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Tibial 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
Montefiore Medical Center median $10,122 · local Medicare $9,058 · file 2026-04-01
Aetna	$12,235	1.4×	2
Elevance/Anthem/Empire	$8,010	0.9×	8
EmblemHealth	$13,621	1.5×	8
Healthfirst	$7,699	0.8×	1
Oscar	$6,602	0.7×	1
UnitedHealthcare	$18,886	2.1×	4
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
UnitedHealthcare	$16,383	1.8×	24
Hospital for Special Surgery median $12,256 · local Medicare $9,058 · file 2026-04-01
Aetna	$12,267	1.4×	17
BCBS (other)	$9,082	1.0×	3
Cigna	$12,245	1.4×	13
Elevance/Anthem/Empire	$9,373	1.0×	10
EmblemHealth	$12,543	1.4×	14
UnitedHealthcare	$13,746	1.5×	25

CPT 27536

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $7,699 · local Medicare $9,058 · file 2026-04-01
Aetna	$5,009	0.6×	4
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
Oscar	$6,602	0.7×	1
UnitedHealthcare	$18,886	2.1×	5
Hospital for Special Surgery median $11,560 · local Medicare $9,058 · file 2026-04-01
Aetna	$14,405	1.6×	17
BCBS (other)	$9,082	1.0×	3
Elevance/Anthem/Empire	$9,373	1.0×	10
UnitedHealthcare	$13,746	1.5×	25
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
UnitedHealthcare	$16,383	1.8×	24

MS-DRG 493

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $23,605 · local Medicare $22,953 · file 2026-04-01
EmblemHealth	$23,605	1.0×	1
Hospital for Special Surgery median $52,487 · local Medicare $22,953 · file 2026-04-01
Aetna	$43,509	1.9×	17
BCBS (other)	$61,215	2.7×	2
Cigna	$45,166	2.0×	13
EmblemHealth	$52,487	2.3×	14
UnitedHealthcare	$80,037	3.5×	25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $81,391 · 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
Cigna	$73,567	3.2×	22
Elevance/Anthem/Empire	$104,688	4.6×	56
EmblemHealth	$63,998	2.8×	51
UnitedHealthcare	$96,879	4.2×	24

MS-DRG 494

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $18,537 · local Medicare $18,160 · file 2026-04-01
EmblemHealth	$18,537	1.0×	1
Hospital for Special Surgery median $34,604 · local Medicare $18,160 · file 2026-04-01
Aetna	$31,276	1.7×	17
BCBS (other)	$37,926	2.1×	2
Cigna	$33,131	1.8×	13
EmblemHealth	$34,604	1.9×	14
UnitedHealthcare	$63,323	3.5×	25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $64,395 · 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
Cigna	$58,205	3.2×	22
Elevance/Anthem/Empire	$82,826	4.6×	32
EmblemHealth	$50,634	2.8×	51
UnitedHealthcare	$76,648	4.2×	24

Questions

How much does tibial plateau (knee) fracture fixation cost with commercial insurance in New York City?

3 New York City hospitals post usable commercial rates for CPT 27535, hospital outpatient. The median across hospitals is $11,805; hospital medians range from $10,122 to $12,256. Your cost depends on your plan's deductible and coinsurance.