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Tibial plateau (knee) fracture fixation in Richmond VA

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
Henrico Doctors' Hospital median $5,708 · local Medicare $7,080 · file 2026-09-01
Bright Health	$3,993	0.6×	1
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$5,708	0.8×	4
Oscar	$5,632	0.8×	1
UnitedHealthcare	$11,789	1.7×	4
CJW Medical Center (Chippenham + Johnston-Willis) median $6,046 · local Medicare $7,080 · file 2026-09-01
Bright Health	$3,993	0.6×	1
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$6,046	0.9×	4
Oscar	$5,632	0.8×	1
UnitedHealthcare	$11,789	1.7×	4
Tricities Hospital median $8,656 · local Medicare $7,080 · file 2026-09-01
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$5,350	0.8×	4
Oscar	$5,632	0.8×	1
UnitedHealthcare	$11,789	1.7×	4

CPT 27536

Hospital · insurer	Rate	× Medicare	Plans
Tricities Hospital median $8,874 · local Medicare $7,080 · file 2026-09-01
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$5,350	0.8×	4
Oscar	$6,067	0.9×	1
UnitedHealthcare	$11,789	1.7×	4
CJW Medical Center (Chippenham + Johnston-Willis) median $8,874 · local Medicare $7,080 · file 2026-09-01
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$6,046	0.9×	4
Oscar	$6,067	0.9×	1
UnitedHealthcare	$11,789	1.7×	4
Henrico Doctors' Hospital median $8,874 · local Medicare $7,080 · file 2026-09-01
Cigna	$11,680	1.6×	2
Elevance/Anthem/Empire	$5,708	0.8×	4
Oscar	$6,067	0.9×	1
UnitedHealthcare	$11,789	1.7×	4

MS-DRG 493

Hospital · insurer	Rate	× Medicare	Plans
Tricities Hospital median $24,996 · local Medicare $17,589 · file 2026-09-01
Aetna	$19,434	1.1×	1
Cigna	$39,713	2.3×	2
Elevance/Anthem/Empire	$43,033	2.4×	5
Oscar	$29,312	1.7×	1
Pyramid Life	$20,930	1.2×	1
Sentara Optima Health	$29,062	1.7×	3
UnitedHealthcare	$20,240	1.2×	7
Virginia Premier Health	$19,407	1.1×	1
CJW Medical Center (Chippenham + Johnston-Willis) median $28,998 · local Medicare $17,589 · file 2026-09-01
Aetna	$28,998	1.6×	3
Bright Health	$21,861	1.2×	2
Cigna	$39,713	2.3×	2
Elevance/Anthem/Empire	$40,661	2.3×	4
Oscar	$29,312	1.7×	1
Pyramid Life	$21,054	1.2×	1
Sentara Optima Health	$29,062	1.7×	3
UnitedHealthcare	$20,240	1.2×	7
Virginia Premier Health	$19,523	1.1×	1
Henrico Doctors' Hospital median $28,998 · local Medicare $17,589 · file 2026-09-01
Aetna	$28,998	1.6×	3
Bright Health	$21,861	1.2×	2
Cigna	$39,713	2.3×	2
Elevance/Anthem/Empire	$44,458	2.5×	4
Oscar	$29,312	1.7×	1
Pyramid Life	$20,902	1.2×	1
Sentara Optima Health	$29,062	1.7×	3
UnitedHealthcare	$19,621	1.1×	8
Virginia Premier Health	$19,382	1.1×	1
Bon Secours St. Francis Medical Center median $54,384 · local Medicare $17,589 · file 2026-04-01
Aetna	$48,019	2.7×	3
BCBS (other)	$54,384	3.1×	3
Cigna	$61,020	3.5×	2
Elevance/Anthem/Empire	$54,384	3.1×	11
UnitedHealthcare	$58,952	3.4×	4
Bon Secours Memorial Regional Medical Center median $57,742 · local Medicare $17,589 · file 2026-04-01
Aetna	$48,019	2.7×	3
BCBS (other)	$57,742	3.3×	3
Cigna	$61,020	3.5×	2
Elevance/Anthem/Empire	$57,742	3.3×	11
UnitedHealthcare	$58,952	3.4×	4
VCU Medical Center median $60,887 · local Medicare $17,589 · file 2026-01-02
Aetna	$50,736	2.9×	1
Elevance/Anthem/Empire	$60,887	3.5×	2
UnitedHealthcare	$87,994	5.0×	1
Bon Secours St. Mary's Hospital median $61,020 · local Medicare $17,589 · file 2026-04-01
Aetna	$48,019	2.7×	3
BCBS (other)	$68,117	3.9×	3
Cigna	$61,020	3.5×	2
Elevance/Anthem/Empire	$68,117	3.9×	13
UnitedHealthcare	$58,952	3.4×	4

