Price AtlasInteractive atlas · All states · techysurgeon.comTibial plateau (knee) fracture fixation in New York City
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 27535
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $6,997 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $5,457 | 0.6× | 3 |
| Centivo | $6,360 | 0.7× | 1 |
| Elevance/Anthem/Empire | $6,997 | 0.8× | 2 |
| EmblemHealth | $27,536 | 3.0× | 1 |
| Magnacare (rental network) | $6,360 | 0.7× | 1 |
| UnitedHealthcare | $7,007 | 0.8× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $11,805 · local Medicare $9,058 · file 2026-01-01 | |||
| Aetna | $10,024 | 1.1× | 24 |
| BCBS (other) | $13,586 | 1.5× | 16 |
| Cigna | $6,487 | 0.7× | 22 |
| Elevance/Anthem/Empire | $13,586 | 1.5× | 34 |
| EmblemHealth | $8,427 | 0.9× | 71 |
| Magnacare (rental network) | $25,798 | 2.8× | 10 |
| UnitedHealthcare | $16,383 | 1.8× | 24 |
| Hospital for Special Surgery median $12,267 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $12,267 | 1.4× | 17 |
| Apwu | $12,245 | 1.4× | 1 |
| BCBS (other) | $9,082 | 1.0× | 3 |
| Christian Brothers | $12,267 | 1.4× | 1 |
| Cigna | $12,245 | 1.4× | 13 |
| Connecticare | $12,543 | 1.4× | 1 |
| Elevance/Anthem/Empire | $9,373 | 1.0× | 10 |
| EmblemHealth | $12,543 | 1.4× | 14 |
| Harvard Pilgrim | $16,171 | 1.8× | 2 |
| Nalc | $12,245 | 1.4× | 1 |
| Nippon Life | $12,267 | 1.4× | 1 |
| Qualcare | $12,245 | 1.4× | 1 |
| Student Resources | $13,746 | 1.5× | 1 |
| UnitedHealthcare | $13,746 | 1.5× | 25 |
| Montefiore Medical Center median $12,920 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $12,235 | 1.4× | 2 |
| Christian Brothers | $12,920 | 1.4× | 1 |
| Elevance/Anthem/Empire | $8,010 | 0.9× | 8 |
| EmblemHealth | $13,621 | 1.5× | 8 |
| Healthfirst | $7,699 | 0.8× | 1 |
| Nat Assoc Letter Carriers | $12,920 | 1.4× | 1 |
| Nippon Life Insurance | $12,920 | 1.4× | 1 |
| Northwell | $27,989 | 3.1× | 1 |
| Oscar | $6,602 | 0.7× | 1 |
| Point Comfort | $9,058 | 1.0× | 1 |
| UnitedHealthcare | $18,886 | 2.1× | 4 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $13,587 · local Medicare $9,058 · file 2026-09-05 | |||
| 1199SEIU | $45,173 | 5.0× | 1 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Oscar | $13,587 | 1.5× | 1 |
| Jacobi Medical Center median $13,587 · local Medicare $9,058 · file 2026-09-05 | |||
| 1199SEIU | $45,173 | 5.0× | 1 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Oscar | $13,587 | 1.5× | 1 |
| Elmhurst Hospital Center median $13,587 · local Medicare $9,058 · file 2026-09-05 | |||
| 1199SEIU | $45,173 | 5.0× | 1 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Oscar | $13,587 | 1.5× | 1 |
| South Brooklyn Health median $13,587 · local Medicare $9,058 · file 2026-09-05 | |||
| 1199SEIU | $45,173 | 5.0× | 1 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Oscar | $13,587 | 1.5× | 1 |
CPT 27536
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $7,302 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $7,597 | 0.8× | 3 |
