Price AtlasInteractive atlas · All states · techysurgeon.comAnkle 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: Ankle Fracture Fixation, Three-Part
1084 hospitals in 78 markets. National Medicare rate $7,413, surgery center $4,821.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $7,309 | $8,005 | $9,534 | $3,284–$18,846 |
| Alaska (statewide) | 4 | — | — | — | $5,922–$16,756 |
| Arizona (statewide) | 12 | $5,698 | $7,624 | $8,764 | $4,465–$16,051 |
| Arkansas (statewide) | 8 | $6,369 | $6,836 | $7,863 | $4,000–$9,874 |
| Atlanta GA | 6 | $6,285 | $6,285 | $9,385 | $6,285–$10,418 |
| Austin TX | 13 | $5,743 | $8,874 | $8,874 | $5,743–$10,637 |
| Boston MA | 11 | $9,188 | $11,926 | $12,708 | $6,518–$14,320 |
| California (statewide) | 54 | $9,854 | $18,962 | $26,284 | $5,367–$27,033 |
| Charlotte NC | 5 | $8,493 | $8,493 | $8,493 | $8,377–$8,493 |
| Chicago IL | 7 | $9,164 | $10,014 | $14,716 | $6,180–$16,851 |
| Cleveland OH | 10 | $7,551 | $8,285 | $11,591 | $7,359–$14,416 |
| Colorado (statewide) | 13 | $7,826 | $8,666 | $12,112 | $7,144–$15,141 |
| Columbus OH | 2 | — | — | — | $26,099–$26,099 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$30,233 |
| Dallas-Fort Worth TX | 14 | $9,098 | $10,642 | $10,897 | $8,024–$26,538 |
| Denver CO | 15 | $8,837 | $9,385 | $14,284 | $7,200–$15,141 |
| Detroit MI | 14 | $5,311 | $7,554 | $9,407 | $5,311–$12,734 |
| Florida (statewide) | 62 | $10,532 | $11,590 | $13,658 | $4,068–$18,426 |
| Georgia (statewide) | 27 | $6,726 | $9,172 | $11,527 | $4,141–$21,689 |
| Hawaii (statewide) | 4 | — | — | — | $6,234–$8,080 |
| Houston TX | 19 | $7,535 | $9,493 | $9,894 | $5,549–$13,850 |
| Idaho (statewide) | 14 | $7,505 | $14,264 | $18,145 | $5,394–$21,676 |
| Illinois (statewide) | 25 | $8,069 | $12,287 | $14,716 | $5,474–$21,223 |
| Indiana (statewide) | 31 | $11,228 | $16,861 | $28,712 | $5,900–$38,188 |
| Indianapolis IN | 3 | — | — | — | $18,846–$32,564 |
| Iowa (statewide) | 18 | $9,024 | $11,112 | $13,844 | $7,413–$22,020 |
| Kansas (statewide) | 15 | $7,840 | $9,914 | $11,188 | $6,290–$16,756 |
| Kentucky (statewide) | 13 | $4,396 | $8,612 | $9,425 | $3,467–$13,434 |
| Las Vegas NV | 2 | — | — | — | $7,352–$10,100 |
| Los Angeles CA | 15 | $10,395 | $10,548 | $11,938 | $10,072–$22,055 |
| Louisiana (statewide) | 23 | $6,966 | $8,098 | $9,804 | $5,982–$12,908 |
| Maine (statewide) | 17 | $29,272 | $32,866 | $33,984 | $7,684–$42,727 |
| Maryland (statewide) | 1 | — | — | — | $3,585–$3,585 |
| Massachusetts (statewide) | 4 | — | — | — | $5,995–$10,392 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $13,338–$13,338 |
| Michigan (statewide) | 25 | $4,821 | $7,230 | $8,948 | $4,186–$13,180 |
| Minneapolis-St. Paul MN | 9 | $8,110 | $8,918 | $10,623 | $7,641–$15,377 |
| Minnesota (statewide) | 13 | $10,057 | $19,037 | $23,016 | $7,820–$31,617 |
| Mississippi (statewide) | 11 | $9,052 | $9,825 | $11,234 | $6,136–$19,790 |
| Missouri (statewide) | 15 | $6,290 | $7,186 | $12,689 | $5,756–$16,982 |
