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

Posted commercial rates at 4 Tennessee 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
TriStar StoneCrest Medical Center Smyrna$5,7480.8×32026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.9×12026-01-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$5,7480.8×32026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.9×12026-01-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$19,9701.2×62026-01-01
TriStar StoneCrest Medical Center Smyrna$20,2571.2×72026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$20,3001.2×52026-01-01
Vanderbilt University Medical Center Nashville$52,0853.0×62025-10-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$16,1941.2×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$16,1941.2×72026-01-01
TriStar StoneCrest Medical Center Smyrna$16,6671.2×72026-09-01
Vanderbilt University Medical Center Nashville$35,2082.6×62025-10-01

Questions

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

4 Tennessee 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 2 hospitals is $5,957, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.