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

Posted commercial rates at 78 Pennsylvania 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
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,5770.5×12026-02-26
Upmc Hamot Erie$4,0460.6×12026-03-06
Upmc Cole Coudersport$4,4180.6×12026-03-06
Lankenau Medical Center Wynnewood$4,6890.7×22026-04-01
Jefferson Abington Hospital Abington$4,9160.7×52026-09-15
Wellspan York Hospital York$5,3020.8×22026-01-01
Holy Redeemer Hospital And Medical Center Meadowbrook$5,6910.8×42026-09-21
Jefferson Lansdale Hospital Lansdale$6,6600.9×52026-09-15
Paoli Hospital Paoli$7,4851.1×22026-04-01
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Lower Bucks Hospital Bristol$8,9131.3×52026-09-01
Thomas Jefferson University Hospital Philadelphia$8,9151.2×42026-09-15
Upmc Lititz Lititz$9,5391.4×12026-03-06
Temple University Hospital Philadelphia$9,7981.3×92026-04-13
St Mary Medical Center Langhorne$14,1592.0×82026-03-31
St Clair Hospital Pittsburgh$16,0162.3×62026-03-31
Lehigh Valley Hospital Allentown$17,4642.4×72026-07-01
St Luke'S Hospital Bethlehem Bethlehem$18,2402.5×22026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$18,2402.6×22026-02-27
Lehigh Valley Hospital - Dickson City Dickson City$18,9492.7×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$20,5942.9×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$22,0183.1×82026-07-01
Upmc Memorial York$22,3093.1×32026-03-06
Lehigh Valley Hospital - Macungie Macungie$23,9383.2×82026-07-01
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$31,3984.3×12026-02-26
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Altoona Altoona$3,5620.5×12026-03-06
Upmc Hamot Erie$4,5220.6×22026-03-06
Upmc Kane Kane$5,5710.8×12026-03-06
Upmc Mercy Pittsburgh$5,5780.8×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$6,1960.9×52026-09-21
Upmc Presbyterian Shadyside Pittsburgh$6,1970.9×12026-03-06
Lankenau Medical Center Wynnewood$6,3460.9×22026-04-01
Jefferson Abington Hospital Abington$6,6600.9×52026-09-15
Jefferson Lansdale Hospital Lansdale$6,7571.0×52026-09-15
Wellspan York Hospital York$7,0741.0×22026-01-01
Paoli Hospital Paoli$9,1421.3×22026-04-01
Riddle Memorial Hospital Media$9,1421.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$9,1821.2×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,3841.3×42026-09-15
Temple University Hospital Philadelphia$9,7981.3×92026-04-13
St Clair Hospital Pittsburgh$15,8152.2×72026-03-31
St Luke'S Hospital Bethlehem Bethlehem$18,2402.5×22026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$18,2402.6×22026-02-27
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$19,6661.1×32026-08-06
Conemaugh Miners Medical Center Hastings$20,2511.1×42026-07-30
Upmc Cole Coudersport$21,3601.2×42026-03-06
Punxsutawney Area Hospital Punxsutawney$21,3851.2×72026-03-02
Upmc Horizon Greenville$21,5141.2×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$22,2541.3×72026-07-30
Geisinger-Bloomsburg Hospital Bloomsburg$23,0531.3×72026-07-01
Upmc Jameson New Castle$23,8321.4×42026-03-06
Titusville Area Hospital Titusville$23,9911.4×52026-09-11
Upmc Somerset Somerset$24,3781.4×42026-03-06
Troy Community Hospital Troy$24,9171.4×52026-03-31
Upmc Northwest Seneca$25,6301.5×22026-03-06
Upmc Hamot Erie$25,8201.5×32026-03-06
Upmc Washington Washington$26,0171.5×72026-03-06
Upmc Bedford Memorial Everett$26,1941.5×22026-03-06
Roxborough Memorial Hospital Philadelphia$28,8661.6×62024-06-21
Upmc Kane Kane$29,7031.7×32026-03-06
Wayne Memorial Hospital Honesdale$29,8961.7×62026-09-16
Uniontown Hospital Uniontown$30,7581.8×62026-07-09
Lower Bucks Hospital Bristol$30,8181.8×62026-09-01
Upmc East Monroeville$31,1761.8×22026-03-06
Upmc Mckeesport Mc Keesport$31,3671.8×22026-03-06
Conemaugh Memorial Medical Center Johnstown$31,5521.8×82026-04-15
Temple Health - Chestnut Hill Hospital Philadelphia$31,7011.7×82026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$32,4881.9×62026-09-21