| Montana (statewide) | 5 | $8,930 | $14,481 | $15,002 | $6,181–$21,584 |
| Nashville TN | 6 | $3,864 | $4,645 | $11,312 | $3,603–$13,806 |
| Nebraska (statewide) | 11 | $8,946 | $9,296 | $11,703 | $7,352–$18,020 |
| Nevada (statewide) | 5 | $7,352 | $7,352 | $11,268 | $7,352–$14,207 |
| New Hampshire (statewide) | 6 | $14,148 | $16,678 | $22,868 | $12,993–$32,494 |
| New Jersey (statewide) | 21 | $8,289 | $8,419 | $11,208 | $8,289–$14,827 |
| New Mexico (statewide) | 8 | $6,527 | $10,690 | $15,302 | $3,678–$21,147 |
| New York (statewide) | 31 | $8,454 | $9,924 | $14,286 | $5,783–$24,437 |
| New York City | 8 | $8,454 | $8,454 | $10,051 | $7,945–$12,305 |
| North Carolina (statewide) | 6 | $9,960 | $12,746 | $16,725 | $7,039–$19,175 |
| North Dakota (statewide) | 5 | $11,996 | $12,358 | $12,633 | $10,326–$16,346 |
| Ohio (statewide) | 37 | $8,434 | $16,105 | $16,456 | $4,347–$27,890 |
| Oklahoma (statewide) | 10 | $13,849 | $14,812 | $14,977 | $6,362–$29,816 |
| Oregon (statewide) | 11 | $17,294 | $20,433 | $24,956 | $7,935–$33,060 |
| Pennsylvania (statewide) | 34 | $7,850 | $13,229 | $17,100 | $4,311–$32,089 |
| Philadelphia PA | 11 | $7,485 | $7,689 | $8,256 | $4,689–$11,208 |
| Phoenix AZ | 6 | $4,839 | $4,839 | $6,826 | $4,839–$7,488 |
| Pittsburgh PA | 11 | $5,398 | $12,174 | $14,726 | $5,031–$17,980 |
| Portland OR | 9 | $16,131 | $16,131 | $24,555 | $14,746–$24,555 |
| Rhode Island (statewide) | 4 | — | — | — | $8,027–$18,453 |
| Richmond VA | 3 | — | — | — | $7,130–$7,208 |
| Rio Grande Valley TX | 7 | $9,332 | $9,430 | $9,611 | $9,328–$13,204 |
| Salt Lake City UT | 9 | $9,709 | $10,040 | $10,040 | $6,513–$10,372 |
| San Antonio TX | 3 | — | — | — | $6,850–$9,391 |
| San Diego CA | 7 | $16,202 | $16,332 | $16,332 | $13,066–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $8,476–$32,856 |
| Seattle-Tacoma WA | 16 | $18,960 | $19,727 | $25,275 | $16,482–$28,676 |
| South Carolina (statewide) | 19 | $9,946 | $14,554 | $16,638 | $7,352–$20,564 |
| South Dakota (statewide) | 3 | — | — | — | $10,499–$33,765 |
| Tampa FL | 6 | $13,658 | $13,658 | $13,658 | $11,760–$14,206 |
| Tennessee (statewide) | 25 | $4,645 | $6,913 | $8,384 | $3,603–$14,573 |
| Texas (statewide) | 79 | $7,458 | $9,493 | $13,850 | $4,299–$32,884 |
| Utah (statewide) | 7 | $7,276 | $9,709 | $9,874 | $6,513–$25,202 |
| Virginia (statewide) | 17 | $15,418 | $20,635 | $24,050 | $11,982–$26,244 |
| Washington (statewide) | 13 | $17,681 | $20,414 | $21,068 | $5,958–$37,385 |
| Washington DC | 9 | $9,074 | $11,413 | $11,413 | $7,208–$11,413 |
| West Virginia (statewide) | 6 | $8,455 | $11,126 | $24,747 | $6,185–$48,308 |
| Wisconsin (statewide) | 35 | $10,324 | $12,346 | $13,682 | $4,959–$21,623 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $3,284 | 0.5× | 1 | 2026-04-30 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.5× | 1 | 2026-04-30 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,467 | 0.5× | 2 | 2026-09-25 |
| Atlantic General Hospital | Maryland (statewide) | $3,585 | 0.5× | 1 | 2026-04-10 |
