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Open Repair Of A Break Just Above The Knee

Maryland rates for HCPCS 27513

Open surgery to repair a broken thigh bone at its lower end, just above the knee. The pieces are exposed, realigned under direct view, and usually held with a plate, screws, or a rod so the leg lines up correctly while it heals. It is used for breaks too unstable or displaced to be treated in a cast.

Rates data updated July 2026.

How much does Open Repair Of A Break Just Above The Knee cost?

$1,288

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $1,175 to $1,778.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $851 · 10th to 90th $513 to $2,884Professionalmedian $1,318 · 10th to 90th $1,148 to $2,188
$1K$2K$5K$10K$20Kfacility $851professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$26,302.68

Where Maryland sits

The same service costs 14.8 times more in Wyoming than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 48th of 50

$1,288

WY $18,197ND $1,230

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.