Upmc St Margaret Pittsburgh$32,6881.9×22026-03-06
Upmc Altoona Altoona$32,8891.9×52026-03-06
Upmc Mercy Pittsburgh$33,9131.9×22026-03-06
Robert Packer Hospital Sayre$34,2601.9×92026-03-31
Upmc Passavant Pittsburgh$34,9422.0×22026-03-07
St Clair Hospital Pittsburgh$35,1022.0×62026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$36,2702.1×52026-02-26
St Mary Medical Center Langhorne$37,1592.1×202026-03-31
St Luke'S Miners Memorial Hospital Coaldale$37,4042.1×42026-02-27
Jefferson Lansdale Hospital Lansdale$38,0402.2×92026-09-15
St Luke'S Hospital Bethlehem Bethlehem$38,0512.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$38,0512.1×52026-02-27
Upmc Carlisle Carlisle$38,1792.1×72026-03-06
Upmc Wellsboro Wellsboro$38,2672.2×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$38,3942.2×52026-02-27
Riddle Memorial Hospital Media$38,6452.1×42026-04-01
Geisinger-Lewistown Hospital Lewistown$39,1512.2×72026-07-01
Wellspan Good Samaritan Hospital Lebanon$39,1882.1×52026-01-01
Paoli Hospital Paoli$39,3142.2×42026-04-01
St Luke'S Hospital - Easton Campus Easton$40,1272.2×42026-02-26
Geisinger St. Luke'S Hospital Orwigsburg$40,1272.3×42026-02-26
Upmc Muncy Muncy$40,1292.3×32026-03-06
Upmc Memorial York$40,3422.3×82026-03-06
Upmc Presbyterian Shadyside Pittsburgh$41,0482.3×22026-03-06
Upmc Hanover Hanover$41,9352.4×72026-03-06
Jefferson Abington Hospital Abington$42,0162.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$42,0822.4×92026-07-01
Bryn Mawr Hospital Bryn Mawr$42,3492.3×42026-04-01
Hospital Of The Fox Chase Cancer Center Philadelphia$42,8202.3×42026-04-08
Upmc Williamsport Williamsport$43,2812.5×32026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$43,5582.5×22026-03-06
Upmc Lititz Lititz$44,2442.5×72026-03-06
Lehigh Valley Hospital - Macungie Macungie$44,3972.4×102026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$44,7152.5×92026-07-01
Nazareth Hospital Philadelphia$44,7182.4×202026-03-31
Temple University Hospital Philadelphia$46,3382.5×102026-04-13
Lehigh Valley Hospital - Pocono East Stroudsburg$46,4232.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$46,5222.6×62026-09-15
Penn State Health Holy Spirit Medical Center Camp Hill$47,8032.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$47,8032.7×42026-03-27
Penn State Health Hampden Medical Center Enola$47,9562.6×42026-03-27
Penn State Health St. Joseph Reading$49,3162.7×42026-03-27
Lankenau Medical Center Wynnewood$49,4082.8×42026-04-01
Lehigh Valley Hospital Allentown$49,5062.7×52026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$49,6052.8×72026-07-01
Wellspan Surgery And Rehabilitation Hospital York$50,5622.9×42026-01-01
Jefferson Health-Northeast Philadelphia$52,2422.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$53,1773.0×52026-01-01
Geisinger Community Medical Center Scranton$53,6733.1×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$58,9623.3×32026-01-01
Thomas Jefferson University Hospital Philadelphia$62,6013.4×92026-09-15
Wellspan York Hospital York$70,7154.0×42026-01-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$14,4681.0×32026-08-06
Troy Community Hospital Troy$15,7651.1×32026-03-31
Upmc Cole Coudersport$15,8161.1×42026-03-06
Conemaugh Miners Medical Center Hastings$16,0241.1×42026-07-30
Geisinger-Bloomsburg Hospital Bloomsburg$16,2021.2×72026-07-01
Punxsutawney Area Hospital Punxsutawney$16,6441.2×72026-03-02
Upmc Horizon Greenville$17,0211.2×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$17,6071.3×72026-07-30
Upmc Somerset Somerset$18,3011.3×42026-03-06
Titusville Area Hospital Titusville$18,8391.4×52026-09-11
Upmc Jameson New Castle$18,9201.4×42026-03-06
Upmc Northwest Seneca$18,9641.4×22026-03-06
Upmc Bedford Memorial Everett$19,4471.4×22026-03-06
Upmc Washington Washington$19,5171.4×72026-03-06
