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

Posted commercial rates at 6 Oregon hospitals, each next to its own Medicare base rate.

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CPT 27535

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$16,1312.0×52026-04-01
Legacy Good Samaritan Medical Center Portland$16,1312.0×52026-04-01
Legacy Mount Hood Medical Center Gresham$16,1312.0×52026-04-01
Legacy Meridian Park Medical Center Tualatin$16,1312.0×52026-04-01
Providence St Vincent Medical Center Portland$23,9533.0×22026-04-01
Providence Portland Medical Center Portland$23,9533.0×22026-04-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$16,1312.0×52026-04-01
Legacy Good Samaritan Medical Center Portland$16,1312.0×52026-04-01
Legacy Mount Hood Medical Center Gresham$16,1312.0×52026-04-01
Legacy Meridian Park Medical Center Tualatin$16,1312.0×52026-04-01
Providence St Vincent Medical Center Portland$23,9533.0×22026-04-01
Providence Portland Medical Center Portland$23,9533.0×22026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Mount Hood Medical Center Gresham$52,5742.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$52,5742.6×42026-04-01
Legacy Good Samaritan Medical Center Portland$53,3882.6×42026-04-01
Legacy Emanuel Medical Center Portland$54,3802.7×42026-04-01
Providence St Vincent Medical Center Portland$62,5173.1×32026-04-01
Providence Portland Medical Center Portland$62,5173.1×32026-04-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Mount Hood Medical Center Gresham$41,4532.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$41,4532.6×42026-04-01
Legacy Good Samaritan Medical Center Portland$42,5282.7×42026-04-01
Legacy Emanuel Medical Center Portland$43,5882.7×42026-04-01
Providence St Vincent Medical Center Portland$49,0953.1×32026-04-01
Providence Portland Medical Center Portland$49,0953.1×32026-04-01

Questions

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

6 Oregon 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 6 hospitals is $16,131, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.