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Tibial plateau (knee) fracture fixation in Detroit MI

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
Harper University Hospital median $5,812 · local Medicare $7,230 · file 2026-09-02
UnitedHealthcare	$5,812	0.8×	1
Huron Valley-Sinai Hospital median $5,812 · local Medicare $7,230 · file 2026-05-20
UnitedHealthcare	$5,812	0.8×	1
Henry Ford Health Rochester Hospital median $10,454 · local Medicare $7,230 · file 2026-01-01
BCBS Michigan	$10,454	1.4×	4
Henry Ford Health Macomb Hospital median $11,481 · local Medicare $7,230 · file 2026-06-28
BCBS Michigan	$14,286	2.0×	3
Bcn	$14,286	2.0×	1
HAP	$8,676	1.2×	1
UnitedHealthcare	$7,583	1.0×	2
Henry Ford Health Hospital median $12,636 · local Medicare $7,230 · file 2026-06-28
BCBS Michigan	$16,597	2.3×	4
Bcn	$19,250	2.7×	1
HAP	$8,676	1.2×	1
UnitedHealthcare	$7,230	1.0×	1

CPT 27536

Hospital · insurer	Rate	× Medicare	Plans
Harper University Hospital median $7,166 · local Medicare $7,230 · file 2026-09-02
UnitedHealthcare	$7,166	1.0×	1
Huron Valley-Sinai Hospital median $7,166 · local Medicare $7,230 · file 2026-05-20
UnitedHealthcare	$7,166	1.0×	1
Henry Ford Health Rochester Hospital median $10,343 · local Medicare $7,230 · file 2026-01-01
BCBS Michigan	$10,343	1.4×	4
Henry Ford Health Macomb Hospital median $13,303 · local Medicare $7,230 · file 2026-06-28
BCBS Michigan	$14,134	2.0×	3
Bcn	$14,134	2.0×	1
HAP	$8,676	1.2×	1
Nomi	$13,303	1.8×	1
UnitedHealthcare	$7,230	1.0×	1
Henry Ford Health Hospital median $14,099 · local Medicare $7,230 · file 2026-06-28
BCBS Michigan	$16,419	2.3×	4
Bcn	$19,044	2.6×	1
HAP	$8,676	1.2×	1
Nomi	$14,099	2.0×	1
UnitedHealthcare	$7,230	1.0×	1

