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

Posted commercial rates at 60 New York 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
Medina Memorial Hospital Medina$4,7050.5×12026-07-29
Garnet Health Medical Center Middletown$5,3860.6×82026-04-01
Garnet Health Medical Center Catskills Harris$6,4150.7×52026-04-01
Saratoga Hospital Saratoga Springs$6,5980.7×12025-12-31
Maimonides Medical Center Brooklyn$6,9970.8×62026-04-01
Albany Medical Center Hospital Albany$8,6961.0×12025-12-31
Oneida Health Oneida$9,0581.0×32026-09-27
Montefiore Mount Vernon Hospital Mount Vernon$9,5111.1×102026-04-01
Bronxcare Hospital Center Bronx$10,2791.1×12026-05-05
Samaritan Medical Center Watertown$11,5251.3×42026-02-02
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$11,8051.3×72026-01-01
Hospital for Special Surgery New York$12,2671.4×142026-04-01
Montefiore Medical Center Bronx$12,9201.4×112026-04-01
Highland Hospital Rochester$13,0061.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$13,5871.5×32026-09-05
Jacobi Medical Center Bronx$13,5871.5×32026-09-05
Elmhurst Hospital Center Elmhurst$13,5871.5×32026-09-05
South Brooklyn Health Brooklyn$13,5871.5×32026-09-05
Metropolitan Hospital Center New York$13,5871.5×32026-09-05
Kings County Hospital Center Brooklyn$13,5871.5×32026-09-05
Bellevue Hospital Center New York$13,5871.5×32026-09-05
Queens Hospital Center Jamaica$13,5871.5×32026-09-05
Harlem Hospital Center New York$13,5871.5×32026-09-05
Roswell Park Cancer Institute Buffalo$13,9761.5×32026-04-01
St Joseph'S Medical Center Yonkers$14,5971.6×12026-07-13
Strong Memorial Hospital Rochester$15,5421.7×42026-07-01
Jones Memorial Hospital Wellsville$15,5661.7×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Crouse Hospital Syracuse$16,2671.8×32026-05-19
Erie County Medical Center Buffalo$17,2041.9×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$18,5602.0×62026-01-01
St James Hospital Hornell$21,2752.4×52026-01-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$4,8410.5×12026-04-01
Garnet Health Medical Center Middletown$6,1080.7×92026-04-01
Medina Memorial Hospital Medina$6,2430.7×12026-07-29
Garnet Health Medical Center Catskills Harris$6,4080.7×62026-04-01
Maimonides Medical Center Brooklyn$7,3020.8×52026-04-01
Albany Medical Center Hospital Albany$8,6961.0×12025-12-31
Montefiore Medical Center Bronx$9,0581.0×132026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$9,5111.1×102026-04-01
Bronxcare Hospital Center Bronx$10,2791.1×12026-05-05
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$12,9261.4×72026-01-01
Highland Hospital Rochester$13,0061.4×42026-07-01
Samaritan Medical Center Watertown$13,4901.5×42026-02-02
Roswell Park Cancer Institute Buffalo$13,9761.5×32026-04-01
Hospital for Special Surgery New York$14,0761.6×82026-04-01
St Joseph'S Medical Center Yonkers$14,5971.6×12026-07-13
Strong Memorial Hospital Rochester$15,5421.7×42026-07-01
Jones Memorial Hospital Wellsville$15,5661.7×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Erie County Medical Center Buffalo$17,7702.0×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$18,5602.0×62026-01-01
St James Hospital Hornell$21,2752.4×52026-01-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$18,3990.8×12026-01-01
Ira Davenport Memorial Hospital Bath$19,2520.8×12026-03-27
Arnot Ogden Medical Center Elmira$20,6480.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$20,6480.9×22026-03-27
Corning Hospital Corning$20,8280.9×62026-03-31
Montefiore Medical Center Bronx$21,3980.9×22026-04-01
St Charles Hospital Port Jefferson$21,8550.9×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$22,3281.0×42026-03-31
Geneva General Hospital Geneva$23,0711.0×32026-08-27
St James Hospital Hornell$23,3601.0×12026-01-01
Schuyler Hospital Montour Falls$24,3011.1×22026-03-27
Highland Hospital Rochester$25,8931.1×32026-07-01
Medina Memorial Hospital Medina$27,3421.2×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$28,1241.2×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$29,0301.3×32026-04-01
United Memorial Medical Center Batavia$29,1961.3×32026-04-01
Samaritan Medical Center Watertown$29,5901.3×42026-02-02
St Joseph'S Medical Center Yonkers$30,0401.3×32026-07-13
Canton-Potsdam Hospital Potsdam$30,0451.3×32026-04-01
Nassau University Medical Center East Meadow$30,3751.3×62025-10-28
Bronxcare Hospital Center Bronx$30,9171.4×72026-05-05
Unity Hospital Of Rochester Rochester$31,7011.4×32026-04-01
Unity Specialty Hospital Rochester$31,7011.4×32026-04-01
Rochester General Hospital Rochester$32,5161.4×32026-04-01
St John'S Riverside Hospital Yonkers$32,7541.4×62026-03-27
Newark-Wayne Community Hospital Newark$33,9841.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$35,6751.6×12026-01-01
Wynn Hospital Utica$38,5671.7×52026-08-07
Saratoga Hospital Saratoga Springs$38,8191.7×12025-12-31
Glens Falls Hospital Glens Falls$38,9871.7×22025-12-31
