Ankle replacement Cost by Hospital

Ankle replacement is a surgical procedure. Prices are from 1129 US hospitals across 52 states, from their machine-readable files.

$5,416median cash price · 1129 hospitals, 52 statestypically $1,084–$35,304 depending on the hospital
≈ 6.1× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$8,166
Cash / self-pay
$5,416
Insurer-negotiated
$16,344
Medicare pays
$885
$1,084$35,304
Median cash $5,416  ·  Medicare $885  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,416 — about 6.1× the Medicare rate ($885). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,770).

💡 Asking for the cash price instead of the $8,166 list price could save about $2,750 (34%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Avera Queen of Peace Mitchell, SD $867 $2,083 ★ 4/5 104 min
O'connor Hospital Delhi, NY $954 $1,286 95 min
Little Falls Hospital Little Falls, NY $954 $1,064 ★ 2/5 109 min
Cobleskill Regional Hospital Cobleskill, NY $954 $1,210 ★ 4/5 111 min
Avera Marshall Regional Medical Ctr Marshall, MN $966 $2,074 126 min
Marshall County Healthcare Center-CAH Britton, SD $966 $2,074 105 min
Braxton County Memorial Hospital, Inc Gassaway, WV $1,008 102 min
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $1,008 ★ 3/5 141 min
Summersville Regional Medical Center Summersville, WV $1,014 ★ 2/5 136 min
Vanderbilt Bedford Hospital Shelbyville, TN $1,053 $1,656 ★ 4/5 125 min
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,053 $1,610 ★ 3/5 168 min
Potomac Valley Hospital Keyser, WV $1,059 ★ 1/5 119 min
Jackson General Hospital Ripley, WV $1,059 ★ 3/5 127 min
Bassett Healthcare Cooperstown, NY $1,061 $969 ★ 2/5 199 min
Harrison Community Hospital Cadiz, OH $1,072 82 min
Barnesville Hospital Association, Inc Barnesville, OH $1,072 $4,513 115 min
Hugh Chatham Memorial Hospital Elkin, NC $1,130 $1,221 ★ 3/5 168 min
Artesia General Hospital Artesia, NM $1,194 $1,831 99 min
Alice Peck Day Memorial Hospital Lebanon, NH $1,253 $1,796 ★ 4/5 118 min
Pratt Regional Medical Center Pratt, KS $1,330 $3,162 ★ 4/5 100 min
University Medical Center Las Vegas, NV $1,365 $1,399 ★ 2/5 238 min
Children's Mercy South Overland Park, KS $1,372 $1,683
The Children's Mercy Hospital Kansas City, MO $1,372 $1,683
Regional West Medical Center Scottsbluff, NE $1,441 $1,817 ★ 2/5 202 min
San Juan Hospital Monticello, UT $1,442 $1,853 128 min

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 September 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 replacement

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: $5,416; Medicare pays $885.

InsurerHospitalsNegotiated median
Medicaid 81
$427
$77 – $2,453
Medicare 188
$520
$63 – $21,761
Univera 11
$794
$115 – $1,168
Tricare / VA 111
$956
$368 – $21,381
Centene / Ambetter 392
$1,176
$392 – $29,077
MVP Health Care 38
$1,189
$452 – $51,979
Independent Health 17
$1,209
$488 – $2,734
Geisinger 25
$1,267
$1,267 – $25,962
AmeriHealth 83
$1,267
$819 – $21,338
Sanford Health Plan 25
$1,381
$392 – $32,565
Priority Health 30
$1,889
$623 – $18,585
Highmark 62
$2,349
$392 – $39,726
UCare 34
$2,453
$664 – $28,355
HealthPartners 70
$2,525
$427 – $28,069
Molina Healthcare 287
$2,702
$520 – $27,797
Health Net 74
$2,825
$392 – $29,899
MultiPlan / PHCS network 100
$2,887
$373 – $29,884
Medica 50
$3,009
$694 – $19,080
Workers' Comp / No-Fault 26
$3,058
$2,492 – $28,676
Harvard Pilgrim 14
$3,168
$704 – $22,301
Oscar Health 84
$3,549
$1,815 – $7,276
SelectHealth 30
$5,307
$1,601 – $26,676
Humana 559
$5,647
$895 – $26,103
Aetna 655
$5,868
$969 – $29,570
Blue Cross Blue Shield 646
$6,181
$394 – $41,542
Cigna 440
$7,480
$1,419 – $35,535
Amerigroup 81
$8,805
$488 – $27,423
Anthem 272
$8,835
$458 – $44,089
UnitedHealthcare 733
$9,379
$862 – $25,269
Security Health Plan 23
$9,791
$413 – $19,057
Coventry 32
$11,929
$993 – $46,894
Healthcare Highways 24
$14,320
$2,069 – $42,583
UPMC Health Plan 43
$17,880
$1,470 – $43,092
Bright Health 21
$20,621
$1,617 – $26,677
EmblemHealth 31
$21,762
$4,127 – $214,064
Devoted Health 163
$22,017
$17,529 – $25,671
Kaiser Permanente 114
$22,222
$427 – $62,335
AvMed 31
$30,643
$4,500 – $39,037

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

StateMedian cash
South Dakota$966
West Virginia$1,059
North Carolina$1,130
Nevada$1,365
Utah$1,442
New Hampshire$2,724

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Constantine Demetracopoulos, M.D.Orthopedic SurgeryNew York, NY31
David Thordarson, M.D.Orthopedic SurgeryLos Angeles, CA29
Lew Schon, MDOrthopedic SurgeryBaltimore, MD24
David Pedowitz, MDOrthopedic SurgeryBryn Mawr, PA20
Mark Casillas, M.D.Orthopedic SurgerySan Antonio, TX20
Mark Conklin, MDOrthopedic SurgeryGolden, CO20
Johannes Coetzee, MB, CHB, MDOrthopedic SurgeryEdina, MN18
Jensen HenryOrthopedic SurgeryNew York, NY18
Christopher Gross, M.D.Orthopedic SurgeryCharleston, SC17
Kurt Hofmann, MDOrthopedic SurgeryWaltham, MA17
Paul Fortin, M.D.Orthopedic SurgeryRoyal Oak, MI16
Craig Haytmanek, MDOrthopedic SurgeryVail, CO16

Browse doctors by specialty & city →

Does Medicare cover Ankle replacement?

Yes — Medicare generally covers Ankle replacement. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $885. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

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 1129 US hospitals across 52 states, the typical (median) cash price is $5,416, versus a chargemaster (list) price around $8,166, a median insurer-negotiated rate of $16,344, a Medicare rate of about $885. Most cash prices fall between $1,084 and $35,304 — 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 replacement cost without insurance?
The median cash (self-pay) price across 1129 US hospitals is $5,416. Most hospitals fall between $1,084 and $35,304. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Ankle replacement?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $885). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Ankle replacement?
Medicare pays about $885. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Ankle replacement prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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