| Tristar Horizon Medical Center | Tennessee (statewide) | $3,603 | 0.5× | 5 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $3,603 | 0.5× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 0.5× | 5 | 2026-09-01 |
| Tristar Ashland City Medical Center | Tennessee (statewide) | $3,603 | 0.5× | 5 | 2026-09-01 |
| Cibola General Hospital | New Mexico (statewide) | $3,678 | 0.5× | 1 | 2026-09-27 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,975 | 0.6× | 1 | 2026-02-28 |
| Parkridge Medical Center | Tennessee (statewide) | $3,979 | 0.6× | 5 | 2026-09-01 |
| Bradley County Medical Center | Arkansas (statewide) | $4,000 | 0.6× | 1 | 2026-04-08 |
| Northern Light Mercy Hospital | Maine (statewide) | $33,984 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Parkview Lagrange Hospital | Indiana (statewide) | $34,475 | 4.5× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $35,099 | 4.9× | 1 | 2025-09-09 |
| Parkview Whitley Hospital | Indiana (statewide) | $35,271 | 4.6× | 1 | 2026-09-01 |
| Northern Light Mayo Hospital | Maine (statewide) | $35,792 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $37,385 | 4.4× | 5 | 2026-08-27 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $38,188 | 5.0× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $42,727 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 27823: Ankle Fracture Fixation, Three-Part
994 hospitals in 77 markets. National Medicare rate $7,413, surgery center $4,830.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $7,236 | $8,135 | $9,627 | $3,284–$18,846 |
| Alaska (statewide) | 4 | — | — | — | $6,690–$17,299 |
| Arizona (statewide) | 9 | $4,667 | $6,047 | $7,761 | $4,465–$10,200 |
| Arkansas (statewide) | 5 | $6,078 | $6,853 | $7,363 | $4,000–$9,874 |
| Atlanta GA | 6 | $7,045 | $7,045 | $9,575 | $7,045–$10,418 |
| Austin TX | 13 | $5,743 | $8,874 | $8,874 | $5,743–$10,637 |
| Boston MA | 11 | $9,188 | $11,926 | $12,708 | $6,538–$14,320 |
| California (statewide) | 52 | $9,832 | $20,586 | $27,033 | $5,367–$27,033 |
| Charlotte NC | 5 | $8,493 | $8,493 | $8,493 | $8,377–$8,493 |
| Chicago IL | 7 | $9,164 | $10,014 | $14,716 | $6,180–$16,851 |
| Cleveland OH | 10 | $7,551 | $8,316 | $9,746 | $6,752–$14,416 |
| Colorado (statewide) | 13 | $7,200 | $8,534 | $11,636 | $4,413–$15,141 |
| Columbus OH | 1 | — | — | — | $26,099–$26,099 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$30,233 |
| Dallas-Fort Worth TX | 12 | $8,993 | $10,642 | $12,240 | $8,024–$26,538 |
| Denver CO | 15 | $8,837 | $9,385 | $14,284 | $7,200–$15,141 |
| Detroit MI | 13 | $5,311 | $5,311 | $9,407 | $4,329–$13,618 |
| Florida (statewide) | 60 | $10,550 | $11,590 | $13,658 | $4,068–$18,426 |
| Georgia (statewide) | 26 | $7,095 | $8,485 | $10,418 | $4,141–$21,689 |
| Hawaii (statewide) | 4 | — | — | — | $8,892–$10,729 |
| Houston TX | 19 | $7,535 | $9,493 | $9,894 | $5,549–$13,850 |
| Idaho (statewide) | 14 | $6,794 | $14,264 | $18,145 | $4,159–$21,676 |
