Price AtlasInteractive atlas · All states · techysurgeon.comAnkle replacement: what insurers pay
Total ankle replacement for end-stage ankle arthritis. Inpatient stays group to MS-DRG 469. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27702: Ankle Replacement
824 hospitals in 75 markets. National Medicare rate $27,722, surgery center $21,837.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 6 | $19,472 | $28,246 | $29,603 | $14,708–$33,036 |
| Alaska (statewide) | 2 | — | — | — | $24,495–$27,881 |
| Arizona (statewide) | 6 | $19,922 | $21,332 | $27,246 | $16,436–$45,892 |
| Arkansas (statewide) | 3 | — | — | — | $16,897–$22,271 |
| Atlanta GA | 2 | — | — | — | $48,344–$48,964 |
| Austin TX | 5 | $22,066 | $22,066 | $22,066 | $22,066–$40,750 |
| Boston MA | 10 | $18,477 | $19,610 | $20,183 | $17,995–$49,166 |
| California (statewide) | 47 | $31,162 | $54,261 | $69,590 | $18,901–$86,419 |
| Charlotte NC | 5 | $21,863 | $21,863 | $21,863 | $21,566–$21,863 |
| Chicago IL | 6 | $20,930 | $33,072 | $44,394 | $18,206–$46,844 |
| Cleveland OH | 8 | $27,917 | $32,429 | $45,588 | $13,901–$60,326 |
| Colorado (statewide) | 8 | $17,998 | $19,554 | $21,717 | $14,918–$34,341 |
| Columbus OH | 1 | — | — | — | $63,065–$63,065 |
| Connecticut (statewide) | 1 | — | — | — | $73,054–$73,054 |
| Dallas-Fort Worth TX | 11 | $22,017 | $32,878 | $37,852 | $22,017–$40,817 |
| Denver CO | 12 | $18,482 | $21,482 | $34,047 | $14,823–$34,047 |
| Detroit MI | 5 | $28,419 | $37,961 | $38,837 | $24,140–$45,118 |
| Florida (statewide) | 56 | $23,254 | $28,090 | $28,500 | $15,595–$149,611 |
| Georgia (statewide) | 18 | $18,560 | $30,108 | $48,448 | $17,280–$59,445 |
| Hawaii (statewide) | 4 | — | — | — | $17,815–$22,890 |
| Houston TX | 16 | $24,561 | $24,561 | $28,533 | $15,912–$62,472 |
| Idaho (statewide) | 11 | $27,352 | $46,711 | $57,912 | $18,390–$67,018 |
| Illinois (statewide) | 21 | $18,595 | $31,631 | $41,116 | $16,667–$54,635 |
| Indiana (statewide) | 17 | $19,265 | $26,103 | $40,263 | $14,851–$65,495 |
| Indianapolis IN | 1 | — | — | — | $17,416–$17,416 |
| Iowa (statewide) | 11 | $29,280 | $38,773 | $40,320 | $21,698–$50,219 |
| Kansas (statewide) | 13 | $21,523 | $26,485 | $34,785 | $13,564–$74,499 |
| Kentucky (statewide) | 10 | $22,411 | $25,010 | $32,790 | $13,597–$36,136 |
| Las Vegas NV | 1 | — | — | — | $36,560–$36,560 |
| Los Angeles CA | 17 | $33,114 | $38,871 | $44,496 | $20,552–$75,382 |
| Louisiana (statewide) | 17 | $16,715 | $16,885 | $22,566 | $14,631–$30,452 |
| Maine (statewide) | 16 | $75,354 | $85,518 | $87,484 | $57,919–$109,991 |
| Massachusetts (statewide) | 1 | — | — | — | $26,753–$26,753 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $34,335–$34,335 |
| Michigan (statewide) | 20 | $20,510 | $25,672 | $27,112 | $18,508–$47,868 |
| Minneapolis-St. Paul MN | 7 | $33,937 | $33,937 | $36,761 | $27,559–$47,502 |
| Minnesota (statewide) | 11 | $38,462 | $49,397 | $61,694 | $26,084–$82,360 |
| Mississippi (statewide) | 7 | $22,859 | $27,393 | $28,786 | $21,344–$49,126 |
| Missouri (statewide) | 9 | $25,693 | $25,693 | $34,954 | $14,028–$49,085 |
| Montana (statewide) | 4 | — | — | — | $35,860–$71,452 |
| Nashville TN | 8 | $18,504 | $20,698 | $27,075 | $18,504–$39,967 |
| Nebraska (statewide) | 9 | $25,244 | $27,682 | $39,787 | $15,530–$39,787 |
| New Hampshire (statewide) | 5 | $30,414 | $30,943 | $32,799 | $17,409–$62,284 |
