Price AtlasInteractive atlas · All states · techysurgeon.comAnkle fracture fixation: what insurers pay
Plates and screws for a two-bone (bimalleolar, 27814) or outer-ankle (fibula, 27792) fracture. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27814: Ankle Fracture Fixation
1130 hospitals in 77 markets. National Medicare rate $7,413, surgery center $4,843.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 15 | $7,382 | $8,135 | $9,442 | $3,284–$18,846 |
| Alaska (statewide) | 4 | — | — | — | $5,219–$16,259 |
| Arizona (statewide) | 12 | $5,698 | $7,624 | $8,764 | $4,465–$16,051 |
| Arkansas (statewide) | 9 | $6,466 | $6,819 | $7,434 | $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) | 60 | $9,832 | $16,492 | $23,321 | $5,250–$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 | $8,246 | $9,334 | $7,359–$14,416 |
| Colorado (statewide) | 14 | $7,184 | $8,386 | $11,680 | $5,488–$22,583 |
| Columbus OH | 2 | — | — | — | $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 | $10,018 | $15,141 | $7,200–$17,922 |
| Detroit MI | 15 | $5,311 | $6,892 | $9,407 | $5,311–$12,213 |
| Florida (statewide) | 61 | $10,523 | $11,310 | $13,658 | $4,068–$18,426 |
| Georgia (statewide) | 29 | $6,459 | $9,172 | $12,636 | $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 | $7,191 | $12,308 | $18,145 | $5,704–$21,676 |
| Illinois (statewide) | 28 | $8,364 | $12,167 | $14,716 | $5,474–$21,223 |
| Indiana (statewide) | 33 | $10,940 | $16,861 | $28,415 | $5,900–$38,188 |
| Indianapolis IN | 3 | — | — | — | $18,846–$32,564 |
| Iowa (statewide) | 20 | $8,547 | $10,554 | $13,312 | $6,399–$22,020 |
| Kansas (statewide) | 14 | $6,221 | $7,944 | $9,997 | $4,671–$16,259 |
| Kentucky (statewide) | 13 | $4,396 | $8,612 | $9,425 | $3,467–$13,434 |
| Las Vegas NV | 2 | — | — | — | $7,352–$9,266 |
| Los Angeles CA | 15 | $10,395 | $10,548 | $11,705 | $10,072–$22,055 |
| Louisiana (statewide) | 24 | $7,022 | $8,156 | $9,591 | $5,982–$13,796 |
| Maine (statewide) | 17 | $29,272 | $32,866 | $33,984 | $7,684–$42,727 |
| Massachusetts (statewide) | 5 | $7,176 | $8,493 | $9,070 | $5,995–$10,392 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $13,338–$13,338 |
| Michigan (statewide) | 28 | $5,793 | $6,919 | $8,579 | $4,056–$12,273 |
| Minneapolis-St. Paul MN | 9 | $7,977 | $8,110 | $9,048 | $6,257–$13,559 |
| Minnesota (statewide) | 14 | $9,175 | $17,770 | $22,780 | $7,820–$31,617 |
| Mississippi (statewide) | 15 | $8,695 | $9,728 | $10,386 | $6,136–$19,790 |
| Missouri (statewide) | 16 | $6,290 | $7,381 | $12,805 | $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 | $12,487 | $7,352–$18,020 |
| Nevada (statewide) | 5 | $7,352 | $7,352 | $12,057 | $7,352–$16,949 |
| New Hampshire (statewide) | 6 | $13,255 | $16,466 | $22,868 | $12,671–$32,494 |
| New Jersey (statewide) | 22 | $8,320 | $8,796 | $12,256 | $7,907–$14,827 |
| New Mexico (statewide) | 9 | $7,538 | $12,392 | $14,296 | $3,678–$21,147 |
| New York (statewide) | 30 | $6,526 | $10,600 | $14,442 | $5,148–$24,437 |
| New York City | 8 | $5,284 | $6,620 | $10,045 | $5,217–$12,305 |
| North Carolina (statewide) | 7 | $10,874 | $13,195 | $17,937 | $7,039–$19,175 |
| North Dakota (statewide) | 5 | $11,996 | $12,358 | $12,633 | $10,326–$16,346 |
| Ohio (statewide) | 37 | $9,294 | $16,105 | $16,456 | $4,347–$27,890 |
| Oklahoma (statewide) | 10 | $13,849 | $14,812 | $14,977 | $6,362–$29,816 |
