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

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27535

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,6581.2×32026-09-15
Lehigh Valley Hospital Allentown$17,4642.4×72026-07-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$6,1970.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$8,6581.2×32026-09-15
Riddle Memorial Hospital Media$9,1421.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$9,1821.2×22026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$38,6452.1×42026-04-01
Bryn Mawr Hospital Bryn Mawr$42,3492.3×42026-04-01
Lehigh Valley Hospital Allentown$49,5062.7×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$51,5742.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$62,1563.4×52026-09-15

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$30,5042.1×42026-04-01
Bryn Mawr Hospital Bryn Mawr$33,3282.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$36,2472.6×12026-03-06
Lehigh Valley Hospital Allentown$39,1682.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$49,1763.4×52026-09-15

Questions

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

5 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 4 hospitals is $8,091, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.