| New Jersey (statewide) | 20 | $19,419 | $21,338 | $21,422 | $19,258–$86,302 |
| New Mexico (statewide) | 4 | — | — | — | $19,406–$80,054 |
| New York (statewide) | 26 | $36,284 | $50,832 | $60,562 | $21,309–$84,677 |
| New York City | 8 | $36,284 | $36,284 | $53,934 | $27,314–$62,380 |
| North Carolina (statewide) | 6 | $14,000 | $14,000 | $24,288 | $14,000–$58,908 |
| North Dakota (statewide) | 5 | $31,814 | $32,908 | $41,653 | $20,818–$42,579 |
| Ohio (statewide) | 28 | $39,528 | $45,019 | $55,858 | $12,977–$88,777 |
| Oklahoma (statewide) | 7 | $20,164 | $31,263 | $46,223 | $14,977–$47,482 |
| Oregon (statewide) | 6 | $47,093 | $54,530 | $80,619 | $27,710–$100,935 |
| Pennsylvania (statewide) | 25 | $31,398 | $45,468 | $91,671 | $18,174–$124,818 |
| Philadelphia PA | 8 | $23,144 | $34,846 | $35,141 | $17,394–$36,636 |
| Phoenix AZ | 6 | $29,070 | $29,070 | $29,070 | $29,070–$29,070 |
| Pittsburgh PA | 6 | $34,669 | $39,151 | $40,900 | $17,911–$47,772 |
| Portland OR | 9 | $23,856 | $23,856 | $50,741 | $22,282–$50,741 |
| Rhode Island (statewide) | 3 | — | — | — | $28,648–$103,760 |
| Richmond VA | 3 | — | — | — | $24,775–$25,010 |
| Rio Grande Valley TX | 4 | — | — | — | $19,240–$37,974 |
| Salt Lake City UT | 9 | $26,142 | $27,034 | $27,034 | $16,966–$27,925 |
| San Antonio TX | 3 | — | — | — | $22,017–$28,492 |
| San Francisco Bay Area CA | 3 | — | — | — | $27,035–$39,261 |
| Seattle-Tacoma WA | 16 | $58,978 | $61,584 | $69,623 | $49,041–$95,457 |
| South Carolina (statewide) | 17 | $19,538 | $20,341 | $23,972 | $16,791–$32,782 |
| South Dakota (statewide) | 2 | — | — | — | $23,319–$28,888 |
| Tampa FL | 6 | $19,522 | $19,522 | $45,258 | $19,522–$84,565 |
| Tennessee (statewide) | 23 | $22,844 | $25,849 | $27,684 | $17,499–$39,672 |
| Texas (statewide) | 52 | $20,611 | $25,782 | $34,954 | $15,912–$105,760 |
| Utah (statewide) | 6 | $18,065 | $23,752 | $26,142 | $16,966–$27,034 |
| Virginia (statewide) | 17 | $48,502 | $54,838 | $58,561 | $22,990–$90,017 |
| Washington (statewide) | 10 | $54,687 | $64,017 | $79,831 | $39,261–$114,630 |
| Washington DC | 9 | $30,304 | $48,755 | $49,518 | $28,980–$50,277 |
| West Virginia (statewide) | 3 | — | — | — | $20,413–$88,204 |
| Wisconsin (statewide) | 25 | $20,541 | $20,541 | $39,378 | $13,982–$65,362 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Hospitals Portage Medical Center | Ohio (statewide) | $12,977 | 0.5× | 1 | 2026-07-14 |
| Wesley Medical Center | Kansas (statewide) | $13,564 | 0.5× | 1 | 2026-09-01 |
| Saint Joseph Hospital | Kentucky (statewide) | $13,597 | 0.5× | 1 | 2026-02-28 |
| University Hospitals Ahuja Medical Center | Cleveland OH | $13,901 | 0.5× | 1 | 2026-07-14 |
| Froedtert Menomonee Falls Hospital | Wisconsin (statewide) | $13,982 | 0.5× | 1 | 2025-12-31 |
| Salina Surgical Hospital | Kansas (statewide) | $13,993 | 0.6× | 1 | 2026-01-15 |
| Highlands Cashiers Hospital | North Carolina (statewide) | $14,000 | 0.5× | 1 | 2026-09-01 |
| Transylvania Regional Hospital, Inc | North Carolina (statewide) | $14,000 | 0.5× | 1 | 2026-09-01 |
| Angel Medical Center | North Carolina (statewide) | $14,000 | 0.5× | 1 | 2026-09-01 |
| Blue Ridge Regional Hospital | North Carolina (statewide) | $14,000 | 0.5× | 1 | 2026-09-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $14,028 | 0.5× | 1 | 2026-09-01 |
