| Cigna | $52,181 | 2.8× | 2 |
| Elevance/Anthem/Empire | $45,254 | 2.4× | 2 |
| Innovation | $44,014 | 2.4× | 2 |
| Sentara Health | $50,188 | 2.7× | 2 |
| UnitedHealthcare | $64,138 | 3.4× | 2 |
| Inova Mount Vernon Hospital median $47,091 · local Medicare $18,712 · file 2026-04-01 | |||
| Aetna | $47,074 | 2.5× | 3 |
| CareFirst BCBS | $42,716 | 2.3× | 2 |
| Cigna | $52,181 | 2.8× | 2 |
| Elevance/Anthem/Empire | $47,091 | 2.5× | 2 |
| Innovation | $44,014 | 2.4× | 2 |
| Sentara Health | $50,188 | 2.7× | 2 |
| UnitedHealthcare | $64,138 | 3.4× | 2 |
| Medstar Georgetown University Hospital median $47,587 · local Medicare $21,627 · file 2026-04-01 | |||
| Aetna | $84,614 | 3.9× | 1 |
| CareFirst BCBS | $47,587 | 2.2× | 2 |
| Cigna | $72,512 | 3.4× | 2 |
| Health Care Service Corporation | $24,246 | 1.1× | 1 |
| UnitedHealthcare | $38,313 | 1.8× | 4 |
| Inova Loudoun Hospital median $48,289 · local Medicare $18,712 · file 2026-04-01 | |||
| Aetna | $47,074 | 2.5× | 3 |
| CareFirst BCBS | $42,716 | 2.3× | 2 |
| Cigna | $52,181 | 2.8× | 2 |
| Elevance/Anthem/Empire | $48,289 | 2.6× | 2 |
| Innovation | $44,014 | 2.4× | 2 |
| Sentara Health | $50,188 | 2.7× | 2 |
| UnitedHealthcare | $64,138 | 3.4× | 2 |
| Inova Fairfax Hospital median $48,760 · local Medicare $18,712 · file 2026-04-01 | |||
| Aetna | $48,673 | 2.6× | 3 |
| CareFirst BCBS | $45,837 | 2.4× | 2 |
| Cigna | $52,949 | 2.8× | 2 |
| Elevance/Anthem/Empire | $48,760 | 2.6× | 2 |
| Innovation | $45,633 | 2.4× | 2 |
| Sentara Health | $54,552 | 2.9× | 2 |
| UnitedHealthcare | $64,930 | 3.5× | 2 |
| Inova Fair Oaks Hospital median $49,196 · local Medicare $18,712 · file 2026-04-01 | |||
| Aetna | $47,074 | 2.5× | 3 |
| CareFirst BCBS | $42,716 | 2.3× | 2 |
| Cigna | $52,181 | 2.8× | 2 |
| Elevance/Anthem/Empire | $49,196 | 2.6× | 2 |
| Innovation | $44,014 | 2.4× | 2 |
| Sentara Health | $50,188 | 2.7× | 2 |
| UnitedHealthcare | $64,138 | 3.4× | 2 |
| Medstar Washington Hospital Center median $53,400 · local Medicare $21,627 · file 2026-04-01 | |||
| Aetna | $69,568 | 3.2× | 1 |
| CareFirst BCBS | $41,899 | 1.9× | 2 |
| Cigna | $69,020 | 3.2× | 2 |
| Health Care Service Corporation | $24,987 | 1.2× | 1 |
| Kaiser Permanente | $53,400 | 2.5× | 1 |
| Mamsi | $64,275 | 3.0× | 1 |
| UnitedHealthcare | $46,164 | 2.1× | 4 |
MS-DRG 494
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $17,380 · local Medicare $14,805 · file 2026-09-01 | |||
| Aetna | $16,102 | 1.1× | 1 |
| Bright Health | $17,380 | 1.2× | 2 |
| Cigna | $23,853 | 1.6× | 2 |
| Elevance/Anthem/Empire | $18,386 | 1.2× | 5 |
| Sentara Optima Health | $29,062 | 2.0× | 3 |
| UnitedHealthcare | $15,764 | 1.1× | 4 |
| Virginia Premier Health | $16,079 | 1.1× | 1 |
| Reston Hospital Center median $21,986 · local Medicare $14,805 · file 2026-09-01 | |||
| Aetna | $16,613 | 1.1× | 1 |
| Bright Health | $21,986 | 1.5× | 2 |
| CareFirst BCBS | $31,179 | 2.1× | 2 |
| Cigna | $23,853 | 1.6× | 2 |
| Elevance/Anthem/Empire | $27,252 | 1.8× | 5 |
| Pyramid Life | $17,891 | 1.2× | 1 |
| Sentara Optima Health | $29,062 | 2.0× | 2 |
| UnitedHealthcare | $16,264 | 1.1× | 3 |
| Virginia Premier Health | $16,590 | 1.1× | 1 |
| Stonesprings Hospital Center median $22,920 · local Medicare $14,805 · file 2026-09-01 | |||
| Aetna | $16,704 | 1.1× | 1 |
| Bright Health | $21,986 | 1.5× | 2 |
| CareFirst BCBS | $31,179 | 2.1× | 2 |
