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Ankle ligament repair: what insurers pay

Repair of torn ankle ligaments for chronic instability (Brostrom-type). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 27698: Ankle Ligament Repair

1020 hospitals in 77 markets. National Medicare rate $7,413, surgery center $4,983.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)11$7,984$8,452$12,122$6,720–$16,423
Alaska (statewide)2———$5,543–$12,930
Arizona (statewide)10$4,776$5,323$7,917$3,901–$8,720
Arkansas (statewide)9$6,727$7,203$9,131$5,184–$9,874
Atlanta GA6$5,072$5,072$7,604$5,072–$8,448
Austin TX13$5,676$5,743$5,743$5,676–$10,637
Boston MA10$9,408$11,714$12,772$6,518–$14,320
California (statewide)52$9,832$17,566$27,033$5,072–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL7$7,650$9,164$10,219$4,038–$11,584
Cleveland OH10$6,285$7,551$9,299$4,827–$14,416
Colorado (statewide)13$7,198$9,690$10,644$7,144–$14,318
Columbus OH1———$26,099–$26,099
Connecticut (statewide)1———$30,233–$30,233
Dallas-Fort Worth TX12$5,952$9,560$10,642$5,952–$20,946
Denver CO15$7,782$8,518$14,161$6,336–$14,806
Detroit MI6$5,302$7,166$7,756$4,529–$8,648
Florida (statewide)61$8,417$9,019$9,472$5,190–$16,822
Georgia (statewide)24$5,847$7,710$9,495$4,393–$20,070
Hawaii (statewide)3———$6,542–$8,892
Houston TX19$5,849$6,095$10,382$5,814–$13,850
Idaho (statewide)13$7,332$16,130$18,145$6,615–$21,676
Illinois (statewide)23$7,699$10,219$13,088$6,483–$21,223
Indiana (statewide)28$10,739$15,405$29,448$5,584–$38,188
Indianapolis IN1———$16,423–$16,423
Iowa (statewide)18$8,480$11,560$15,763$6,639–$22,020
Kansas (statewide)14$5,534$6,679$11,778$4,590–$19,923
Kentucky (statewide)11$8,188$9,425$12,460$4,473–$14,037
Las Vegas NV2———$7,352–$10,933
Los Angeles CA17$8,922$10,395$13,065$8,103–$19,770
Louisiana (statewide)23$5,926$6,500$7,108$4,912–$17,322
Maine (statewide)17$29,272$32,866$33,984$7,684–$42,727
Massachusetts (statewide)5$6,852$8,493$9,028$6,518–$11,080
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)19$4,338$5,836$7,548$4,056–$8,716
Minneapolis-St. Paul MN8$5,234$5,364$11,481$5,022–$15,377
Minnesota (statewide)13$8,840$19,037$23,016$5,234–$31,617
Mississippi (statewide)11$7,594$9,728$11,745$3,938–$19,790
Missouri (statewide)16$4,907$7,210$9,889$4,897–$19,067
Montana (statewide)4———$4,764–$21,584
Nashville TN8$4,677$9,638$15,990$4,377–$19,782
Nebraska (statewide)11$7,194$8,632$10,565$4,182–$14,250
Nevada (statewide)4———$7,352–$9,827
New Hampshire (statewide)6$9,934$14,466$22,868$6,009–$32,494
New Jersey (statewide)22$8,289$8,416$10,037$7,225–$15,405
New Mexico (statewide)7$7,231$12,392$16,019$4,874–$18,275
New York (statewide)29$8,454$12,400$15,566$4,764–$24,437
New York City8$8,454$8,454$8,609$8,062–$12,223
North Carolina (statewide)4———$5,102–$15,753
North Dakota (statewide)5$11,054$12,358$12,633$10,326–$16,346
Ohio (statewide)37$7,551$10,821$16,064$3,710–$27,890
Oklahoma (statewide)9$10,048$12,144$14,812$8,026–$17,467
Oregon (statewide)8$18,293$21,366$26,646$14,076–$33,060
Pennsylvania (statewide)31$7,336$10,934$17,262$4,302–$32,089
Philadelphia PA11$4,382$6,024$7,896$4,259–$9,133
Phoenix AZ6$4,839$4,839$5,233$4,839–$5,364
Pittsburgh PA8$9,149$12,562$14,791$4,394–$17,980
Portland OR9$12,835$12,835$24,695$9,454–$24,695
Rhode Island (statewide)4———$8,027–$13,890
Richmond VA3———$6,067–$6,067
Rio Grande Valley TX6$7,874$9,280$9,702$7,455–$15,136
Salt Lake City UT9$10,172$10,518$10,518$6,513–$10,865
San Antonio TX3———$5,366–$9,391
San Diego CA7$16,202$16,332$16,332$13,206–$17,210
San Francisco Bay Area CA4———$7,416–$19,559
Seattle-Tacoma WA16$17,416$18,137$19,352$13,944–$25,561
South Carolina (statewide)19$6,720$8,820$11,297$5,125–$13,571
South Dakota (statewide)2———$10,045–$11,089
Tampa FL6$9,341$9,341$9,341$9,268–$10,444
Tennessee (statewide)27$6,266$7,403$11,896$3,324–$19,688
Texas (statewide)74$6,054$8,212$10,165$4,467–$32,884
Utah (statewide)6$6,909$9,135$10,172$6,513–$10,518
Virginia (statewide)19$15,748$16,996$20,816$8,013–$24,592
Washington (statewide)12$14,730$18,616$20,511$7,334–$33,206
Washington DC9$8,330$9,334$9,334$6,909–$9,404
West Virginia (statewide)5$7,930$12,121$28,922$6,185–$48,308
Wisconsin (statewide)32$9,769$9,834$12,684$3,609–$21,151

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Livingston Regional HospitalTennessee (statewide)$3,3240.5×12026-04-01
Watertown Regional Medical CenterWisconsin (statewide)$3,6090.5×12026-04-01
University Hospitals Portage Medical CenterOhio (statewide)$3,7100.5×32026-07-14
Cobre Valley Regional Medical CenterArizona (statewide)$3,9010.5×32026-06-29
Jefferson County HospitalMississippi (statewide)$3,9380.6×52026-09-15
East Liverpool City HospitalOhio (statewide)$3,9710.6×42026-09-01
Endeavor Health Evanston HospitalChicago IL$4,0380.5×32026-04-01
Oaklawn HospitalMichigan (statewide)$4,0560.6×22026-03-27
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$4,1190.6×12026-01-01
Tristar Northcrest Medical CenterTennessee (statewide)$4,1510.6×22026-09-01
Tristar Southern Hills Medical CenterTennessee (statewide)$4,1510.6×22026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$4,1510.6×22026-09-01
Mainehealth Pen Bay HospitalMaine (statewide)$33,5744.7×12025-09-09
Northern Light Mercy HospitalMaine (statewide)$33,9844.6×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

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 ligament repair?

Across 1020 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27698, hospital outpatient is $9,477, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,224 to $14,259. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ankle ligament repair?

Medicare's national hospital outpatient rate for CPT 27698 is $7,413 and its surgery-center rate is $4,983, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ankle ligament repair?

Lowest medians: Livingston Regional Hospital ($3,324), Watertown Regional Medical Center ($3,609), University Hospitals Portage Medical Center ($3,710). 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.