| Froedtert Community Hospital | Wisconsin (statewide) | $14,246 | 0.5× | 1 | 2025-12-31 |
| Lehigh Valley Hospital - Dickson City | Pennsylvania (statewide) | $95,938 | 3.6× | 8 | 2026-07-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $97,386 | 3.1× | 5 | 2026-08-27 |
| Providence Medford Medical Center | Oregon (statewide) | $100,935 | 3.2× | 2 | 2026-04-01 |
| The Miriam Hospital | Rhode Island (statewide) | $103,760 | 3.4× | 2 | 2026-04-01 |
| Palestine Regional Medical Center | Texas (statewide) | $105,760 | 3.9× | 1 | 2026-04-01 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $108,839 | 4.1× | 8 | 2026-07-01 |
| Lehigh Valley Hospital - Hazleton | Pennsylvania (statewide) | $109,584 | 4.2× | 8 | 2026-07-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $109,991 | 4.1× | 1 | 2025-09-09 |
| Providence Centralia Hospital | Washington (statewide) | $114,630 | 3.8× | 2 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $119,994 | 4.3× | 1 | 2026-03-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $124,818 | 4.5× | 8 | 2026-07-01 |
| Tampa General Hospital Crystal River | Florida (statewide) | $149,611 | 5.3× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 469: Major Hip and Knee Joint Replacement Or Reattachment of Lower Extremity With McC Or Total Ankle Replacement
1479 hospitals in 83 markets. National Medicare rate $22,072.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $25,517 | $30,638 | $34,932 | $19,462–$77,826 |
| Alaska (statewide) | 3 | — | — | — | $26,455–$108,073 |
| Arizona (statewide) | 29 | $36,210 | $53,703 | $66,741 | $16,574–$82,245 |
| Arkansas (statewide) | 9 | $27,611 | $28,266 | $31,747 | $25,182–$35,610 |
| Atlanta GA | 10 | $58,808 | $58,983 | $58,983 | $57,280–$96,226 |
| Austin TX | 13 | $19,790 | $31,494 | $33,098 | $19,004–$39,334 |
| Boston MA | 15 | $25,757 | $28,057 | $30,410 | $21,510–$44,209 |
| California (statewide) | 53 | $36,562 | $42,433 | $56,813 | $20,670–$125,932 |
| Charlotte NC | 8 | $47,531 | $49,294 | $59,296 | $34,026–$59,296 |
| Chicago IL | 11 | $37,785 | $45,622 | $51,820 | $31,034–$56,418 |
| Cleveland OH | 11 | $23,029 | $35,562 | $40,656 | $21,352–$51,181 |
| Colorado (statewide) | 16 | $37,498 | $58,835 | $70,138 | $18,584–$95,367 |
| Columbus OH | 3 | — | — | — | $61,653–$81,281 |
| Connecticut (statewide) | 6 | $28,889 | $47,561 | $62,908 | $24,821–$67,918 |
| Dallas-Fort Worth TX | 15 | $29,073 | $39,181 | $39,554 | $27,967–$79,036 |
| Delaware (statewide) | 1 | — | — | — | $63,516–$63,516 |
| Denver CO | 15 | $30,004 | $36,630 | $60,247 | $29,984–$82,301 |
| Detroit MI | 16 | $41,549 | $41,944 | $62,712 | $36,788–$91,609 |
| Florida (statewide) | 93 | $29,595 | $32,689 | $57,916 | $17,048–$92,223 |
| Georgia (statewide) | 43 | $43,450 | $58,808 | $68,622 | $23,336–$96,226 |
| Hawaii (statewide) | 11 | $40,957 | $46,990 | $60,090 | $35,735–$66,490 |
| Houston TX | 19 | $30,530 | $38,763 | $46,882 | $29,278–$63,801 |
| Idaho (statewide) | 15 | $49,616 | $59,249 | $80,480 | $23,648–$81,255 |
| Illinois (statewide) | 44 | $29,854 | $34,736 | $42,880 | $20,416–$65,608 |
| Indiana (statewide) | 48 | $22,620 | $40,154 | $51,240 | $16,326–$66,304 |
| Indianapolis IN | 6 | $17,233 | $36,378 | $65,451 | $17,048–$68,760 |
| Iowa (statewide) | 18 | $30,772 | $34,392 | $39,912 | $26,383–$55,470 |
| Kansas (statewide) | 23 | $26,316 | $30,408 | $39,210 | $12,853–$71,979 |