Shriners Hospitals For Children - Philadelphia Philadelphia$20,2041.4×12026-03-19
Upmc Hamot Erie$20,4651.5×32026-03-06
Upmc Kane Kane$21,7291.6×32026-03-06
Roxborough Memorial Hospital Philadelphia$22,5501.5×62024-06-21
Uniontown Hospital Uniontown$22,6101.6×62026-07-09
Upmc East Monroeville$22,9481.6×22026-03-06
Upmc Mckeesport Mc Keesport$23,3681.7×22026-03-06
Wayne Memorial Hospital Honesdale$23,6531.7×62026-09-16
Conemaugh Memorial Medical Center Johnstown$24,0741.7×82026-04-15
Upmc St Margaret Pittsburgh$24,1281.7×22026-03-06
Lower Bucks Hospital Bristol$24,5151.8×62026-09-01
Upmc Mercy Pittsburgh$25,0481.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$25,0811.7×82026-04-08
St Luke'S Hospital - Upper Bucks Campus Quakertown$25,4911.8×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$25,5911.8×52026-02-27
Upmc Passavant Pittsburgh$25,5981.8×22026-03-07
Holy Redeemer Hospital And Medical Center Meadowbrook$25,8071.9×62026-09-21
Robert Packer Hospital Sayre$25,8141.9×82026-03-31
Upmc Altoona Altoona$26,0211.9×52026-03-06
St Clair Hospital Pittsburgh$26,5981.9×62026-03-31
St Luke'S Hospital Bethlehem Bethlehem$26,6771.8×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$26,6771.8×52026-02-27
Geisinger-Lewistown Hospital Lewistown$27,5162.0×72026-07-01
Upmc Carlisle Carlisle$28,5492.0×72026-03-06
St Mary Medical Center Langhorne$29,6692.1×202026-03-31
Upmc Hanover Hanover$29,7542.1×72026-03-06
Wellspan Good Samaritan Hospital Lebanon$29,7922.0×52026-01-01
Jefferson Lansdale Hospital Lansdale$30,0962.2×92026-09-15
Upmc Presbyterian Shadyside Pittsburgh$30,1982.2×22026-03-06
Upmc Muncy Muncy$30,2762.2×32026-03-06
Upmc Wellsboro Wellsboro$30,2762.2×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$30,3762.2×52026-02-27
Upmc Williamsport Williamsport$30,4392.2×32026-03-06
Riddle Memorial Hospital Media$30,5042.1×42026-04-01
Geisinger St. Luke'S Hospital Orwigsburg$30,5602.2×42026-02-26
Upmc Memorial York$30,6492.2×82026-03-06
Paoli Hospital Paoli$30,9942.2×42026-04-01
St Luke'S Hospital - Easton Campus Easton$31,7482.2×42026-02-26
Magee Womens Hospital Of Upmc Health System Pittsburgh$31,8602.3×22026-03-06
Upmc Lititz Lititz$32,7002.4×72026-03-06
Jefferson Abington Hospital Abington$33,2422.4×92026-09-15
Bryn Mawr Hospital Bryn Mawr$33,3282.3×42026-04-01
Lehigh Valley Hospital - Hazleton Hazleton$33,5742.4×92026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$33,9452.3×42026-04-08
Lehigh Valley Hospital - Macungie Macungie$34,5002.4×102026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$34,5632.5×92026-07-01
Nazareth Hospital Philadelphia$35,6602.4×202026-03-31
Lehigh Valley Hospital - Pocono East Stroudsburg$36,7292.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$36,8072.6×62026-09-15
Temple University Hospital Philadelphia$36,8922.5×102026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$37,8202.6×42026-03-27
Penn State Health St. Joseph Reading$37,8202.6×42026-03-27
Penn State Health Hampden Medical Center Enola$37,8202.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$37,8202.7×42026-03-27
Lankenau Medical Center Wynnewood$38,8862.8×42026-04-01
Lehigh Valley Hospital Allentown$39,1682.7×52026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$39,2462.8×72026-07-01
Wellspan Surgery And Rehabilitation Hospital York$39,8682.9×42026-01-01
Geisinger Community Medical Center Scranton$39,9122.9×82026-07-01
Jefferson Health-Northeast Philadelphia$41,3342.8×62026-09-15
Wellspan Chambersburg Hospital Chambersburg$41,7912.9×32026-01-01
Wellspan Ephrata Community Hospital Ephrata$42,0723.0×52026-01-01
Thomas Jefferson University Hospital Philadelphia$47,8503.3×92026-09-15
Wellspan York Hospital York$55,7744.0×42026-01-01

Questions

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

78 Pennsylvania 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 30 hospitals is $11,979, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.