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

Posted commercial rates at 7 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 27535

HospitalMedian across insurers× MedicareInsurersFile date
Beverly Hospital Corporation Beverly$6,0380.7×12026-04-01
New England Baptist Hospital Boston$9,7291.1×22026-04-01
Winchester Hospital Winchester$9,8491.1×12026-04-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$4,3820.5×12026-04-01
Beth Israel Deaconess Medical Center Boston$4,4740.5×12026-04-01
Beverly Hospital Corporation Beverly$6,0380.7×12026-04-01
New England Baptist Hospital Boston$9,7291.1×22026-04-01
Winchester Hospital Winchester$9,8491.1×12026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$19,0510.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$21,6231.0×12026-04-01
Beverly Hospital Corporation Beverly$23,4591.1×12026-04-01
Winchester Hospital Winchester$23,4591.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$25,2541.1×22026-04-01
New England Baptist Hospital Boston$27,0351.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$36,9641.7×42026-04-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$15,0730.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$17,1071.0×12026-04-01
Beverly Hospital Corporation Beverly$18,5601.1×12026-04-01
Winchester Hospital Winchester$18,5601.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$19,9811.1×22026-04-01
New England Baptist Hospital Boston$21,3891.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$29,2451.7×42026-04-01

Questions

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

7 Massachusetts 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 3 hospitals is $9,729, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.