MS-DRG 494

Hospital · insurer	Rate	× Medicare	Plans
Tricities Hospital median $21,716 · local Medicare $13,916 · file 2026-09-01
Aetna	$15,552	1.1×	1
Cigna	$31,420	2.3×	2
Elevance/Anthem/Empire	$34,046	2.4×	5
Oscar	$23,191	1.7×	1
Pyramid Life	$16,749	1.2×	1
Sentara Optima Health	$29,062	2.1×	3
UnitedHealthcare	$20,240	1.5×	7
Virginia Premier Health	$15,531	1.1×	1
CJW Medical Center (Chippenham + Johnston-Willis) median $23,191 · local Medicare $13,916 · file 2026-09-01
Aetna	$28,998	2.1×	3
Bright Health	$17,380	1.2×	2
Cigna	$31,420	2.3×	2
Elevance/Anthem/Empire	$32,170	2.3×	4
Oscar	$23,191	1.7×	1
Pyramid Life	$16,771	1.2×	1
Sentara Optima Health	$29,062	2.1×	3
UnitedHealthcare	$20,240	1.5×	7
Virginia Premier Health	$15,551	1.1×	1
Henrico Doctors' Hospital median $23,191 · local Medicare $13,916 · file 2026-09-01
Aetna	$28,998	2.1×	3
Bright Health	$17,380	1.2×	2
Cigna	$31,420	2.3×	2
Elevance/Anthem/Empire	$35,174	2.5×	4
Oscar	$23,191	1.7×	1
Pyramid Life	$16,663	1.2×	1
Sentara Optima Health	$29,062	2.1×	3
UnitedHealthcare	$17,694	1.3×	8
Virginia Premier Health	$15,451	1.1×	1
Bon Secours St. Francis Medical Center median $31,064 · local Medicare $13,916 · file 2026-04-01
UnitedHealthcare	$31,064	2.2×	4
Bon Secours Memorial Regional Medical Center median $45,684 · local Medicare $13,916 · file 2026-04-01
Aetna	$37,991	2.7×	3
BCBS (other)	$45,684	3.3×	3
Cigna	$48,277	3.5×	2
Elevance/Anthem/Empire	$45,684	3.3×	11
UnitedHealthcare	$46,641	3.4×	4
VCU Medical Center median $46,630 · local Medicare $13,916 · file 2026-01-02
Aetna	$34,481	2.5×	1
Elevance/Anthem/Empire	$47,812	3.4×	2
UnitedHealthcare	$46,630	3.4×	1
Bon Secours St. Mary's Hospital median $48,277 · local Medicare $13,916 · file 2026-04-01
Aetna	$37,991	2.7×	3
BCBS (other)	$53,893	3.9×	3
Cigna	$48,277	3.5×	2
Elevance/Anthem/Empire	$53,893	3.9×	13
UnitedHealthcare	$46,641	3.4×	4

Questions

How much does tibial plateau (knee) fracture fixation cost with commercial insurance in Richmond VA?

3 Richmond VA hospitals post usable commercial rates for CPT 27535, hospital outpatient. The median across hospitals is $6,046; hospital medians range from $5,708 to $8,656. Your cost depends on your plan's deductible and coinsurance.