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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: Repair of Ankle Ligament

83 hospitals in 30 markets. National Medicare rate $7,413, surgery center $4,983.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,072–$5,072
Austin TX2———$5,743–$6,142
Boston MA7$9,074$10,930$12,044$7,248–$13,661
California (statewide)1———$17,755–$17,755
Chicago IL5$6,970$8,330$9,164$4,038–$11,584
Cleveland OH5$7,349$13,010$14,862$4,268–$16,831
Columbus OH1———$26,099–$26,099
Dallas-Fort Worth TX4———$6,024–$21,181
Denver CO7$7,318$7,689$9,731$6,336–$11,773
Detroit MI2———$4,681–$7,166
Georgia (statewide)1———$7,870–$7,870
Houston TX1———$6,070–$6,070
Indianapolis IN1———$16,423–$16,423
Kansas (statewide)1———$4,907–$4,907
Las Vegas NV2———$7,352–$9,266
Los Angeles CA2———$15,126–$18,056
Minneapolis-St. Paul MN1———$5,493–$5,493
Nashville TN4———$4,677–$19,782
New York City3———$8,442–$10,680
Ohio (statewide)1———$8,717–$8,717
Philadelphia PA5$4,640$6,648$6,993$4,367–$8,155
Phoenix AZ3———$4,839–$5,364
Portland OR6$12,835$12,835$21,730$12,835–$24,695
Richmond VA2———$7,984–$8,042
San Antonio TX1———$4,627–$4,627
San Francisco Bay Area CA1———$19,559–$19,559
Seattle-Tacoma WA6$22,205$24,030$26,436$19,451–$28,676
Tampa FL2———$6,490–$9,341
Washington DC4———$6,312–$9,927
Wisconsin (statewide)1———$9,139–$9,139
HospitalMarketMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston HospitalChicago IL$4,0380.5×32026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$4,2680.6×22026-07-14
Riddle Memorial HospitalPhiladelphia PA$4,3670.6×22026-04-01
Methodist HospitalSan Antonio TX$4,6270.6×62026-09-01
Bryn Mawr HospitalPhiladelphia PA$4,6400.6×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$4,6770.7×22026-09-01
Henry Ford Health Rochester HospitalDetroit MI$4,6810.7×12026-01-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,8390.6×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,8390.6×32026-04-01
Menorah Medical CenterKansas (statewide)$4,9070.7×42026-09-01
Emory University HospitalAtlanta GA$5,0720.7×62026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$5,3640.7×22026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$5,4930.7×32026-03-31
Ascension Seton Medical Center AustinAustin TX$5,7430.8×12026-01-01
Medical City MckinneyDallas-Fort Worth TX$6,0240.8×62026-09-01
Houston Methodist HospitalHouston TX$6,0700.8×52026-04-01
St David's Medical CenterAustin TX$6,1420.8×62026-09-01
George Washington Univ HospitalWashington DC$6,3120.7×12026-09-01
UCHealth University of Colorado HospitalDenver CO$6,3360.8×32025-11-01
Medical City PlanoDallas-Fort Worth TX$6,4080.9×62026-09-01
Tampa General HospitalTampa FL$6,4900.9×12026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$6,4970.9×32026-06-29
Jefferson Stratford HospitalPhiladelphia PA$6,6480.8×32026-09-15
Endeavor Health Northwest Community HospitalChicago IL$6,9700.9×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$6,9930.9×32026-09-15
Vanderbilt University Medical CenterNashville TN$7,1441.0×52025-10-01
Harper University HospitalDetroit MI$7,1661.0×12026-09-02
Beverly Hospital CorporationBoston MA$7,2480.8×22026-04-01
HCA HealthONE SwedishDenver CO$7,2570.9×32026-09-01
Cleveland Clinic (main campus)Cleveland OH$7,3491.1×22026-06-16
Henderson HospitalLas Vegas NV$7,3521.0×12026-09-01
HCA HealthONE Sky RidgeDenver CO$7,3801.0×32026-09-01
Hca Healthone RoseDenver CO$7,6891.0×32026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$7,6891.0×32026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$7,8701.2×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$7,9841.1×42026-09-01
Henrico Doctors' HospitalRichmond VA$8,0421.1×42026-09-01
Inspira Medical Center Mullica HillPhiladelphia PA$8,1551.0×12026-03-24
Endeavor Health Edward HospitalChicago IL$8,3301.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$8,4420.9×72026-01-01
Bethesda NorthOhio (statewide)$8,7171.2×42026-04-01
New England Baptist HospitalBoston MA$8,8771.0×32026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$9,1391.3×32026-01-01
Endeavor Health Elmhurst HospitalChicago IL$9,1641.2×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$9,2661.2×72026-07-01
Winchester HospitalBoston MA$9,2701.1×22026-04-01
Morton Plant HospitalTampa FL$9,3411.2×22026-01-01
Reston Hospital CenterWashington DC$9,5331.3×32026-09-01
Stonesprings Hospital CenterWashington DC$9,5331.3×32026-09-01
Inova Alexandria HospitalWashington DC$9,9271.3×32026-04-01
Hospital for Special SurgeryNew York City$10,1701.1×62026-04-01
Montefiore Medical CenterNew York City$10,6801.2×72026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$10,9301.3×12026-04-01
Anna Jaques HospitalBoston MA$11,5021.3×22026-04-01
University of Chicago Medical CenterChicago IL$11,5841.5×22026-04-01
Adventhealth PorterDenver CO$11,7731.5×22026-04-01
Adventhealth ParkerDenver CO$11,7731.5×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$12,5861.4×12026-04-01
Legacy Emanuel Medical CenterPortland OR$12,8351.6×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$12,8351.6×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$12,8351.6×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$12,8351.6×52026-04-01
Medina HospitalCleveland OH$13,0101.9×12026-06-15
Beth Israel Deaconess Medical CenterBoston MA$13,6611.6×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$14,8622.2×12026-06-15
Keck Hospital Of UscLos Angeles CA$15,1261.6×42026-04-01
Riverview HealthIndianapolis IN$16,4232.1×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$16,8312.5×12026-06-15
Los Robles Hospital & Medical CenterCalifornia (statewide)$17,7551.9×52026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$18,0561.9×32025-11-26
Overlake Hospital Medical CenterSeattle-Tacoma WA$19,4512.3×52026-04-01
Stanford Health CareSan Francisco Bay Area CA$19,5591.8×42026-04-01
Ascension Saint Thomas RutherfordNashville TN$19,7822.8×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$19,7822.8×12026-01-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$21,1812.9×22026-04-21
St Clare HospitalSeattle-Tacoma WA$22,1072.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$22,4982.7×62026-02-28
Providence St Vincent Medical CenterPortland OR$24,6953.1×32026-04-01
Providence Portland Medical CenterPortland OR$24,6953.1×32026-04-01
Swedish Medical CenterSeattle-Tacoma WA$25,5613.0×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$26,0993.7×202026-03-31
Tacoma General Allenmore HospitalSeattle-Tacoma WA$26,7273.2×72026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$28,6763.4×62026-08-27

Questions

How much do commercial insurers pay hospitals for ankle ligament repair?

Across 83 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT 27698, hospital outpatient is $8,877, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,494 to $12,923. 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: Endeavor Health Evanston Hospital ($4,038), University Hospitals - Elyria Medical Center ($4,268), Riddle Memorial Hospital ($4,367). Highest: Multicare Good Samaritan Hospital ($28,676), Tacoma General Allenmore Hospital ($26,727), Mount Carmel New Albany Surgical Hospital ($26,099). Coverage is limited to the markets listed on this page.