MS-DRG 493

Hospital · insurer	Rate	× Medicare	Plans
Henry Ford Health -St John Hospital median $27,481 · local Medicare $17,979 · file 2026-01-01
Ppom	$23,249	1.3×	1
Priority HMO	$28,806	1.6×	1
Priority PPO	$28,806	1.6×	1
Smarthealth	$27,481	1.5×	1
UnitedHealthcare	$10,828	0.6×	4
Mclaren Lapeer Region median $31,828 · local Medicare $17,979 · file 2025-12-31
BCBS Michigan	$37,623	2.1×	1
MI Amish Medical Board	$26,033	1.4×	1
Henry Ford Health Macomb Hospital median $34,160 · local Medicare $17,979 · file 2026-06-28
Aetna	$33,613	1.9×	1
BCBS Michigan	$47,073	2.6×	3
Bcn	$47,073	2.6×	1
Cofinity (rental network)	$26,327	1.5×	1
HAP	$24,656	1.4×	3
Nomi	$35,655	2.0×	1
Priority Health	$33,864	1.9×	1
UnitedHealthcare	$31,749	1.8×	3
Vitalcore	$34,455	1.9×	1
Henry Ford Health Rochester Hospital median $34,212 · local Medicare $17,979 · file 2026-01-01
BCBS Michigan	$51,259	2.9×	4
Smarthealth	$17,166	1.0×	1
Corewell Health Beaumont Grosse Pointe Hospital median $34,740 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$47,385	2.6×	1
Cigna	$34,740	1.9×	1
Health Alliance Plan	$28,162	1.6×	2
Priority Health	$34,740	1.9×	1
Corewell Health William Beaumont University Hospit median $34,740 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$47,796	2.7×	1
Cigna	$34,740	1.9×	1
Health Alliance Plan	$31,962	1.8×	2
Priority Health	$34,740	1.9×	1
Corewell Health Wayne Hospital median $34,740 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$50,608	2.8×	1
Cigna	$34,740	1.9×	1
Health Alliance Plan	$29,486	1.6×	1
Priority Health	$34,740	1.9×	1
Corewell Health Farmington Hills Hospital median $34,740 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$50,474	2.8×	1
Cigna	$34,740	1.9×	1
Health Alliance Plan	$26,291	1.5×	3
MultiPlan/PHCS (rental network)	$19,808	1.1×	1
Priority Health	$34,740	1.9×	1
Corewell Health Trenton Hospital median $34,740 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$47,209	2.6×	1
Cigna	$34,740	1.9×	1
Health Alliance Plan	$29,486	1.6×	1
Priority Health	$34,740	1.9×	1
Corewell Health Dearborn Hospital median $35,133 · local Medicare $17,979 · file 2026-05-01
Aetna	$35,526	2.0×	1
BCBS Michigan	$49,145	2.7×	1
Health Alliance Plan	$29,486	1.6×	1
Priority Health	$34,740	1.9×	1
Henry Ford Health Hospital median $45,497 · local Medicare $17,979 · file 2026-06-28
Aetna	$53,403	3.0×	1
BCBS Michigan	$69,434	3.9×	3
Bcn	$69,434	3.9×	1
Cofinity (rental network)	$46,834	2.6×	1
HAP	$33,177	1.8×	3
Nomi	$49,370	2.7×	1
Priority Health	$41,624	2.3×	1
UnitedHealthcare	$31,992	1.8×	3
Vitalcore	$38,627	2.1×	1
Mclaren Port Huron median $45,640 · local Medicare $17,979 · file 2025-12-31
BCBS Michigan	$45,640	2.5×	1
Trinity Health Oakland Hospital median $52,012 · local Medicare $17,979 · file 2026-03-31
Aetna	$37,823	2.1×	4
Asr Health Benefits	$41,498	2.3×	1
BCBS (other)	$52,012	2.9×	1
BCBS AZ	$52,012	2.9×	1
BCBS MN	$52,012	2.9×	1
BCBS Michigan	$52,012	2.9×	29
BCBS NC	$52,012	2.9×	1
BCBS TN	$52,012	2.9×	1
Bcn Domestic	$52,012	2.9×	1
CareFirst BCBS	$52,012	2.9×	2
Elevance/Anthem/Empire	$52,012	2.9×	13
Employee Benefit Logistic	$22,571	1.3×	1
Excellus BCBS	$52,012	2.9×	1
HAP	$41,498	2.3×	2
Highmark BCBS	$52,012	2.9×	5
Horizon BCBS NJ	$52,012	2.9×	1
Independence Blue Cross	$52,012	2.9×	1
Kaiser Permanente	$52,012	2.9×	1
Premera Blue Cross	$52,012	2.9×	2
Priority Health	$39,194	2.2×	2
Regence BlueShield	$52,012	2.9×	4
U Of M Health Plan	$35,708	2.0×	1
Varipro	$41,498	2.3×	1
Wellmark BCBS	$52,012	2.9×	2
Huron Valley-Sinai Hospital median $52,022 · local Medicare $17,979 · file 2026-05-20
BCBS Michigan	$57,587	3.2×	1
UnitedHealthcare	$46,458	2.6×	4
Harper University Hospital median $52,852 · local Medicare $17,979 · file 2026-09-02
BCBS Michigan	$62,325	3.5×	1
UnitedHealthcare	$43,379	2.4×	4
Trinity Health Livonia Hospital median $64,382 · local Medicare $17,979 · file 2026-03-31
Aetna	$40,068	2.2×	4
Asr Health Benefits	$43,669	2.4×	1
BCBS (other)	$64,382	3.6×	1
BCBS AZ	$64,382	3.6×	1
BCBS MN	$64,382	3.6×	1
BCBS Michigan	$64,382	3.6×	29
BCBS NC	$64,382	3.6×	1
BCBS TN	$64,382	3.6×	1
Bcn Domestic	$64,382	3.6×	1
CareFirst BCBS	$64,382	3.6×	2
Elevance/Anthem/Empire	$64,382	3.6×	13
Employee Benefit Logistic	$41,596	2.3×	1
Excellus BCBS	$64,382	3.6×	1
HAP	$43,669	2.4×	2
Highmark BCBS	$64,382	3.6×	5
Horizon BCBS NJ	$64,382	3.6×	1
Independence Blue Cross	$64,382	3.6×	1
Kaiser Permanente	$64,382	3.6×	1
Premera Blue Cross	$64,382	3.6×	2
Priority Health	$41,245	2.3×	2
Regence BlueShield	$64,382	3.6×	4
U Of M Health Plan	$37,577	2.1×	1
Varipro	$43,669	2.4×	1
Wellmark BCBS	$64,382	3.6×	2
Trinity Health Livingston Hospital median $68,171 · local Medicare $17,979 · file 2026-03-31
Aetna	$37,669	2.1×	3
Asr Health Benefits	$38,708	2.2×	1
BCBS (other)	$68,171	3.8×	1
BCBS AZ	$68,171	3.8×	1
BCBS MN	$68,171	3.8×	1
BCBS Michigan	$68,171	3.8×	29
BCBS NC	$68,171	3.8×	1
BCBS TN	$68,171	3.8×	1
Bcn Domestic	$68,171	3.8×	1
CareFirst BCBS	$68,171	3.8×	2
Elevance/Anthem/Empire	$68,171	3.8×	13
Employee Benefit Logistic	$41,649	2.3×	1
Excellus BCBS	$68,171	3.8×	1
HAP	$38,708	2.2×	2
Health Cost Solutions	$28,692	1.6×	1
Highmark BCBS	$68,171	3.8×	5
Horizon BCBS NJ	$68,171	3.8×	1
Independence Blue Cross	$68,171	3.8×	1
Kaiser Permanente	$68,171	3.8×	1
Premera Blue Cross	$68,171	3.8×	2
Priority Health	$39,211	2.2×	2
Regence BlueShield	$68,171	3.8×	4
U Of M Health Plan	$35,726	2.0×	1
Varipro	$38,708	2.2×	1
Wellmark BCBS	$68,171	3.8×	2
Wellpath	$28,692	1.6×	1