| Oregon (statewide) | 10 | $16,795 | $19,363 | $25,171 | $6,738–$33,060 |
| Pennsylvania (statewide) | 40 | $10,188 | $13,285 | $17,388 | $4,147–$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 | $10,307 | $13,728 | $5,031–$17,980 |
| Portland OR | 9 | $16,131 | $16,131 | $24,555 | $14,746–$24,555 |
| Rhode Island (statewide) | 4 | — | — | — | $8,027–$14,799 |
| Richmond VA | 3 | — | — | — | $7,130–$7,208 |
| Rio Grande Valley TX | 7 | $9,332 | $9,430 | $9,611 | $9,328–$15,087 |
| 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 | 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) | 35 | $5,698 | $7,403 | $8,384 | $3,603–$14,573 |
| Texas (statewide) | 79 | $7,420 | $9,310 | $13,850 | $4,299–$32,884 |
| Utah (statewide) | 7 | $7,276 | $9,941 | $10,110 | $6,513–$25,202 |
| Virginia (statewide) | 22 | $11,386 | $17,257 | $23,279 | $7,362–$26,244 |
| Washington (statewide) | 13 | $13,466 | $20,414 | $21,068 | $4,909–$37,385 |
| Washington DC | 10 | $9,420 | $11,413 | $11,413 | $7,208–$11,748 |
| West Virginia (statewide) | 5 | $7,930 | $12,221 | $28,922 | $6,185–$48,308 |
| Wisconsin (statewide) | 34 | $11,694 | $12,346 | $14,345 | $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 |
| 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 |
| Oaklawn Hospital | Michigan (statewide) | $4,056 | 0.6× | 2 | 2026-03-27 |
| 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 27792: Ankle Fracture Fixation
1117 hospitals in 78 markets. National Medicare rate $7,413, surgery center $4,813.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 15 | $7,382 | $8,135 | $9,442 | $3,284–$18,846 |
| Alaska (statewide) | 4 | — | — | — | $4,402–$15,682 |
| Arizona (statewide) | 10 | $5,010 | $6,768 | $8,054 | $4,465–$10,200 |
| Arkansas (statewide) | 10 | $6,554 | $6,836 | $8,696 | $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 | 12 | $8,826 | $11,714 | $12,612 | $4,969–$14,320 |
| California (statewide) | 58 | $10,005 | $16,808 | $23,800 | $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 | $7,584 | $8,246 | $9,334 | $7,359–$14,416 |
| Colorado (statewide) | 14 | $7,153 | $8,243 | $11,680 | $5,076–$22,583 |
| Columbus OH | 2 | — | — | — | $26,099–$26,099 |
| Connecticut (statewide) | 2 | — | — | — | $6,278–$30,233 |
| Dallas-Fort Worth TX | 12 | $8,993 | $10,642 | $12,240 | $8,024–$26,538 |
| Denver CO | 15 | $8,525 | $9,346 | $15,141 | $6,866–$17,922 |
| Detroit MI | 17 | $5,311 | $6,125 | $8,456 | $3,790–$10,854 |
| Florida (statewide) | 62 | $10,532 | $11,590 | $13,658 | $4,068–$18,426 |
| Georgia (statewide) | 29 | $6,459 | $9,172 | $12,636 | $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) | 16 | $7,285 | $11,868 | $18,145 | $4,038–$21,676 |
| Illinois (statewide) | 27 | $8,217 | $12,047 | $14,716 | $5,474–$21,223 |
| Indiana (statewide) | 33 | $10,940 | $16,861 | $28,415 | $5,900–$38,188 |
| Indianapolis IN | 2 | — | — | — | $18,846–$30,184 |
| Iowa (statewide) | 21 | $7,812 | $9,256 | $14,111 | $7,413–$19,508 |
| Kansas (statewide) | 16 | $6,956 | $8,787 | $10,286 | $4,792–$15,682 |
| Kentucky (statewide) | 13 | $4,396 | $8,612 | $9,425 | $3,467–$13,434 |
| Las Vegas NV | 2 | — | — | — | $7,352–$9,205 |
| Los Angeles CA | 17 | $10,395 | $10,688 | $13,065 | $10,072–$22,055 |
| Louisiana (statewide) | 24 | $7,022 | $8,156 | $9,591 | $5,982–$12,908 |
| Maine (statewide) | 16 | $29,272 | $33,220 | $33,984 | $7,684–$42,727 |