| Kentucky (statewide) | 28 | $27,294 | $33,344 | $40,626 | $20,210–$75,393 |
| Las Vegas NV | 2 | — | — | — | $36,178–$57,013 |
| Los Angeles CA | 18 | $47,997 | $54,319 | $60,849 | $40,566–$66,730 |
| Louisiana (statewide) | 23 | $26,029 | $30,324 | $33,372 | $19,220–$42,114 |
| Maine (statewide) | 13 | $62,928 | $72,797 | $77,320 | $29,132–$93,412 |
| Maryland (statewide) | 1 | — | — | — | $22,902–$22,902 |
| Massachusetts (statewide) | 8 | $34,360 | $39,872 | $42,220 | $21,626–$50,004 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $18,811–$51,735 |
| Michigan (statewide) | 37 | $39,946 | $44,372 | $54,127 | $23,902–$81,070 |
| Minneapolis-St. Paul MN | 15 | $45,619 | $51,394 | $55,925 | $25,688–$57,217 |
| Minnesota (statewide) | 21 | $38,706 | $40,025 | $55,398 | $16,652–$69,303 |
| Mississippi (statewide) | 17 | $32,759 | $34,984 | $38,423 | $25,496–$53,011 |
| Missouri (statewide) | 27 | $28,832 | $33,275 | $39,020 | $15,687–$79,036 |
| Montana (statewide) | 7 | $34,167 | $49,772 | $66,356 | $15,603–$109,170 |
| Nashville TN | 8 | $24,790 | $25,562 | $40,738 | $23,560–$62,759 |
| Nebraska (statewide) | 15 | $54,354 | $56,673 | $65,294 | $38,268–$72,442 |
| Nevada (statewide) | 5 | $38,162 | $40,936 | $57,013 | $36,805–$60,241 |
| New Hampshire (statewide) | 8 | $26,972 | $44,146 | $51,682 | $22,234–$71,341 |
| New Jersey (statewide) | 21 | $52,374 | $57,911 | $69,136 | $28,258–$90,456 |
| New Mexico (statewide) | 9 | $30,029 | $44,284 | $52,338 | $22,936–$98,424 |
| New York (statewide) | 48 | $35,502 | $42,658 | $57,967 | $22,006–$104,808 |
| New York City | 9 | $56,800 | $58,424 | $88,354 | $29,129–$128,589 |
| North Carolina (statewide) | 27 | $33,082 | $38,958 | $59,296 | $24,978–$72,800 |
| North Dakota (statewide) | 7 | $36,230 | $40,352 | $41,153 | $31,568–$59,016 |
| Ohio (statewide) | 47 | $31,726 | $41,409 | $56,546 | $19,484–$95,100 |
| Oklahoma (statewide) | 16 | $25,017 | $29,642 | $34,412 | $14,966–$60,701 |
| Oregon (statewide) | 11 | $51,167 | $58,004 | $65,434 | $30,626–$85,394 |
| Pennsylvania (statewide) | 58 | $33,435 | $45,632 | $54,358 | $23,521–$85,654 |
| Philadelphia PA | 11 | $54,230 | $57,642 | $67,158 | $47,318–$90,456 |
| Phoenix AZ | 11 | $50,488 | $53,492 | $58,610 | $50,488–$64,808 |
| Pittsburgh PA | 7 | $34,662 | $38,672 | $43,584 | $30,558–$50,644 |
| Portland OR | 9 | $65,737 | $66,688 | $85,105 | $62,451–$85,105 |
| Research Triangle NC | 9 | $36,610 | $36,789 | $45,786 | $31,000–$58,771 |
| Rhode Island (statewide) | 7 | $45,293 | $56,592 | $58,874 | $29,233–$63,929 |
| Richmond VA | 7 | $29,734 | $57,431 | $57,431 | $29,486–$78,069 |
| Rio Grande Valley TX | 6 | $31,548 | $34,717 | $37,612 | $30,403–$41,600 |
| Salt Lake City UT | 9 | $50,788 | $50,788 | $50,788 | $50,283–$50,788 |
| San Antonio TX | 3 | — | — | — | $30,383–$58,068 |
| San Diego CA | 7 | $35,070 | $42,465 | $46,246 | $34,361–$50,008 |
| San Francisco Bay Area CA | 2 | — | — | — | $36,977–$54,516 |
| Seattle-Tacoma WA | 16 | $67,981 | $71,187 | $73,658 | $64,510–$92,750 |
| South Carolina (statewide) | 29 | $55,487 | $65,908 | $75,842 | $24,683–$91,921 |
| South Dakota (statewide) | 4 | — | — | — | $33,365–$49,335 |
| St. Louis MO | 7 | $36,756 | $37,516 | $37,516 | $15,500–$54,304 |
| Tampa FL | 11 | $60,040 | $63,952 | $66,072 | $46,893–$67,273 |
| Tennessee (statewide) | 31 | $26,653 | $29,822 | $33,627 | $23,659–$62,759 |
