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

Posted commercial rates at 8 Michigan 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
Harper University Hospital Detroit$5,8120.8×12026-09-02
Henry Ford Health Rochester Hospital Rochester$10,4541.4×12026-01-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Harper University Hospital Detroit$7,1661.0×12026-09-02
Henry Ford Health Rochester Hospital Rochester$10,3431.4×12026-01-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$35,5262.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$35,5262.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$35,5262.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$42,3362.4×22026-05-01
Mclaren Port Huron Port Huron$45,6402.5×12025-12-31
Henry Ford Health Rochester Hospital Rochester$51,2592.9×12026-01-01
Trinity Health Oakland Hospital Pontiac$52,0122.9×172026-03-31
Harper University Hospital Detroit$52,8522.9×22026-09-02

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$28,1072.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$28,1072.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$28,1072.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$30,7642.2×22026-05-01
Mclaren Port Huron Port Huron$31,0372.2×12025-12-31
Trinity Health Oakland Hospital Pontiac$35,3702.5×172026-03-31
Henry Ford Health Rochester Hospital Rochester$36,6312.6×12026-01-01
Harper University Hospital Detroit$38,3522.7×22026-09-02

Questions

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

8 Michigan 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 2 hospitals is $8,133, 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.