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

Posted commercial rates at 6 Washington hospitals, each next to its own Medicare base rate.

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CPT 27535

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$15,5751.9×52026-04-01
St Clare Hospital Lakewood$18,6342.2×32026-02-28
St Anthony Hospital Gig Harbor$19,3522.3×32026-02-28
Swedish Medical Center Seattle$23,4942.8×52026-04-01
Tacoma General Allenmore Hospital Tacoma$26,7273.2×32026-08-27
Multicare Good Samaritan Hospital Puyallup$30,7803.6×22026-08-27

CPT 27536

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$15,5751.9×52026-04-01
St Clare Hospital Lakewood$18,6342.2×32026-02-28
St Anthony Hospital Gig Harbor$19,3522.3×32026-02-28
Swedish Medical Center Seattle$23,4942.8×52026-04-01
Tacoma General Allenmore Hospital Tacoma$26,7273.2×32026-08-27
Multicare Good Samaritan Hospital Puyallup$30,7803.6×22026-08-27

MS-DRG 493

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$47,5162.2×62026-04-01
St Clare Hospital Lakewood$54,3702.5×62026-02-28
St Anthony Hospital Gig Harbor$54,3702.5×62026-02-28
Multicare Good Samaritan Hospital Puyallup$55,6412.6×62026-08-27
Tacoma General Allenmore Hospital Tacoma$55,6412.6×62026-08-27
Swedish Medical Center Seattle$68,1333.2×52026-04-01

MS-DRG 494

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$37,7762.3×62026-04-01
St Clare Hospital Lakewood$42,6952.5×62026-02-28
St Anthony Hospital Gig Harbor$42,6952.5×62026-02-28
Multicare Good Samaritan Hospital Puyallup$43,6682.6×62026-08-27
Tacoma General Allenmore Hospital Tacoma$43,6682.6×62026-08-27
Swedish Medical Center Seattle$53,5053.2×52026-04-01

Questions

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

6 Washington 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 6 hospitals is $21,423, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.