| Texas (statewide) | 88 | $30,432 | $37,285 | $43,673 | $19,132–$84,981 |
| Utah (statewide) | 5 | $51,008 | $68,796 | $71,581 | $50,788–$71,581 |
| Vermont (statewide) | 3 | — | — | — | $40,865–$90,331 |
| Virginia (statewide) | 24 | $41,280 | $59,487 | $62,210 | $28,710–$96,122 |
| Washington (statewide) | 13 | $54,516 | $60,540 | $65,449 | $30,935–$99,974 |
| Washington DC | 11 | $43,786 | $63,867 | $64,924 | $24,178–$66,976 |
| West Virginia (statewide) | 13 | $15,267 | $16,447 | $52,026 | $12,928–$73,058 |
| Wisconsin (statewide) | 48 | $42,491 | $58,265 | $63,091 | $14,553–$72,958 |
| Wyoming (statewide) | 2 | — | — | — | $48,152–$55,344 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $12,853 | 0.7× | 3 | 2025-12-19 |
| Wetzel County Hospital | West Virginia (statewide) | $12,928 | 0.6× | 2 | 2026-07-10 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $14,772 | 0.7× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $14,825 | 0.7× | 3 | 2026-07-09 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.7× | 1 | 2026-01-01 |
| Thomas Memorial Hospital | West Virginia (statewide) | $15,267 | 0.7× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $15,335 | 0.7× | 3 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $15,500 | 0.7× | 1 | 2026-06-10 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $15,527 | 0.8× | 3 | 2026-07-09 |
| Mccone County Health Center | Montana (statewide) | $15,603 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital Perry | Missouri (statewide) | $15,687 | 0.7× | 1 | 2026-03-12 |
| Wellstar Sylvan Grove Medical Center | Georgia (statewide) | $96,226 | 4.4× | 4 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $98,329 | 3.5× | 1 | 2026-03-12 |
| Presbyterian Espanola Hospital | New Mexico (statewide) | $98,424 | 4.6× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $98,655 | 3.6× | 9 | 2026-01-01 |
| Providence Centralia Hospital | Washington (statewide) | $99,974 | 4.1× | 3 | 2026-04-01 |
| Garnet Health Medical Center Catskills | New York (statewide) | $100,587 | 3.7× | 8 | 2026-04-01 |
| Albany Medical Center Hospital | New York (statewide) | $103,255 | 3.8× | 3 | 2025-12-31 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $104,808 | 3.8× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $108,073 | 4.5× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $109,170 | 5.0× | 1 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $125,932 | 4.4× | 1 | 2026-03-12 |
| Hospital for Special Surgery | New York City | $128,589 | 4.7× | 13 | 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 replacement?
Across 824 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27702, hospital outpatient is $29,070, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $21,987 to $46,844. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for ankle replacement?
Medicare's national hospital outpatient rate for CPT 27702 is $27,722 and its surgery-center rate is $21,837, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for ankle replacement?
Lowest medians: University Hospitals Portage Medical Center ($12,977), Wesley Medical Center ($13,564), Saint Joseph Hospital ($13,597). Highest: Tampa General Hospital Crystal River ($149,611), Lehigh Valley Hospital - Macungie ($124,818), Penn State Health St. Joseph ($119,994). Coverage: every hospital whose price file we could read.