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

Posted commercial rates at 18 Idaho 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
North Canyon Medical Center Gooding$3,9520.6×82026-04-13
St Joseph Regional Medical Center Lewiston$6,2650.9×12026-04-01
Treasure Valley Hospital Boise$7,3321.0×32026-09-02
West Valley Medical Center Caldwell$7,8311.1×32026-09-01
Mountain View Hospital Idaho Falls$10,1711.4×22026-03-16
Kootenai Health Coeur D'Alene$10,3371.4×32026-03-27
St Luke'S Regional Medical Center Boise$10,9641.5×22026-03-25
St Luke'S Nampa Medical Center Nampa$10,9641.5×22026-03-25
St Luke'S Jerome Jerome$10,9641.5×22026-03-25
St Luke'S Elmore Medical Center Mountain Home$10,9641.5×22026-03-25
Saint Alphonsus Regional Medical Center Boise$14,0581.9×22026-03-31
Idaho Falls Community Hospital, Llc Idaho Falls$16,1302.3×32026-03-16

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Weiser Memorial Hospital Weiser$3,7870.5×52026-08-18
Treasure Valley Hospital Boise$5,8360.8×22026-09-02
St Joseph Regional Medical Center Lewiston$6,2650.9×12026-04-01
West Valley Medical Center Caldwell$7,8311.1×32026-09-01
Saint Alphonsus Regional Medical Center Boise$7,9051.1×22026-03-31
Kootenai Health Coeur D'Alene$10,3371.4×32026-03-27
St Luke'S Regional Medical Center Boise$10,9641.5×22026-03-25
St Luke'S Nampa Medical Center Nampa$10,9641.5×22026-03-25
St Luke'S Jerome Jerome$10,9641.5×22026-03-25
St Luke'S Elmore Medical Center Mountain Home$10,9641.5×22026-03-25
Mountain View Hospital Idaho Falls$16,0512.2×12026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$16,1302.3×32026-03-16

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Bonner General Hospital Sandpoint$25,6881.4×42026-08-01
Northwest Specialty Hospital Post Falls$26,1681.4×12026-03-05
Treasure Valley Hospital Boise$26,6291.5×52026-09-02
West Valley Medical Center Caldwell$33,4001.8×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$35,6762.0×22026-03-16
Mountain View Hospital Idaho Falls$37,9202.1×22026-03-16
St Joseph Regional Medical Center Lewiston$44,5152.5×12026-04-01
Kootenai Health Coeur D'Alene$44,5482.4×42026-03-27
Saint Alphonsus Regional Medical Center Boise$47,2782.6×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$47,2782.6×242026-03-31
St Luke'S Nampa Medical Center Nampa$52,1022.9×82026-03-25
St Luke'S Jerome Jerome$52,1022.9×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$52,4132.9×12026-08-05
St Luke'S Regional Medical Center Boise$60,0493.3×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$60,0493.4×32026-03-25
St Luke'S Wood River Medical Center Ketchum$64,8383.6×22026-03-25

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$9,5450.7×12026-03-31
Bonner General Hospital Sandpoint$18,7801.3×42026-08-01
Northwest Specialty Hospital Post Falls$20,7031.4×12026-03-05
Treasure Valley Hospital Boise$21,0681.5×52026-09-02
Idaho Falls Community Hospital, Llc Idaho Falls$28,1282.0×22026-03-16
St Joseph Regional Medical Center Lewiston$28,6482.0×12026-04-01
West Valley Medical Center Caldwell$28,9922.0×82026-09-01
Mountain View Hospital Idaho Falls$30,1722.1×22026-03-16
Saint Alphonsus Medical Center - Nampa Nampa$30,4262.1×242026-03-31
Kootenai Health Coeur D'Alene$31,6142.2×42026-03-27
Intermountain Health Cassia Regional Hospital Burley$33,7302.4×12026-08-05
St Luke'S Elmore Medical Center Mountain Home$42,3373.0×52026-03-25
St Luke'S Jerome Jerome$43,8503.1×42026-03-25
St Luke'S Regional Medical Center Boise$45,9753.2×32026-03-25
St Luke'S Nampa Medical Center Nampa$45,9753.2×32026-03-25

Questions

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

18 Idaho 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 12 hospitals is $10,651, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.