| Elevance/Anthem/Empire | $6,997 | 0.8× | 2 |
| EmblemHealth | $27,536 | 3.0× | 1 |
| Magnacare (rental network) | $7,738 | 0.9× | 1 |
| UnitedHealthcare | $7,007 | 0.8× | 7 |
| Montefiore Medical Center median $9,058 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $5,009 | 0.6× | 4 |
| Christian Brothers | $25,839 | 2.9× | 1 |
| Cigna | $5,717 | 0.6× | 3 |
| Elevance/Anthem/Empire | $8,010 | 0.9× | 13 |
| EmblemHealth | $14,214 | 1.6× | 8 |
| Healthfirst | $7,699 | 0.8× | 1 |
| Mvp | $5,263 | 0.6× | 2 |
| Nat Assoc Letter Carriers | $25,839 | 2.9× | 1 |
| Nippon Life Insurance | $25,839 | 2.9× | 1 |
| Northwell | $27,989 | 3.1× | 1 |
| Oscar | $6,602 | 0.7× | 1 |
| Point Comfort | $9,058 | 1.0× | 1 |
| UnitedHealthcare | $18,886 | 2.1× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $12,926 · local Medicare $9,058 · file 2026-01-01 | |||
| Aetna | $12,266 | 1.4× | 24 |
| BCBS (other) | $13,586 | 1.5× | 16 |
| Cigna | $6,487 | 0.7× | 22 |
| Elevance/Anthem/Empire | $13,586 | 1.5× | 34 |
| EmblemHealth | $8,427 | 0.9× | 71 |
| Magnacare (rental network) | $25,798 | 2.8× | 10 |
| UnitedHealthcare | $16,383 | 1.8× | 24 |
| Hospital for Special Surgery median $14,076 · local Medicare $9,058 · file 2026-04-01 | |||
| Aetna | $14,405 | 1.6× | 17 |
| BCBS (other) | $9,082 | 1.0× | 3 |
| Christian Brothers | $14,405 | 1.6× | 1 |
| Elevance/Anthem/Empire | $9,373 | 1.0× | 10 |
| Harvard Pilgrim | $16,171 | 1.8× | 2 |
| Nippon Life | $14,405 | 1.6× | 1 |
| Student Resources | $13,746 | 1.5× | 1 |
| UnitedHealthcare | $13,746 | 1.5× | 25 |
MS-DRG 493
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $21,398 · local Medicare $22,953 · file 2026-04-01 | |||
| EmblemHealth | $23,605 | 1.0× | 1 |
| Point Comfort | $19,191 | 0.8× | 1 |
| Jamaica Hospital Medical Center median $40,874 · local Medicare $22,953 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $39,216 | 1.7× | 1 |
| Aetna | $42,533 | 1.9× | 4 |
| Centerlight Healthcare | $35,703 | 1.6× | 1 |
| Centivo | $44,941 | 2.0× | 1 |
| Cigna | $42,687 | 1.9× | 1 |
| Create Health Plan | $56,923 | 2.5× | 1 |
| Elderplan | $35,703 | 1.6× | 1 |
| EmblemHealth | $39,124 | 1.7× | 3 |
| Hospital for Special Surgery median $45,166 · local Medicare $22,953 · file 2026-04-01 | |||
| Aetna | $43,509 | 1.9× | 17 |
| Apwu | $45,166 | 2.0× | 1 |
| BCBS (other) | $61,215 | 2.7× | 2 |
| Christian Brothers | $43,509 | 1.9× | 1 |
| Cigna | $45,166 | 2.0× | 13 |
| Connecticare | $52,487 | 2.3× | 1 |
| EmblemHealth | $52,487 | 2.3× | 14 |
| Harvard Pilgrim | $89,359 | 3.9× | 2 |
| Nalc | $45,166 | 2.0× | 1 |
| Nippon Life | $43,509 | 1.9× | 1 |
| Qualcare | $45,166 | 2.0× | 1 |
| Student Resources | $71,559 | 3.1× | 1 |
| UnitedHealthcare | $80,037 | 3.5× | 25 |
| South Brooklyn Health median $47,491 · local Medicare $22,953 · file 2026-09-05 | |||
| 1199SEIU | $33,428 | 1.5× | 1 |
| Aetna | $47,491 | 2.1× | 1 |
| Cigna | $49,800 | 2.2× | 1 |
| EmblemHealth | $50,438 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $53,319 | 2.3× | 1 |
| Oscar | $47,562 | 2.1× | 1 |