MS-DRG 494

Hospital · insurer	Rate	× Medicare	Plans
Henry Ford Health -St John Hospital median $19,948 · local Medicare $14,225 · file 2026-01-01
Aetna	$9,410	0.7×	1
MultiPlan/PHCS (rental network)	$9,410	0.7×	2
Ppom	$18,154	1.3×	1
Priority HMO	$22,494	1.6×	1
Priority PPO	$22,494	1.6×	1
Smarthealth	$21,742	1.5×	1
UnitedHealthcare	$10,828	0.8×	4
Mclaren Lapeer Region median $23,103 · local Medicare $14,225 · file 2025-12-31
BCBS Michigan	$25,586	1.8×	1
MI Amish Medical Board	$20,620	1.4×	1
Henry Ford Health Rochester Hospital median $25,106 · local Medicare $14,225 · file 2026-01-01
BCBS Michigan	$36,631	2.6×	4
Smarthealth	$13,581	1.0×	1
Henry Ford Health Macomb Hospital median $26,990 · local Medicare $14,225 · file 2026-06-28
Aetna	$26,594	1.9×	1
BCBS Michigan	$32,012	2.3×	3
Bcn	$32,012	2.3×	1
Cofinity (rental network)	$20,829	1.5×	1
HAP	$19,507	1.4×	3
Nomi	$28,209	2.0×	1
Priority Health	$26,593	1.9×	1
UnitedHealthcare	$25,119	1.8×	3
Vitalcore	$27,386	1.9×	1
Corewell Health Beaumont Grosse Pointe Hospital median $27,485 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$32,224	2.3×	1
Cigna	$27,485	1.9×	1
Health Alliance Plan	$22,281	1.6×	2
Priority Health	$27,485	1.9×	1
Corewell Health William Beaumont University Hospit median $27,485 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$32,504	2.3×	1
Cigna	$27,485	1.9×	1
Health Alliance Plan	$25,287	1.8×	2
Priority Health	$27,485	1.9×	1
Corewell Health Wayne Hospital median $27,485 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$34,416	2.4×	1
Cigna	$27,485	1.9×	1
Health Alliance Plan	$23,329	1.6×	1
Priority Health	$27,485	1.9×	1
Corewell Health Farmington Hills Hospital median $27,485 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$34,325	2.4×	1
Cigna	$27,485	1.9×	1
Health Alliance Plan	$20,801	1.5×	3
MultiPlan/PHCS (rental network)	$15,555	1.1×	1
Priority Health	$27,485	1.9×	1
Corewell Health Trenton Hospital median $27,485 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$32,104	2.3×	1
Cigna	$27,485	1.9×	1
Health Alliance Plan	$23,329	1.6×	1
Priority Health	$27,485	1.9×	1
Corewell Health Dearborn Hospital median $27,796 · local Medicare $14,225 · file 2026-05-01
Aetna	$28,107	2.0×	1
BCBS Michigan	$33,421	2.3×	1
Health Alliance Plan	$23,329	1.6×	1
Priority Health	$27,485	1.9×	1
Mclaren Port Huron median $31,037 · local Medicare $14,225 · file 2025-12-31
BCBS Michigan	$31,037	2.2×	1
Trinity Health Oakland Hospital median $35,370 · local Medicare $14,225 · file 2026-03-31
Aetna	$29,925	2.1×	4
Asr Health Benefits	$32,832	2.3×	1
BCBS (other)	$35,370	2.5×	1
BCBS AZ	$35,370	2.5×	1
BCBS MN	$35,370	2.5×	1
BCBS Michigan	$35,370	2.5×	29
BCBS NC	$35,370	2.5×	1
BCBS TN	$35,370	2.5×	1
Bcn Domestic	$35,370	2.5×	1
CareFirst BCBS	$35,370	2.5×	2
Elevance/Anthem/Empire	$35,370	2.5×	13
Employee Benefit Logistic	$17,858	1.3×	1
Excellus BCBS	$35,370	2.5×	1
HAP	$32,832	2.3×	2
Highmark BCBS	$35,370	2.5×	5