| Illinois (statewide) | 22 | $7,849 | $11,332 | $14,716 | $5,474–$21,223 |
| Indiana (statewide) | 25 | $11,516 | $16,357 | $30,763 | $7,144–$38,188 |
| Indianapolis IN | 1 | — | — | — | $18,846–$18,846 |
| Iowa (statewide) | 13 | $9,256 | $12,511 | $14,111 | $3,574–$17,545 |
| Kansas (statewide) | 13 | $6,958 | $9,914 | $11,452 | $5,952–$17,299 |
| Kentucky (statewide) | 13 | $4,396 | $8,612 | $9,425 | $3,467–$13,434 |
| Las Vegas NV | 2 | — | — | — | $7,352–$9,205 |
| Los Angeles CA | 15 | $10,395 | $10,548 | $11,938 | $10,072–$22,055 |
| Louisiana (statewide) | 23 | $6,966 | $8,213 | $9,804 | $5,982–$12,908 |
| Maine (statewide) | 16 | $29,272 | $33,220 | $33,984 | $7,684–$42,727 |
| Massachusetts (statewide) | 4 | — | — | — | $5,995–$10,392 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $13,338–$13,338 |
| Michigan (statewide) | 20 | $6,804 | $7,887 | $9,724 | $4,501–$13,136 |
| Minneapolis-St. Paul MN | 7 | $8,044 | $8,110 | $9,770 | $7,641–$15,377 |
| Minnesota (statewide) | 12 | $12,311 | $19,543 | $23,350 | $7,820–$31,617 |
| Mississippi (statewide) | 11 | $8,456 | $8,996 | $10,090 | $6,136–$19,790 |
| Missouri (statewide) | 12 | $6,290 | $7,042 | $13,948 | $5,756–$16,982 |
| Montana (statewide) | 4 | — | — | — | $6,181–$21,584 |
| Nashville TN | 6 | $3,864 | $4,645 | $11,312 | $3,603–$13,806 |
| Nebraska (statewide) | 11 | $8,946 | $9,296 | $11,974 | $7,352–$18,020 |
| Nevada (statewide) | 4 | — | — | — | $7,352–$14,404 |
| New Hampshire (statewide) | 6 | $14,884 | $18,149 | $22,868 | $12,993–$32,494 |
| New Jersey (statewide) | 22 | $8,419 | $10,858 | $14,822 | $8,289–$17,684 |
| New Mexico (statewide) | 6 | $6,543 | $8,181 | $11,500 | $5,296–$18,918 |
| New York (statewide) | 28 | $7,465 | $11,020 | $14,131 | $5,258–$24,437 |
| New York City | 8 | $5,284 | $6,620 | $9,857 | $5,217–$12,305 |
| North Carolina (statewide) | 3 | — | — | — | $7,039–$19,175 |
| North Dakota (statewide) | 5 | $11,996 | $12,358 | $12,633 | $10,326–$16,346 |
| Ohio (statewide) | 36 | $9,094 | $16,116 | $16,582 | $3,530–$27,890 |
| Oklahoma (statewide) | 7 | $14,745 | $14,812 | $14,977 | $8,026–$17,467 |
| Oregon (statewide) | 10 | $16,795 | $19,363 | $25,171 | $6,738–$33,060 |
| Pennsylvania (statewide) | 25 | $10,978 | $15,451 | $19,130 | $4,855–$32,089 |
| Philadelphia PA | 11 | $7,485 | $7,689 | $8,256 | $4,689–$11,208 |
| Phoenix AZ | 6 | $4,839 | $4,839 | $6,826 | $4,839–$7,488 |
| Pittsburgh PA | 8 | $9,230 | $12,562 | $14,791 | $5,758–$17,980 |
| Portland OR | 9 | $16,131 | $16,131 | $24,555 | $14,746–$24,555 |
| Rhode Island (statewide) | 3 | — | — | — | $13,890–$18,453 |
| Richmond VA | 3 | — | — | — | $7,130–$7,208 |
| Rio Grande Valley TX | 5 | $9,328 | $9,328 | $9,335 | $8,883–$9,792 |
| Salt Lake City UT | 9 | $9,941 | $10,280 | $10,280 | $6,513–$10,618 |
| San Antonio TX | 3 | — | — | — | $6,850–$9,391 |
| San Diego CA | 6 | $16,332 | $16,332 | $16,332 | $16,071–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $8,476–$32,856 |