| UnitedHealthcare | $46,936 | 2.0× | 3 |
| Vaccn | $39,447 | 1.7× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $47,562 · local Medicare $22,953 · file 2026-09-05 | |||
| 1199SEIU | $33,428 | 1.5× | 1 |
| Aetna | $47,491 | 2.1× | 1 |
| Cigna | $49,800 | 2.2× | 1 |
| EmblemHealth | $50,438 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $49,454 | 2.2× | 1 |
| Oscar | $47,562 | 2.1× | 1 |
| UnitedHealthcare | $39,992 | 1.7× | 3 |
| Vaccn | $62,557 | 2.7× | 1 |
| Elmhurst Hospital Center median $48,849 · local Medicare $22,953 · file 2026-09-05 | |||
| 1199SEIU | $33,428 | 1.5× | 1 |
| Aetna | $47,491 | 2.1× | 1 |
| Cigna | $49,800 | 2.2× | 1 |
| EmblemHealth | $50,438 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $67,848 | 3.0× | 1 |
| Oscar | $47,562 | 2.1× | 1 |
| UnitedHealthcare | $48,849 | 2.1× | 4 |
| Vaccn | $58,613 | 2.6× | 1 |
| Jacobi Medical Center median $49,800 · local Medicare $22,953 · file 2026-09-05 | |||
| 1199SEIU | $33,428 | 1.5× | 1 |
| Aetna | $59,619 | 2.6× | 1 |
| Cigna | $49,800 | 2.2× | 1 |
| EmblemHealth | $50,438 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $68,485 | 3.0× | 1 |
| Oscar | $47,562 | 2.1× | 1 |
| UnitedHealthcare | $70,582 | 3.1× | 3 |
| Vaccn | $43,641 | 1.9× | 1 |
| Maimonides Medical Center median $73,874 · local Medicare $22,953 · file 2026-04-01 | |||
| 1199SEIU | $43,588 | 1.9× | 1 |
| Aetna | $73,948 | 3.2× | 3 |
| Centivo | $77,960 | 3.4× | 1 |
| Cigna | $73,045 | 3.2× | 3 |
| Elevance/Anthem/Empire | $78,155 | 3.4× | 2 |
| EmblemHealth | $72,809 | 3.2× | 3 |
| Magnacare (rental network) | $87,369 | 3.8× | 1 |
| UnitedHealthcare | $73,874 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $77,479 · local Medicare $22,953 · file 2026-01-01 | |||
| 1199SEIU | $81,391 | 3.5× | 3 |
| Aetna | $66,152 | 2.9× | 24 |
| BCBS (other) | $104,688 | 4.6× | 25 |
| Centerlight | $25,983 | 1.1× | 2 |
| Cigna | $73,567 | 3.2× | 22 |
| Elevance/Anthem/Empire | $104,688 | 4.6× | 56 |
| EmblemHealth | $63,998 | 2.8× | 51 |
| Magnacare (rental network) | $110,308 | 4.8× | 17 |
| UnitedHealthcare | $96,879 | 4.2× | 24 |
MS-DRG 494
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $16,804 · local Medicare $18,160 · file 2026-04-01 | |||
| EmblemHealth | $18,537 | 1.0× | 1 |
| Point Comfort | $15,071 | 0.8× | 1 |
| Jamaica Hospital Medical Center median $32,096 · local Medicare $18,160 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $30,794 | 1.7× | 1 |
| Aetna | $33,399 | 1.8× | 4 |
| Centerlight Healthcare | $28,896 | 1.6× | 1 |
| Centivo | $35,290 | 1.9× | 1 |
| Cigna | $33,521 | 1.8× | 1 |
| Create Health Plan | $44,699 | 2.5× | 1 |
| Elderplan | $28,896 | 1.6× | 1 |
| EmblemHealth | $30,723 | 1.7× | 3 |
| Hospital for Special Surgery median $33,131 · local Medicare $18,160 · file 2026-04-01 | |||
| Aetna | $31,276 | 1.7× | 17 |
| Apwu | $33,131 | 1.8× | 1 |
| BCBS (other) | $37,926 | 2.1× | 2 |
| Christian Brothers | $31,276 | 1.7× | 1 |
| Cigna | $33,131 | 1.8× | 13 |
| Connecticare | $34,604 | 1.9× | 1 |
