Price AtlasInteractive atlas · All states · techysurgeon.comAnkle fusion: what insurers pay
Fusing the ankle joint for severe arthritis. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 27870: Fusion of Ankle Joint Open
81 hospitals in 31 markets. National Medicare rate $13,117, surgery center $9,694.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,797–$7,797 |
| Austin TX | 2 | — | — | — | $9,780–$11,425 |
| Boston MA | 7 | $17,208 | $20,546 | $22,276 | $15,097–$25,680 |
| California (statewide) | 1 | — | — | — | $21,550–$21,550 |
| Chicago IL | 5 | $12,918 | $14,832 | $20,291 | $12,481–$22,164 |
| Cleveland OH | 4 | — | — | — | $9,257–$29,779 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,126–$41,120 |
| Denver CO | 7 | $10,196 | $10,722 | $16,008 | $9,685–$19,278 |
| Detroit MI | 2 | — | — | — | $9,407–$10,546 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $15,546–$15,546 |
| Indianapolis IN | 1 | — | — | — | $23,708–$23,708 |
| Kansas (statewide) | 1 | — | — | — | $10,705–$10,705 |
| Las Vegas NV | 2 | — | — | — | $7,907–$18,279 |
| Los Angeles CA | 2 | — | — | — | $17,936–$26,623 |
| Nashville TN | 2 | — | — | — | $6,960–$13,006 |
| New York City | 3 | — | — | — | $12,386–$14,620 |
| Ohio (statewide) | 1 | — | — | — | $18,767–$18,767 |
| Pennsylvania (statewide) | 1 | — | — | — | $29,058–$29,058 |
| Philadelphia PA | 5 | $10,365 | $12,364 | $12,434 | $9,071–$13,320 |
| Phoenix AZ | 3 | — | — | — | $9,538–$9,538 |
| Pittsburgh PA | 1 | — | — | — | $6,910–$6,910 |
| Portland OR | 6 | $20,708 | $20,708 | $23,593 | $20,708–$24,555 |
| Richmond VA | 2 | — | — | — | $12,959–$12,992 |
| San Antonio TX | 1 | — | — | — | $8,989–$8,989 |
| San Francisco Bay Area CA | 1 | — | — | — | $38,045–$38,045 |
| Seattle-Tacoma WA | 6 | $40,850 | $44,140 | $56,744 | $35,533–$60,220 |
| Tampa FL | 2 | — | — | — | $14,016–$16,642 |
| Washington DC | 4 | — | — | — | $7,890–$12,949 |
| Wisconsin (statewide) | 1 | — | — | — | $12,152–$12,152 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,910 | 0.6× | 1 | 2026-03-06 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,797 | 0.6× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $7,890 | 0.5× | 1 | 2026-09-01 |
| Henderson Hospital | Las Vegas NV | $7,907 | 0.6× | 1 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $8,989 | 0.7× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,071 | 0.6× | 3 | 2026-09-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,126 | 0.7× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 0.8× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $9,257 | 0.8× | 1 | 2026-07-14 |
| Harper University Hospital | Detroit MI | $9,407 | 0.7× | 1 | 2026-09-02 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $9,538 | 0.7× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $9,538 | 0.7× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $9,538 | 0.7× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $9,685 | 0.7× | 3 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $9,750 | 0.7× | 3 | 2026-09-01 |
| St David's Medical Center | Austin TX | $9,780 | 0.8× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $10,032 | 0.8× | 6 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $10,365 | 0.8× | 2 | 2026-09-15 |
| Henry Ford Health Rochester Hospital | Detroit MI | $10,546 | 0.8× | 1 | 2026-01-01 |
| Medical City Plano | Dallas-Fort Worth TX | $10,604 | 0.8× | 6 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $10,641 | 0.8× | 3 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $10,705 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $10,722 | 0.8× | 3 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $10,915 | 0.8× | 3 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,915 | 0.8× | 3 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $12,152 | 0.9× | 3 | 2026-01-01 |
| Riddle Memorial Hospital | Philadelphia PA | $12,364 | 0.9× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,386 | 0.8× | 6 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $12,434 | 0.9× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $12,481 | 0.9× | 1 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $12,739 | 0.9× | 3 | 2025-11-01 |
| Montefiore Medical Center | New York City | $12,916 | 0.8× | 6 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $12,918 | 0.9× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $12,949 | 1.0× | 3 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $12,959 | 1.0× | 3 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,992 | 1.0× | 3 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $13,006 | 1.1× | 4 | 2025-10-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 0.9× | 1 | 2026-03-24 |
| Tampa General Hospital | Tampa FL | $14,016 | 1.1× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $14,620 | 0.9× | 6 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $14,832 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $15,097 | 1.0× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $15,546 | 1.2× | 3 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $15,726 | 1.3× | 2 | 2026-06-15 |
| Morton Plant Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $16,687 | 1.1× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $17,729 | 1.1× | 1 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $17,936 | 1.1× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $18,279 | 1.4× | 7 | 2026-07-01 |
| Bethesda North | Ohio (statewide) | $18,767 | 1.5× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $19,278 | 1.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $19,278 | 1.4× | 2 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $20,291 | 1.5× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $20,546 | 1.3× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $20,708 | 1.4× | 5 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $20,894 | 1.4× | 2 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $21,550 | 1.3× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $22,164 | 1.6× | 1 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $23,658 | 1.5× | 1 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $23,708 | 1.8× | 2 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,555 | 1.7× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,555 | 1.7× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $25,680 | 1.7× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $26,296 | 2.2× | 1 | 2026-06-15 |
| Cedars-Sinai Medical Center | Los Angeles CA | $26,623 | 1.6× | 3 | 2025-11-26 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $29,058 | 2.2× | 8 | 2026-07-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $29,779 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $35,533 | 2.4× | 5 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $38,045 | 2.0× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $40,670 | 2.7× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $41,120 | 3.2× | 2 | 2026-04-21 |
| St Anthony Hospital | Seattle-Tacoma WA | $41,388 | 2.8× | 6 | 2026-02-28 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $46,178 | 3.7× | 18 | 2026-03-31 |
| Swedish Medical Center | Seattle-Tacoma WA | $46,893 | 3.1× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $60,028 | 4.0× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $60,220 | 4.0× | 4 | 2026-08-27 |
Questions
How much do commercial insurers pay hospitals for ankle fusion?
Across 81 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 27870, hospital outpatient is $14,016, 1.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $10,604 to $20,894. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for ankle fusion?
Medicare's national hospital outpatient rate for CPT 27870 is $13,117 and its surgery-center rate is $9,694, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for ankle fusion?
Lowest medians: Upmc Presbyterian Shadyside ($6,910), TriStar StoneCrest Medical Center ($6,960), Emory University Hospital ($7,797). Highest: Multicare Good Samaritan Hospital ($60,220), Tacoma General Allenmore Hospital ($60,028), Swedish Medical Center ($46,893). Coverage is limited to the markets listed on this page.