| Seattle-Tacoma WA | 16 | $20,274 | $21,020 | $25,275 | $16,482–$28,676 |
| South Carolina (statewide) | 19 | $12,466 | $15,554 | $18,405 | $10,731–$23,724 |
| South Dakota (statewide) | 3 | — | — | — | $10,499–$33,765 |
| Tampa FL | 6 | $13,658 | $13,658 | $13,658 | $11,760–$14,206 |
| Tennessee (statewide) | 22 | $4,645 | $6,913 | $7,959 | $3,603–$14,573 |
| Texas (statewide) | 75 | $7,420 | $9,493 | $13,850 | $4,299–$32,884 |
| Utah (statewide) | 6 | $6,909 | $9,019 | $9,941 | $6,513–$10,280 |
| Virginia (statewide) | 16 | $15,835 | $21,450 | $24,186 | $11,982–$26,244 |
| Washington (statewide) | 11 | $18,400 | $20,803 | $26,056 | $7,334–$37,385 |
| Washington DC | 9 | $9,074 | $11,413 | $11,413 | $7,208–$11,413 |
| West Virginia (statewide) | 5 | $7,930 | $10,030 | $28,922 | $6,185–$48,308 |
| Wisconsin (statewide) | 34 | $9,604 | $12,944 | $13,294 | $3,602–$21,623 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $3,284 | 0.5× | 1 | 2026-04-30 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.5× | 1 | 2026-04-30 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,467 | 0.5× | 2 | 2026-09-25 |
| East Liverpool City Hospital | Ohio (statewide) | $3,530 | 0.5× | 4 | 2026-09-01 |
| Clarinda Regional Health Center | Iowa (statewide) | $3,574 | 0.5× | 1 | 2026-07-13 |
| Tomah Memorial Hospital | Wisconsin (statewide) | $3,602 | 0.5× | 1 | 2026-06-30 |
| Tristar Horizon Medical Center | Tennessee (statewide) | $3,603 | 0.5× | 5 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $3,603 | 0.5× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 0.5× | 5 | 2026-09-01 |
| Tristar Ashland City Medical Center | Tennessee (statewide) | $3,603 | 0.5× | 5 | 2026-09-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $3,838 | 0.5× | 2 | 2026-01-01 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,975 | 0.6× | 1 | 2026-02-28 |
| Northern Light Mercy Hospital | Maine (statewide) | $33,984 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Parkview Lagrange Hospital | Indiana (statewide) | $34,475 | 4.5× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $35,099 | 4.9× | 1 | 2025-09-09 |
| Parkview Whitley Hospital | Indiana (statewide) | $35,271 | 4.6× | 1 | 2026-09-01 |
| Northern Light Mayo Hospital | Maine (statewide) | $35,792 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $37,385 | 4.4× | 5 | 2026-08-27 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $38,188 | 5.0× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $42,727 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for ankle fracture fixation, three-part?
Across 1084 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27822, hospital outpatient is $10,549, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,820 to $15,400. 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: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,467). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Parkview Wabash Hospital, Inc ($38,188). Coverage: every hospital whose price file we could read.