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

Posted commercial rates at 14 Maine 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
Mainehealth Franklin Hospital Farmington$5,1300.7×12025-09-09
Northern Light Mayo Hospital Dover Foxcroft$7,0001.0×12026-03-30
Northern Light Mercy Hospital Portland$27,7633.7×22026-04-15
Northern Light C A Dean Hospital Greenville$27,7633.9×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$27,7633.9×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$27,7633.9×22026-03-30
Northern Light A R Gould Hospital Presque Isle$48,5266.8×32026-03-30
Northern Light Eastern Maine Medical Center Bangor$48,5266.8×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$48,5266.8×32026-03-30

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Mainehealth Franklin Hospital Farmington$5,1300.7×12025-09-09
Northern Light Mayo Hospital Dover Foxcroft$7,0001.0×12026-03-30
York Hospital York$15,4892.1×42026-07-04
Northern Light Mercy Hospital Portland$27,7633.7×22026-04-15
Northern Light C A Dean Hospital Greenville$27,7633.9×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$27,7633.9×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$27,7633.9×22026-03-30
Northern Light A R Gould Hospital Presque Isle$48,5266.8×32026-03-30
Northern Light Eastern Maine Medical Center Bangor$48,5266.8×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$48,5266.8×32026-03-30

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$19,5541.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$43,3682.4×12025-09-09
Central Maine Medical Center Lewiston$45,8272.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$48,7332.8×12025-09-09
Northern Light Mercy Hospital Portland$64,6483.5×22026-04-15
Mainehealth Maine Medical Center Portland$68,6153.7×12025-09-09
Northern Light A R Gould Hospital Presque Isle$68,7743.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$68,7743.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$68,7743.9×42026-03-30
Northern Light C A Dean Hospital Greenville$76,6824.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$76,6824.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$76,6824.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$76,6824.3×32026-03-30

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$15,4701.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$34,0552.3×12025-09-09
Central Maine Medical Center Lewiston$36,2572.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$38,2682.7×12025-09-09
Northern Light Mercy Hospital Portland$51,1483.5×22026-04-15
Mainehealth Maine Medical Center Portland$53,8803.7×12025-09-09
Northern Light A R Gould Hospital Presque Isle$54,4123.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$54,4123.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$54,4123.9×42026-03-30
Northern Light C A Dean Hospital Greenville$60,6694.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$60,6694.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$60,6694.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$60,6694.3×32026-03-30

Questions

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

14 Maine 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 9 hospitals is $27,763, 3.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.