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

Posted commercial rates at 7 Virginia 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
Reston Hospital Center Reston$6,4780.9×42026-09-01
Stonesprings Hospital Center Dulles$6,4900.9×42026-09-01
Henrico Doctors' Hospital Richmond$8,6941.2×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$8,8631.3×42026-09-01
Inova Alexandria Hospital Alexandria$9,0601.2×42026-04-01

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Reston Hospital Center Reston$6,4780.9×42026-09-01
Stonesprings Hospital Center Dulles$6,4900.9×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$8,8741.3×42026-09-01
Henrico Doctors' Hospital Richmond$8,8741.3×42026-09-01
Inova Alexandria Hospital Alexandria$9,0601.2×42026-04-01

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$29,3121.7×52026-09-01
Henrico Doctors' Hospital Richmond$29,3121.7×52026-09-01
Reston Hospital Center Reston$30,1491.6×52026-09-01
Stonesprings Hospital Center Dulles$30,1491.6×52026-09-01
Inova Alexandria Hospital Alexandria$47,0742.5×52026-04-01
VCU Medical Center Richmond$60,8873.5×32026-01-02
Bon Secours St. Mary's Hospital Richmond$61,0203.5×52026-04-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Reston Hospital Center Reston$23,8531.6×52026-09-01
Stonesprings Hospital Center Dulles$23,8531.6×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$28,9982.1×52026-09-01
Henrico Doctors' Hospital Richmond$28,9982.1×52026-09-01
Inova Alexandria Hospital Alexandria$36,9652.5×52026-04-01
VCU Medical Center Richmond$46,6303.4×32026-01-02
Bon Secours St. Mary's Hospital Richmond$48,2773.5×52026-04-01

Questions

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

7 Virginia 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 5 hospitals is $8,694, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.