| Maryland (statewide) | 1 | — | — | — | $4,020–$4,020 |
| Massachusetts (statewide) | 5 | $7,176 | $8,493 | $9,070 | $5,995–$10,392 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $9,618–$13,338 |
| Michigan (statewide) | 27 | $5,233 | $6,207 | $8,234 | $4,056–$11,373 |
| Minneapolis-St. Paul MN | 9 | $8,918 | $8,918 | $12,630 | $8,560–$13,559 |
| Minnesota (statewide) | 14 | $8,918 | $17,770 | $22,780 | $8,712–$31,617 |
| Mississippi (statewide) | 17 | $8,540 | $9,666 | $10,452 | $6,136–$19,790 |
| Missouri (statewide) | 16 | $6,290 | $7,042 | $11,958 | $5,182–$16,982 |
| Montana (statewide) | 5 | $8,930 | $14,481 | $15,002 | $6,181–$21,584 |
| Nashville TN | 6 | $3,864 | $4,645 | $11,495 | $3,603–$14,048 |
| Nebraska (statewide) | 11 | $8,946 | $9,296 | $12,487 | $7,352–$18,020 |
| Nevada (statewide) | 5 | $7,352 | $7,352 | $13,771 | $7,352–$16,949 |
| New Hampshire (statewide) | 6 | $13,255 | $16,466 | $22,868 | $10,042–$32,494 |
| New Jersey (statewide) | 23 | $8,351 | $9,173 | $12,593 | $7,907–$14,827 |
| New Mexico (statewide) | 10 | $8,898 | $13,117 | $18,424 | $3,678–$24,702 |
| New York (statewide) | 31 | $6,460 | $10,105 | $14,286 | $5,148–$24,437 |
| New York City | 8 | $5,284 | $6,620 | $10,045 | $5,217–$12,305 |
| North Carolina (statewide) | 6 | $7,574 | $11,188 | $16,725 | $5,678–$19,175 |
| North Dakota (statewide) | 5 | $11,996 | $12,358 | $12,633 | $10,326–$16,346 |
| Ohio (statewide) | 37 | $9,294 | $16,105 | $16,456 | $4,347–$27,890 |
| Oklahoma (statewide) | 10 | $13,849 | $14,812 | $14,977 | $6,362–$29,816 |
| Oregon (statewide) | 10 | $18,293 | $22,835 | $26,034 | $15,209–$33,060 |
| Pennsylvania (statewide) | 33 | $7,792 | $12,734 | $16,218 | $6,350–$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 | $5,574 | $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–$14,799 |
| Richmond VA | 3 | — | — | — | $7,130–$7,208 |
| Rio Grande Valley TX | 7 | $9,332 | $9,430 | $9,611 | $9,328–$29,867 |
| 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) | 27 | $4,499 | $6,913 | $7,958 | $3,603–$14,828 |
| Texas (statewide) | 77 | $7,262 | $9,112 | $13,850 | $4,299–$32,884 |
| Utah (statewide) | 7 | $7,248 | $9,709 | $9,874 | $6,513–$25,202 |
| Virginia (statewide) | 20 | $15,835 | $21,156 | $23,710 | $9,764–$26,244 |
| Washington (statewide) | 12 | $16,627 | $20,608 | $23,562 | $7,334–$37,385 |
| Washington DC | 9 | $7,536 | $9,927 | $9,927 | $7,208–$10,924 |
| West Virginia (statewide) | 5 | $7,930 | $10,030 | $28,922 | $6,185–$48,308 |
| Wisconsin (statewide) | 32 | $11,206 | $12,346 | $13,518 | $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 |
| 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 |
| Henry Ford Health -St John Hospital | Detroit MI | $3,790 | 0.5× | 1 | 2026-01-01 |
| 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.
Questions
How much do commercial insurers pay hospitals for ankle fracture fixation?
Across 1130 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27814, hospital outpatient is $10,418, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,577 to $15,209. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for ankle fracture fixation?
Medicare's national hospital outpatient rate for CPT 27814 is $7,413 and its surgery-center rate is $4,843, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for ankle fracture fixation?
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.