| EmblemHealth | $34,604 | 1.9× | 14 |
| Harvard Pilgrim | $70,699 | 3.9× | 2 |
| Nalc | $33,131 | 1.8× | 1 |
| Nippon Life | $31,276 | 1.7× | 1 |
| Qualcare | $33,131 | 1.8× | 1 |
| Student Resources | $56,615 | 3.1× | 1 |
| UnitedHealthcare | $63,323 | 3.5× | 25 |
| South Brooklyn Health median $37,574 · local Medicare $18,160 · file 2026-09-05 | |||
| 1199SEIU | $26,448 | 1.5× | 1 |
| Aetna | $37,574 | 2.1× | 1 |
| Cigna | $39,401 | 2.2× | 1 |
| EmblemHealth | $39,905 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $42,185 | 2.3× | 1 |
| Oscar | $37,630 | 2.1× | 1 |
| UnitedHealthcare | $37,134 | 2.0× | 3 |
| Vaccn | $32,515 | 1.8× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $37,630 · local Medicare $18,160 · file 2026-09-05 | |||
| 1199SEIU | $26,448 | 1.5× | 1 |
| Aetna | $37,574 | 2.1× | 1 |
| Cigna | $39,401 | 2.2× | 1 |
| EmblemHealth | $39,905 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $39,127 | 2.2× | 1 |
| Oscar | $37,630 | 2.1× | 1 |
| UnitedHealthcare | $31,640 | 1.7× | 3 |
| Vaccn | $54,819 | 3.0× | 1 |
| Elmhurst Hospital Center median $38,648 · local Medicare $18,160 · file 2026-09-05 | |||
| 1199SEIU | $26,448 | 1.5× | 1 |
| Aetna | $37,574 | 2.1× | 1 |
| Cigna | $39,401 | 2.2× | 1 |
| EmblemHealth | $39,905 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $53,680 | 3.0× | 1 |
| Oscar | $37,630 | 2.1× | 1 |
| UnitedHealthcare | $38,648 | 2.1× | 4 |
| Vaccn | $51,703 | 2.8× | 1 |
| Jacobi Medical Center median $39,401 · local Medicare $18,160 · file 2026-09-05 | |||
| 1199SEIU | $26,448 | 1.5× | 1 |
| Aetna | $47,169 | 2.6× | 1 |
| Cigna | $39,401 | 2.2× | 1 |
| EmblemHealth | $39,905 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $54,184 | 3.0× | 1 |
| Oscar | $37,630 | 2.1× | 1 |
| UnitedHealthcare | $55,843 | 3.1× | 3 |
| Vaccn | $36,723 | 2.0× | 1 |
| Maimonides Medical Center median $58,447 · local Medicare $18,160 · file 2026-04-01 | |||
| 1199SEIU | $34,486 | 1.9× | 1 |
| Aetna | $58,506 | 3.2× | 3 |
| Centivo | $61,680 | 3.4× | 1 |
| Cigna | $57,791 | 3.2× | 3 |
| Elevance/Anthem/Empire | $61,834 | 3.4× | 2 |
| EmblemHealth | $57,605 | 3.2× | 3 |
| Magnacare (rental network) | $69,124 | 3.8× | 1 |
| UnitedHealthcare | $58,447 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $61,300 · local Medicare $18,160 · file 2026-01-01 | |||
| 1199SEIU | $64,395 | 3.5× | 3 |
| Aetna | $52,338 | 2.9× | 24 |
| BCBS (other) | $82,826 | 4.6× | 16 |
| Centerlight | $20,674 | 1.1× | 2 |
| Cigna | $58,205 | 3.2× | 22 |
| Elevance/Anthem/Empire | $82,826 | 4.6× | 32 |
| EmblemHealth | $50,634 | 2.8× | 51 |
| Magnacare (rental network) | $87,273 | 4.8× | 9 |
| UnitedHealthcare | $76,648 | 4.2× | 24 |
Questions
How much does tibial plateau (knee) fracture fixation cost with commercial insurance in New York City?
8 New York City hospitals post usable commercial rates for CPT 27535, hospital outpatient. The median across hospitals is $13,254; hospital medians range from $6,997 to $13,587. Your cost depends on your plan's deductible and coinsurance.