Flushing Hospital Medical Center Flushing$39,3291.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$40,8741.8×82026-03-25
Columbia Memorial Hospital Hudson$42,4831.9×42025-12-31
Strong Memorial Hospital Rochester$43,2331.9×32026-07-01
Crouse Hospital Syracuse$43,6061.9×42026-05-19
Stony Brook University Hospital Stony Brook$43,6401.9×12026-06-10
Mount St Mary'S Hospital And Health Center Lewiston$43,7481.9×62026-04-01
Sisters Of Charity Hospital Buffalo$44,6441.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$44,6441.9×72026-04-01
Hospital for Special Surgery New York$45,1662.0×132026-04-01
South Brooklyn Health Brooklyn$47,4912.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$47,5622.1×82026-09-05
Elmhurst Hospital Center Elmhurst$48,8492.1×82026-09-05
Jacobi Medical Center Bronx$49,8002.2×82026-09-05
Metropolitan Hospital Center New York$49,8002.2×82026-09-05
Queens Hospital Center Jamaica$49,8002.2×82026-09-05
Harlem Hospital Center New York$49,8002.2×82026-09-05
Kings County Hospital Center Brooklyn$50,4382.2×82026-09-05
Bellevue Hospital Center New York$50,4382.2×82026-09-05
Nathan Littauer Hospital Gloversville$51,8862.3×32026-03-04
Samaritan Hospital Troy$70,1283.1×52026-03-31
Albany Medical Center Hospital Albany$70,6303.1×32025-12-31
Garnet Health Medical Center Catskills Harris$72,5513.2×82026-04-01
Maimonides Medical Center Brooklyn$73,8743.2×82026-04-01
Garnet Health Medical Center Middletown$76,3483.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$76,9903.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$77,4793.4×92026-01-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$14,5570.8×12026-01-01
Ira Davenport Memorial Hospital Bath$15,2310.8×12026-03-27
Arnot Ogden Medical Center Elmira$16,3360.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$16,3360.9×22026-03-27
Montefiore Medical Center Bronx$16,8040.9×22026-04-01
St Charles Hospital Port Jefferson$17,4241.0×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$17,5571.0×42026-03-31
Corning Hospital Corning$17,6401.0×52026-03-31
Geneva General Hospital Geneva$18,2531.0×32026-08-27
St James Hospital Hornell$18,4821.0×12026-01-01
Schuyler Hospital Montour Falls$19,2261.1×22026-03-27
Wynn Hospital Utica$19,5041.1×42026-08-07
Highland Hospital Rochester$20,2681.1×32026-07-01
Medina Memorial Hospital Medina$21,4191.2×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$22,1581.2×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$22,9681.3×32026-04-01
United Memorial Medical Center Batavia$23,0991.3×32026-04-01
Samaritan Medical Center Watertown$23,3231.3×42026-02-02
St Joseph'S Medical Center Yonkers$23,7671.3×32026-07-13
Canton-Potsdam Hospital Potsdam$23,7711.3×32026-04-01
Nassau University Medical Center East Meadow$23,8531.3×62025-10-28
Unity Hospital Of Rochester Rochester$25,0811.4×32026-04-01
Unity Specialty Hospital Rochester$25,0811.4×32026-04-01
Rochester General Hospital Rochester$25,7261.4×32026-04-01
St John'S Riverside Hospital Yonkers$25,8601.4×62026-03-27
Newark-Wayne Community Hospital Newark$26,8871.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$28,2251.6×12026-01-01
Saratoga Hospital Saratoga Springs$30,4831.7×12025-12-31
Glens Falls Hospital Glens Falls$30,6151.7×22025-12-31
Flushing Hospital Medical Center Flushing$30,8841.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$32,0961.8×82026-03-25
Stony Brook University Hospital Stony Brook$33,0111.8×12026-06-10
Hospital for Special Surgery New York$33,1311.8×132026-04-01
Columbia Memorial Hospital Hudson$33,3601.8×42025-12-31
Strong Memorial Hospital Rochester$34,2051.9×32026-07-01
Mount St Mary'S Hospital And Health Center Lewiston$34,6121.9×62026-04-01
Crouse Hospital Syracuse$34,7231.9×42026-05-19
Sisters Of Charity Hospital Buffalo$35,3201.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$35,3201.9×72026-04-01
South Brooklyn Health Brooklyn$37,5742.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$37,6302.1×82026-09-05
Elmhurst Hospital Center Elmhurst$38,6482.1×82026-09-05
Jacobi Medical Center Bronx$39,4012.2×82026-09-05
Metropolitan Hospital Center New York$39,4012.2×82026-09-05
Queens Hospital Center Jamaica$39,4012.2×82026-09-05
Harlem Hospital Center New York$39,4012.2×82026-09-05
Kings County Hospital Center Brooklyn$39,9052.2×82026-09-05
Bellevue Hospital Center New York$39,9052.2×82026-09-05
Nathan Littauer Hospital Gloversville$41,0512.3×32026-03-04
Albany Medical Center Hospital Albany$55,4633.0×32025-12-31
Garnet Health Medical Center Catskills Harris$56,4653.1×82026-04-01
Maimonides Medical Center Brooklyn$58,4473.2×82026-04-01
Garnet Health Medical Center Middletown$60,4043.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$60,4603.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$61,3003.4×92026-01-01

Questions

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

60 New York 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 32 hospitals is $13,587, 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.