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.
Open the interactive explorerAll operations
CPT 27870: Ankle Fusion
959 hospitals in 77 markets. National Medicare rate $13,117, surgery center $9,694.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $12,001 | $13,256 | $17,251 | $9,924–$23,708 |
| Alaska (statewide) | 2 | — | — | — | $9,604–$22,036 |
| Arizona (statewide) | 9 | $9,174 | $12,137 | $15,236 | $7,878–$16,436 |
| Arkansas (statewide) | 4 | — | — | — | $10,124–$16,427 |
| Atlanta GA | 6 | $7,797 | $7,797 | $22,073 | $7,797–$27,126 |
| Austin TX | 13 | $9,287 | $11,425 | $11,425 | $9,287–$19,281 |
| Boston MA | 10 | $17,859 | $21,657 | $24,010 | $10,088–$26,918 |
| California (statewide) | 51 | $18,126 | $29,481 | $48,690 | $8,492–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 7 | $13,817 | $14,716 | $17,562 | $12,481–$22,164 |
| Cleveland OH | 10 | $10,411 | $13,361 | $19,518 | $8,884–$25,507 |
| Colorado (statewide) | 12 | $12,322 | $12,844 | $13,933 | $9,878–$23,415 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 1 | — | — | — | $53,492–$53,492 |
| Dallas-Fort Worth TX | 12 | $9,590 | $16,982 | $18,830 | $9,159–$38,304 |
| Denver CO | 15 | $11,395 | $12,931 | $22,468 | $10,284–$23,415 |
| Detroit MI | 7 | $9,805 | $10,546 | $14,484 | $9,407–$18,081 |
| Florida (statewide) | 57 | $11,310 | $13,099 | $15,063 | $8,107–$26,948 |
| Georgia (statewide) | 25 | $9,172 | $18,500 | $24,459 | $5,681–$31,990 |
| Hawaii (statewide) | 2 | — | — | — | $12,389–$16,015 |
| Houston TX | 19 | $8,989 | $15,566 | $24,277 | $8,884–$25,932 |
| Idaho (statewide) | 13 | $17,222 | $28,539 | $32,682 | $12,386–$39,877 |
| Illinois (statewide) | 23 | $14,592 | $16,510 | $20,201 | $10,288–$38,226 |
| Indiana (statewide) | 23 | $21,224 | $29,226 | $36,787 | $12,746–$49,858 |
| Indianapolis IN | 1 | — | — | — | $23,708–$23,708 |
| Iowa (statewide) | 12 | $17,095 | $23,790 | $28,030 | $10,220–$35,136 |
| Kansas (statewide) | 9 | $10,705 | $15,451 | $22,036 | $8,552–$35,250 |
| Kentucky (statewide) | 11 | $12,523 | $17,338 | $22,674 | $8,379–$25,283 |
| Las Vegas NV | 2 | — | — | — | $7,907–$21,046 |
| Los Angeles CA | 17 | $15,123 | $19,485 | $23,533 | $12,800–$35,667 |
| Louisiana (statewide) | 24 | $10,270 | $11,734 | $14,058 | $7,102–$23,686 |
| Maine (statewide) | 16 | $52,722 | $59,834 | $61,208 | $27,405–$76,956 |
| Massachusetts (statewide) | 4 | — | — | — | $12,252–$20,130 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $24,023–$24,023 |
| Michigan (statewide) | 20 | $7,483 | $10,067 | $13,558 | $6,561–$25,244 |
| Minneapolis-St. Paul MN | 7 | $8,918 | $8,918 | $19,288 | $8,560–$27,696 |
| Minnesota (statewide) | 12 | $17,214 | $35,445 | $42,956 | $8,918–$58,164 |
| Mississippi (statewide) | 13 | $12,420 | $17,650 | $17,812 | $6,892–$35,014 |
| Missouri (statewide) | 15 | $10,705 | $15,629 | $18,743 | $7,576–$24,107 |
| Montana (statewide) | 4 | — | — | — | $8,204–$42,576 |
| Nashville TN | 6 | $6,960 | $6,960 | $22,534 | $6,926–$27,964 |
| Nebraska (statewide) | 10 | $10,220 | $10,240 | $12,102 | $7,907–$20,585 |
| Nevada (statewide) | 4 | — | — | — | $7,672–$7,907 |
| New Hampshire (statewide) | 6 | $18,045 | $27,730 | $41,560 | $14,422–$57,492 |
| New Jersey (statewide) | 22 | $12,090 | $14,869 | $14,930 | $8,458–$39,482 |
| New Mexico (statewide) | 7 | $19,242 | $19,807 | $29,714 | $13,578–$41,232 |
| New York (statewide) | 27 | $19,150 | $22,839 | $28,528 | $8,204–$44,471 |
| New York City | 8 | $14,775 | $19,632 | $19,632 | $12,297–$21,908 |
| North Carolina (statewide) | 2 | — | — | — | $7,186–$27,873 |
| North Dakota (statewide) | 5 | $20,570 | $22,259 | $23,240 | $16,908–$30,070 |
| Ohio (statewide) | 35 | $17,585 | $20,478 | $30,186 | $7,411–$49,348 |
