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Ankle fracture fixation, three-part: what insurers pay

Fixing a trimalleolar ankle fracture, without (27822) or with (27823) fixation of the back of the tibia. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 27822: Treatment of Ankle Fracture

85 hospitals in 32 markets. National Medicare rate $7,413, surgery center $4,821.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$6,285–$6,285
Austin TX2———$5,743–$7,118
Boston MA7$9,971$11,078$12,044$8,222–$13,661
California (statewide)1———$17,830–$17,830
Chicago IL5$9,107$9,220$10,014$6,180–$16,851
Cleveland OH4———$6,732–$16,831
Columbus OH1———$26,099–$26,099
Dallas-Fort Worth TX4———$8,478–$24,892
Denver CO7$7,654$7,864$13,856$7,440–$17,220
Detroit MI5$5,311$5,311$7,740$5,311–$9,407
Georgia (statewide)1———$9,172–$9,172
Houston TX1———$5,454–$5,454
Indianapolis IN1———$18,846–$18,846
Kansas (statewide)1———$6,290–$6,290
Las Vegas NV2———$7,352–$9,266
Los Angeles CA2———$12,940–$22,055
Minneapolis-St. Paul MN1———$12,240–$12,240
Nashville TN2———$3,603–$7,073
New York (statewide)1———$5,783–$5,783
New York City3———$9,190–$13,434
Ohio (statewide)1———$10,800–$10,800
Philadelphia PA5$7,524$7,689$9,172$7,485–$11,208
Phoenix AZ3———$4,839–$7,488
Pittsburgh PA1———$5,031–$5,031
Portland OR6$16,131$16,131$22,449$16,131–$24,555
Richmond VA2———$8,476–$9,436
San Antonio TX1———$5,897–$5,897
San Francisco Bay Area CA1———$32,856–$32,856
Seattle-Tacoma WA6$22,205$24,030$29,360$19,451–$31,977
Tampa FL2———$13,658–$14,016
Washington DC4———$9,863–$12,949
Wisconsin (statewide)1———$12,152–$12,152
HospitalMarketMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,8390.6×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,8390.6×32026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$5,0310.7×12026-03-06
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$5,3110.7×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$5,3110.7×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$5,3110.7×12026-05-01
Houston Methodist HospitalHouston TX$5,4540.8×52026-04-01
Ascension Seton Medical Center AustinAustin TX$5,7430.8×12026-01-01
Stony Brook University HospitalNew York (statewide)$5,7830.6×52026-06-10
Methodist HospitalSan Antonio TX$5,8970.8×62026-09-01
Endeavor Health Evanston HospitalChicago IL$6,1800.8×32026-04-01
Emory University HospitalAtlanta GA$6,2850.9×62026-04-01
Menorah Medical CenterKansas (statewide)$6,2900.9×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$6,7321.0×22026-07-14
Vanderbilt University Medical CenterNashville TN$7,0731.0×72025-10-01
St David's Medical CenterAustin TX$7,1181.0×62026-09-01
Henderson HospitalLas Vegas NV$7,3521.0×12026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$7,4401.0×42026-09-01
HCA HealthONE SwedishDenver CO$7,4661.0×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$7,4851.0×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$7,4881.0×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$7,5241.0×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,6890.9×32026-09-15
Henry Ford Health Rochester HospitalDetroit MI$7,7401.1×12026-01-01
HCA HealthONE Sky RidgeDenver CO$7,8421.0×42026-09-01
Hca Healthone RoseDenver CO$7,8641.0×42026-09-01
Beverly Hospital CorporationBoston MA$8,2220.9×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$8,4761.2×42026-09-01
Medical City PlanoDallas-Fort Worth TX$8,4781.2×62026-09-01
New England Baptist HospitalBoston MA$9,0121.0×32026-04-01
Medical City MckinneyDallas-Fort Worth TX$9,0281.2×62026-09-01
Endeavor Health Northwest Community HospitalChicago IL$9,1071.2×22026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$9,1261.3×32026-06-29
Emory Houston Hospital Warner RobinsGeorgia (statewide)$9,1721.4×32026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.2×32026-09-15
Montefiore Medical CenterNew York City$9,1901.0×82026-04-01
Endeavor Health Edward HospitalChicago IL$9,2201.2×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$9,2661.2×72026-07-01
Harper University HospitalDetroit MI$9,4071.3×12026-09-02
Henrico Doctors' HospitalRichmond VA$9,4361.3×42026-09-01
George Washington Univ HospitalWashington DC$9,8631.1×12026-09-01
Endeavor Health Elmhurst HospitalChicago IL$10,0141.3×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0241.1×72026-01-01
Reston Hospital CenterWashington DC$10,3961.4×42026-09-01
Stonesprings Hospital CenterWashington DC$10,4141.4×42026-09-01
UCHealth University of Colorado HospitalDenver CO$10,4921.4×32025-11-01
Bethesda NorthOhio (statewide)$10,8001.5×42026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$10,9301.3×12026-04-01
Winchester HospitalBoston MA$11,0781.3×22026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.4×12026-03-24
Anna Jaques HospitalBoston MA$11,5021.3×22026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$12,1521.7×32026-01-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$12,2401.6×22026-03-31
Lahey Hospital & Medical Center, BurlingtonBoston MA$12,5861.4×12026-04-01
Keck Hospital Of UscLos Angeles CA$12,9401.4×52026-04-01
Inova Alexandria HospitalWashington DC$12,9491.7×52026-04-01
Medina HospitalCleveland OH$13,0101.9×12026-06-15
Hospital for Special SurgeryNew York City$13,4341.5×62026-04-01
Morton Plant HospitalTampa FL$13,6581.8×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$13,6611.6×22026-04-01
Tampa General HospitalTampa FL$14,0161.9×12026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$14,8622.2×12026-06-15
Legacy Emanuel Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$16,1312.0×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$16,8312.5×12026-06-15
University of Chicago Medical CenterChicago IL$16,8512.2×22026-04-01
Adventhealth PorterDenver CO$17,2202.3×22026-04-01
Adventhealth ParkerDenver CO$17,2202.3×22026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$17,8301.9×52026-09-01
Riverview HealthIndianapolis IN$18,8462.5×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$19,4512.3×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$22,0552.4×32025-11-26
St Clare HospitalSeattle-Tacoma WA$22,1072.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$22,4982.7×62026-02-28
Providence St Vincent Medical CenterPortland OR$24,5553.0×32026-04-01
Providence Portland Medical CenterPortland OR$24,5553.0×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$24,8923.4×22026-04-21
Swedish Medical CenterSeattle-Tacoma WA$25,5613.0×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$26,0993.7×202026-03-31
Tacoma General Allenmore HospitalSeattle-Tacoma WA$30,6263.6×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$31,9773.8×42026-08-27
Stanford Health CareSan Francisco Bay Area CA$32,8563.1×42026-04-01