Horizon BCBS NJ	$35,370	2.5×	1
Independence Blue Cross	$35,370	2.5×	1
Kaiser Permanente	$35,370	2.5×	1
Premera Blue Cross	$35,370	2.5×	2
Priority Health	$31,010	2.2×	2
Regence BlueShield	$35,370	2.5×	4
U Of M Health Plan	$28,252	2.0×	1
Varipro	$32,832	2.3×	1
Wellmark BCBS	$35,370	2.5×	2
Henry Ford Health Hospital median $35,874 · local Medicare $14,225 · file 2026-06-28
Aetna	$42,251	3.0×	1
BCBS Michigan	$47,218	3.3×	3
Bcn	$47,218	3.3×	1
Cofinity (rental network)	$37,054	2.6×	1
HAP	$26,249	1.8×	3
Nomi	$39,061	2.7×	1
Priority Health	$32,687	2.3×	1
UnitedHealthcare	$20,198	1.4×	3
Vitalcore	$31,046	2.2×	1
Huron Valley-Sinai Hospital median $37,959 · local Medicare $14,225 · file 2026-05-20
BCBS Michigan	$39,162	2.8×	1
UnitedHealthcare	$36,756	2.6×	4
Harper University Hospital median $38,352 · local Medicare $14,225 · file 2026-09-02
BCBS Michigan	$42,384	3.0×	1
UnitedHealthcare	$34,320	2.4×	4
Trinity Health Livonia Hospital median $43,783 · local Medicare $14,225 · file 2026-03-31
Aetna	$31,701	2.2×	4
Asr Health Benefits	$34,550	2.4×	1
BCBS (other)	$43,783	3.1×	1
BCBS AZ	$43,783	3.1×	1
BCBS MN	$43,783	3.1×	1
BCBS Michigan	$43,783	3.1×	29
BCBS NC	$43,783	3.1×	1
BCBS TN	$43,783	3.1×	1
Bcn Domestic	$43,783	3.1×	1
CareFirst BCBS	$43,783	3.1×	2
Elevance/Anthem/Empire	$43,783	3.1×	13
Employee Benefit Logistic	$33,043	2.3×	1
Excellus BCBS	$43,783	3.1×	1
HAP	$34,550	2.4×	2
Highmark BCBS	$43,783	3.1×	5
Horizon BCBS NJ	$43,783	3.1×	1
Independence Blue Cross	$43,783	3.1×	1
Kaiser Permanente	$43,783	3.1×	1
Premera Blue Cross	$43,783	3.1×	2
Priority Health	$32,632	2.3×	2
Regence BlueShield	$43,783	3.1×	4
U Of M Health Plan	$29,730	2.1×	1
Varipro	$34,550	2.4×	1
Wellmark BCBS	$43,783	3.1×	2
Trinity Health Livingston Hospital median $46,359 · local Medicare $14,225 · file 2026-03-31
Aetna	$29,803	2.1×	3
Asr Health Benefits	$30,625	2.2×	1
BCBS (other)	$46,359	3.3×	1
BCBS AZ	$46,359	3.3×	1
BCBS MN	$46,359	3.3×	1
BCBS Michigan	$46,359	3.3×	29
BCBS NC	$46,359	3.3×	1
BCBS TN	$46,359	3.3×	1
Bcn Domestic	$46,359	3.3×	1
CareFirst BCBS	$46,359	3.3×	2
Elevance/Anthem/Empire	$46,359	3.3×	13
Employee Benefit Logistic	$32,952	2.3×	1
Excellus BCBS	$46,359	3.3×	1
HAP	$30,625	2.2×	2
Health Cost Solutions	$22,700	1.6×	1
Highmark BCBS	$46,359	3.3×	5
Horizon BCBS NJ	$46,359	3.3×	1
Independence Blue Cross	$46,359	3.3×	1
Kaiser Permanente	$46,359	3.3×	1
Premera Blue Cross	$46,359	3.3×	2
Priority Health	$31,023	2.2×	2
Regence BlueShield	$46,359	3.3×	4
U Of M Health Plan	$28,266	2.0×	1
Varipro	$30,625	2.2×	1
Wellmark BCBS	$46,359	3.3×	2
Wellpath	$22,700	1.6×	1

Questions

How much does tibial plateau (knee) fracture fixation cost with commercial insurance in Detroit MI?

5 Detroit MI hospitals post usable commercial rates for CPT 27535, hospital outpatient. The median across hospitals is $10,454; hospital medians range from $5,812 to $12,636. Your cost depends on your plan's deductible and coinsurance.