Ankle fracture repair is a surgical procedure. Prices are from 1586 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $5,369 — about 8.8× the Medicare rate ($608). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,216).
💡 Asking for the cash price instead of the $9,276 list price could save about $3,907 (42%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Niagara Falls Memorial Medical Center | Niagara Falls, NY | $826 | $9,013 | ★ 1/5 | 229 min | — |
| Hugh Chatham Memorial Hospital | Elkin, NC | $828 | $767 | ★ 3/5 | 168 min | — |
| Artesia General Hospital | Artesia, NM | $850 | $3,716 | — | 99 min | — |
| San Juan Hospital | Monticello, UT | $855 | $818 | — | 128 min | — |
| Avera Marshall Regional Medical Ctr | Marshall, MN | $859 | $1,403 | — | 126 min | — |
| Marshall County Healthcare Center-CAH | Britton, SD | $859 | $1,403 | — | 105 min | — |
| Huggins Hospital | Wolfeboro, NH | $894 | — | ★ 4/5 | 169 min | — |
| Ellis Hospital | Schenectady, NY | $896 | $662 | ★ 3/5 | 232 min | — |
| Southwell Medical, a Campus of Trmc | Adel, GA | $900 | $5,990 | — | — | — |
| Boone Hospital Center | Columbia, MO | $900 | — | ★ 4/5 | 175 min | — |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $911 | $1,286 | ★ 4/5 | 118 min | — |
| Family Health West Hospital | Fruita, CO | $912 | $8,660 | — | 48 min | — |
| Children's Mercy South | Overland Park, KS | $924 | $1,081 | — | — | — |
| The Children's Mercy Hospital | Kansas City, MO | $924 | $1,081 | — | — | — |
| Pampa Regional Medical Center | Pampa, TX | $937 | $4,189 | — | 110 min | — |
| University of Michigan Health-West | Wyoming, MI | $964 | $3,974 | ★ 4/5 | 188 min | — |
| Regional West Medical Center | Scottsbluff, NE | $969 | $1,264 | ★ 2/5 | 202 min | — |
| Prowers Medical Center | Lamar, CO | $987 | — | — | 118 min | — |
| York Hospital | York, ME | $997 | — | ★ 4/5 | 166 min | — |
| St Gabriels Hospital | Little Falls, MN | $1,037 | $1,042 | ★ 4/5 | 141 min | — |
| University of Michigan Health System | Ann Arbor, MI | $1,041 | $985 | ★ 4/5 | 345 min | — |
| Montgomery County Memorial Hospital | Red Oak, IA | $1,050 | — | — | 113 min | — |
| Rochester General Hospital | Rochester, NY | $1,055 | $717 | ★ 2/5 | 233 min | — |
| Unity Hospital | Rochester, NY | $1,055 | $654 | ★ 2/5 | 299 min | — |
| Unity Specialty Hospital | Rochester, NY | $1,055 | $654 | — | — | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Ankle fracture repair
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $5,369; Medicare pays $608.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 167 |
$47 – $1,147 |
| Medicare | 295 |
$51 – $7,338 |
| Univera | 13 |
$78 – $788 |
| AmeriHealth | 131 |
$382 – $8,621 |
| Geisinger | 35 |
$506 – $7,696 |
| Tricare / VA | 201 |
$292 – $8,454 |
| Highmark | 104 |
$258 – $14,212 |
| Independent Health | 21 |
$325 – $3,519 |
| MVP Health Care | 47 |
$429 – $12,225 |
| Priority Health | 39 |
$493 – $7,059 |
| Sanford Health Plan | 32 |
$486 – $12,347 |
| Workers' Comp / No-Fault | 47 |
$1,049 – $13,070 |
| UCare | 37 |
$484 – $7,661 |
| Bright Health | 36 |
$1,257 – $5,995 |
| Health Net | 148 |
$231 – $15,133 |
| HealthPartners | 104 |
$403 – $9,569 |
| Centene / Ambetter | 546 |
$266 – $10,798 |
| Harvard Pilgrim | 27 |
$740 – $12,596 |
| Medica | 67 |
$600 – $9,391 |
| MultiPlan / PHCS network | 260 |
$280 – $11,620 |
| Blue Cross Blue Shield | 868 |
$275 – $16,331 |
| Molina Healthcare | 422 |
$348 – $7,819 |
| Coventry | 63 |
$658 – $11,829 |
| Amerigroup | 118 |
$471 – $7,219 |
| Humana | 675 |
$493 – $8,580 |
| Aetna | 915 |
$652 – $9,333 |
| Anthem | 402 |
$296 – $16,686 |
| SelectHealth | 31 |
$1,417 – $12,599 |
| UPMC Health Plan | 65 |
$716 – $16,739 |
| Cigna | 723 |
$1,544 – $15,153 |
| Security Health Plan | 26 |
$567 – $13,221 |
| UnitedHealthcare | 1031 |
$580 – $16,164 |
| Kaiser Permanente | 146 |
$275 – $21,078 |
| Devoted Health | 113 |
$6,171 – $8,087 |
| AvMed | 29 |
$539 – $12,418 |
| Oscar Health | 151 |
$3,542 – $14,192 |
| Healthcare Highways | 34 |
$8,517 – $9,565 |
| EmblemHealth | 52 |
$1,441 – $57,245 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Puerto Rico | $579 |
| Vermont | $705 |
| New Hampshire | $1,172 |
| Montana | $1,460 |
| Iowa | $1,795 |
| Michigan | $1,815 |
Prices by city
Prices by state
Does Medicare cover Ankle fracture repair?
Yes — Medicare generally covers Ankle fracture repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $608. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $122 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 1586 US hospitals across 52 states, the typical (median) cash price is $5,369, versus a chargemaster (list) price around $9,276, a median insurer-negotiated rate of $7,088, a Medicare rate of about $608. Most cash prices fall between $1,148 and $17,640 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Ankle fracture repair cost without insurance?
Does Medicare cover Ankle fracture repair?
What does Medicare pay for Ankle fracture repair?
Why do Ankle fracture repair prices vary between hospitals?
Is the cash price lower than using insurance?
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