CPT 27823: Treatment of Ankle Fracture

81 hospitals in 28 markets. National Medicare rate $7,413, surgery center $4,830.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$7,045–$7,045
Austin TX2———$5,743–$7,118
Boston MA7$9,971$11,078$12,044$8,222–$13,661
California (statewide)1———$17,830–$17,830
Chicago IL5$9,107$9,220$10,014$6,180–$16,851
Cleveland OH4———$4,992–$14,862
Dallas-Fort Worth TX4———$8,478–$24,892
Denver CO7$7,654$7,864$14,096$7,440–$17,220
Detroit MI5$5,311$5,311$9,407$5,311–$9,535
Georgia (statewide)1———$9,172–$9,172
Houston TX1———$5,454–$5,454
Indianapolis IN1———$18,846–$18,846
Kansas (statewide)1———$6,290–$6,290
Las Vegas NV2———$7,352–$9,205
Los Angeles CA2———$12,940–$22,055
Nashville TN2———$3,603–$7,073
New York City3———$9,190–$13,434
Ohio (statewide)1———$10,800–$10,800
Philadelphia PA5$7,524$7,689$9,172$7,485–$11,208
Phoenix AZ3———$4,839–$7,488
Portland OR6$16,131$16,131$22,449$16,131–$24,555
Richmond VA2———$8,476–$9,436
San Antonio TX1———$5,897–$5,897
San Francisco Bay Area CA1———$32,856–$32,856
Seattle-Tacoma WA6$22,205$24,030$29,360$19,451–$31,977
Tampa FL2———$13,658–$14,016
Washington DC4———$9,863–$12,949
Wisconsin (statewide)1———$12,152–$12,152
HospitalMarketMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,8390.6×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,8390.6×32026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$4,9920.7×32026-07-14
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$5,3110.7×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$5,3110.7×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$5,3110.7×12026-05-01
Houston Methodist HospitalHouston TX$5,4540.8×52026-04-01
Ascension Seton Medical Center AustinAustin TX$5,7430.8×12026-01-01
Methodist HospitalSan Antonio TX$5,8970.8×62026-09-01
Endeavor Health Evanston HospitalChicago IL$6,1800.8×32026-04-01
Menorah Medical CenterKansas (statewide)$6,2900.9×52026-09-01
Emory University HospitalAtlanta GA$7,0451.0×62026-04-01
Vanderbilt University Medical CenterNashville TN$7,0731.0×72025-10-01
St David's Medical CenterAustin TX$7,1181.0×62026-09-01
Henderson HospitalLas Vegas NV$7,3521.0×12026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$7,4401.0×42026-09-01
HCA HealthONE SwedishDenver CO$7,4661.0×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$7,4851.0×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$7,4881.0×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$7,5241.0×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,6890.9×32026-09-15
HCA HealthONE Sky RidgeDenver CO$7,8421.0×42026-09-01
Hca Healthone RoseDenver CO$7,8641.0×42026-09-01
Beverly Hospital CorporationBoston MA$8,2220.9×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$8,4761.2×42026-09-01
Medical City PlanoDallas-Fort Worth TX$8,4781.2×62026-09-01
New England Baptist HospitalBoston MA$9,0121.0×32026-04-01
Medical City MckinneyDallas-Fort Worth TX$9,0281.2×62026-09-01
Endeavor Health Northwest Community HospitalChicago IL$9,1071.2×22026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$9,1261.3×32026-06-29
Emory Houston Hospital Warner RobinsGeorgia (statewide)$9,1721.4×32026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.2×32026-09-15
Montefiore Medical CenterNew York City$9,1901.0×82026-04-01
University Medical Center of Southern NevadaLas Vegas NV$9,2051.2×72026-07-01
Endeavor Health Edward HospitalChicago IL$9,2201.2×22026-04-01
Harper University HospitalDetroit MI$9,4071.3×12026-09-02
Henrico Doctors' HospitalRichmond VA$9,4361.3×42026-09-01