| Oklahoma (statewide) | 8 | $18,310 | $24,149 | $27,683 | $14,765–$63,227 |
| Oregon (statewide) | 7 | $32,949 | $38,984 | $50,546 | $27,710–$61,050 |
| Pennsylvania (statewide) | 26 | $22,466 | $28,877 | $44,633 | $9,176–$59,058 |
| Philadelphia PA | 11 | $11,732 | $12,434 | $15,094 | $8,412–$23,987 |
| Phoenix AZ | 8 | $9,042 | $9,538 | $9,538 | $7,555–$9,538 |
| Pittsburgh PA | 8 | $17,056 | $22,626 | $26,641 | $6,910–$32,386 |
| Portland OR | 9 | $20,708 | $20,708 | $24,555 | $17,589–$24,555 |
| Rhode Island (statewide) | 4 | — | — | — | $14,364–$27,226 |
| Richmond VA | 3 | — | — | — | $10,723–$10,996 |
| Rio Grande Valley TX | 5 | $9,328 | $16,447 | $16,684 | $9,328–$17,326 |
| Salt Lake City UT | 9 | $19,322 | $19,981 | $19,981 | $11,982–$20,640 |
| San Antonio TX | 3 | — | — | — | $8,778–$18,424 |
| San Diego CA | 2 | — | — | — | $28,434–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $12,589–$38,045 |
| Seattle-Tacoma WA | 16 | $35,503 | $36,274 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 19 | $15,165 | $18,715 | $20,778 | $13,675–$27,576 |
| South Dakota (statewide) | 2 | — | — | — | $10,045–$20,401 |
| Tampa FL | 6 | $16,642 | $16,642 | $16,642 | $15,523–$19,745 |
| Tennessee (statewide) | 21 | $9,412 | $12,231 | $14,234 | $6,960–$27,758 |
| Texas (statewide) | 71 | $11,442 | $15,566 | $18,830 | $8,337–$46,675 |
| Utah (statewide) | 6 | $12,913 | $17,514 | $19,322 | $11,982–$19,981 |
| Virginia (statewide) | 20 | $17,905 | $26,328 | $36,401 | $11,640–$43,511 |
| Washington (statewide) | 11 | $33,558 | $37,951 | $47,689 | $13,558–$68,776 |
| Washington DC | 9 | $9,889 | $12,431 | $12,431 | $8,403–$12,533 |
| West Virginia (statewide) | 6 | $15,148 | $19,596 | $44,431 | $12,304–$85,473 |
| Wisconsin (statewide) | 30 | $12,996 | $12,997 | $19,494 | $7,984–$33,173 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Corewell Health Zeeland Hospital | Michigan (statewide) | $6,561 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Big Rapids Hospital | Michigan (statewide) | $6,561 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Gerber Hospital | Michigan (statewide) | $6,561 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Pennock Hospital | Michigan (statewide) | $6,561 | 0.5× | 1 | 2026-05-01 |
| Jefferson County Hospital | Mississippi (statewide) | $6,892 | 0.6× | 4 | 2026-09-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,910 | 0.6× | 1 | 2026-03-06 |
| TriStar Skyline Medical Center | Nashville TN | $6,926 | 0.6× | 2 | 2026-09-01 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $6,960 | 0.6× | 2 | 2026-04-01 |
| Tristar Horizon Medical Center | Tennessee (statewide) | $6,960 | 0.6× | 2 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $6,960 | 0.6× | 2 | 2026-09-01 |
| Providence Medford Medical Center | Oregon (statewide) | $61,050 | 4.0× | 2 | 2026-04-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $61,208 | 4.7× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Mangum Regional Medical Center | Oklahoma (statewide) | $63,227 | 5.1× | 5 | 2026-09-23 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $68,776 | 4.6× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 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 fusion?
Across 959 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27870, hospital outpatient is $16,982, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $12,252 to $24,984. 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: Atrium Health Navicent Peach ($5,681), Corewell Health Zeeland Hospital ($6,561), Corewell Health Big Rapids Hospital ($6,561). Highest: Logan Regional Medical Center ($85,473), Mainehealth Lincoln Hospital ($76,956), Mary Bridge Children'S Hospital ($68,776). Coverage: every hospital whose price file we could read.