| Cigna | $23,853 | 1.6× | 2 |
| Elevance/Anthem/Empire | $29,162 | 2.0× | 5 |
| Sentara Optima Health | $29,062 | 2.0× | 2 |
| UnitedHealthcare | $16,354 | 1.1× | 3 |
| Virginia Premier Health | $16,681 | 1.1× | 1 |
| George Washington Univ Hospital median $35,869 · local Medicare $17,111 · file 2026-09-01 | |||
| Aetna | $41,207 | 2.4× | 1 |
| Cigna | $34,909 | 2.0× | 2 |
| Elevance/Anthem/Empire | $36,482 | 2.1× | 2 |
| Mdipa | $35,256 | 2.1× | 1 |
| Medstar | $24,491 | 1.4× | 1 |
| UnitedHealthcare | $59,547 | 3.5× | 2 |
| Inova Alexandria Hospital median $36,965 · local Medicare $14,805 · file 2026-04-01 | |||
| Aetna | $36,965 | 2.5× | 3 |
| CareFirst BCBS | $33,795 | 2.3× | 2 |
| Cigna | $40,975 | 2.8× | 2 |
| Elevance/Anthem/Empire | $35,536 | 2.4× | 2 |
| Innovation | $34,562 | 2.3× | 2 |
| Sentara Health | $39,410 | 2.7× | 2 |
| UnitedHealthcare | $50,365 | 3.4× | 2 |
| Inova Mount Vernon Hospital median $36,978 · local Medicare $14,805 · file 2026-04-01 | |||
| Aetna | $36,965 | 2.5× | 3 |
| CareFirst BCBS | $33,795 | 2.3× | 2 |
| Cigna | $40,975 | 2.8× | 2 |
| Elevance/Anthem/Empire | $36,978 | 2.5× | 2 |
| Innovation | $34,562 | 2.3× | 2 |
| Sentara Health | $39,410 | 2.7× | 2 |
| UnitedHealthcare | $50,365 | 3.4× | 2 |
| Medstar Georgetown University Hospital median $37,650 · local Medicare $17,111 · file 2026-04-01 | |||
| Aetna | $66,945 | 3.9× | 1 |
| CareFirst BCBS | $37,650 | 2.2× | 2 |
| Cigna | $57,370 | 3.4× | 2 |
| Health Care Service Corporation | $19,282 | 1.1× | 1 |
| UnitedHealthcare | $30,360 | 1.8× | 4 |
| Inova Loudoun Hospital median $37,919 · local Medicare $14,805 · file 2026-04-01 | |||
| Aetna | $36,965 | 2.5× | 3 |
| CareFirst BCBS | $33,795 | 2.3× | 2 |
| Cigna | $40,975 | 2.8× | 2 |
| Elevance/Anthem/Empire | $37,919 | 2.6× | 2 |
| Innovation | $34,562 | 2.3× | 2 |
| Sentara Health | $39,410 | 2.7× | 2 |
| UnitedHealthcare | $50,365 | 3.4× | 2 |
| Inova Fairfax Hospital median $38,289 · local Medicare $14,805 · file 2026-04-01 | |||
| Aetna | $38,221 | 2.6× | 3 |
| CareFirst BCBS | $36,265 | 2.4× | 2 |
| Cigna | $41,579 | 2.8× | 2 |
| Elevance/Anthem/Empire | $38,289 | 2.6× | 2 |
| Innovation | $35,834 | 2.4× | 2 |
| Sentara Health | $42,838 | 2.9× | 2 |
| UnitedHealthcare | $50,987 | 3.4× | 2 |
| Inova Fair Oaks Hospital median $38,632 · local Medicare $14,805 · file 2026-04-01 | |||
| Aetna | $36,965 | 2.5× | 3 |
| CareFirst BCBS | $33,795 | 2.3× | 2 |
| Cigna | $40,975 | 2.8× | 2 |
| Elevance/Anthem/Empire | $38,632 | 2.6× | 2 |
| Innovation | $34,562 | 2.3× | 2 |
| Sentara Health | $39,410 | 2.7× | 2 |
| UnitedHealthcare | $50,365 | 3.4× | 2 |
| Medstar Washington Hospital Center median $42,249 · local Medicare $17,111 · file 2026-04-01 | |||
| Aetna | $55,040 | 3.2× | 1 |
| CareFirst BCBS | $33,149 | 1.9× | 2 |
| Cigna | $54,607 | 3.2× | 2 |
| Health Care Service Corporation | $19,916 | 1.2× | 1 |
| Kaiser Permanente | $42,249 | 2.5× | 1 |
| Mamsi | $50,853 | 3.0× | 1 |
| UnitedHealthcare | $36,594 | 2.1× | 4 |
Questions
How much does tibial plateau (knee) fracture fixation cost with commercial insurance in Washington DC?
8 Washington DC hospitals post usable commercial rates for CPT 27535, hospital outpatient. The median across hospitals is $9,060; hospital medians range from $5,654 to $10,154. Your cost depends on your plan's deductible and coinsurance.