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Knee Intercondylar Fracture Treatment, Closed

Oregon rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$1,763

Typical total for the visit. In Oregon, July 2026.

Insurers have agreed to pay about $1,763 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $912 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$676 to $1,096
Facility feeThe hospital or surgery center$912$692 to $1,000

How much rates vary

Facilitymedian $912 · 10th to 90th $550 to $1,318Professionalmedian $851 · 10th to 90th $437 to $1,349
$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $912professional $851

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,318.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,047.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$1,230.27
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$912.01
Typical High
$1,288.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,288.25

Where Oregon sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeOregon $1,763 · 32nd of 49
NJ $5,860MD $613

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.