Henry Ford Health Rochester HospitalDetroit MI$9,5351.3×12026-01-01
George Washington Univ HospitalWashington DC$9,8631.1×12026-09-01
Endeavor Health Elmhurst HospitalChicago IL$10,0141.3×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0241.1×72026-01-01
Reston Hospital CenterWashington DC$10,3961.4×42026-09-01
Stonesprings Hospital CenterWashington DC$10,4141.4×42026-09-01
Bethesda NorthOhio (statewide)$10,8001.5×42026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$10,9301.3×12026-04-01
UCHealth University of Colorado HospitalDenver CO$10,9711.4×32025-11-01
Winchester HospitalBoston MA$11,0781.3×22026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.4×12026-03-24
Anna Jaques HospitalBoston MA$11,5021.3×22026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$12,1521.7×32026-01-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$12,5861.4×12026-04-01
Keck Hospital Of UscLos Angeles CA$12,9401.4×52026-04-01
Inova Alexandria HospitalWashington DC$12,9491.7×52026-04-01
Medina HospitalCleveland OH$13,0101.9×12026-06-15
Cleveland Clinic Hillcrest HospitalCleveland OH$13,2201.9×22026-06-15
Hospital for Special SurgeryNew York City$13,4341.5×62026-04-01
Morton Plant HospitalTampa FL$13,6581.8×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$13,6611.6×22026-04-01
Tampa General HospitalTampa FL$14,0161.9×12026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$14,8622.2×12026-06-15
Legacy Emanuel Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$16,1312.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$16,1312.0×52026-04-01
University of Chicago Medical CenterChicago IL$16,8512.2×22026-04-01
Adventhealth PorterDenver CO$17,2202.3×22026-04-01
Adventhealth ParkerDenver CO$17,2202.3×22026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$17,8301.9×52026-09-01
Riverview HealthIndianapolis IN$18,8462.5×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$19,4512.3×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$22,0552.4×32025-11-26
St Clare HospitalSeattle-Tacoma WA$22,1072.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$22,4982.7×62026-02-28
Providence St Vincent Medical CenterPortland OR$24,5553.0×32026-04-01
Providence Portland Medical CenterPortland OR$24,5553.0×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$24,8923.4×22026-04-21
Swedish Medical CenterSeattle-Tacoma WA$25,5613.0×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$30,6263.6×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$31,9773.8×42026-08-27
Stanford Health CareSan Francisco Bay Area CA$32,8563.1×42026-04-01

Questions

How much do commercial insurers pay hospitals for ankle fracture fixation, three-part?

Across 85 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 27822, hospital outpatient is $10,014, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,488 to $16,131. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ankle fracture fixation, three-part?

Medicare's national hospital outpatient rate for CPT 27822 is $7,413 and its surgery-center rate is $4,821, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ankle fracture fixation, three-part?

Lowest medians: TriStar StoneCrest Medical Center ($3,603), HonorHealth Scottsdale Osborn Medical Center ($4,839), HonorHealth Scottsdale Shea Medical Center ($4,839). Highest: Stanford Health Care ($32,856), Multicare Good Samaritan Hospital ($31,977), Tacoma General Allenmore Hospital ($30,626). Coverage is limited to the markets listed on this page.