Ankle replacement is a surgical procedure. Prices are from 1129 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
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%).
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 |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 81 |
$77 – $2,453 |
| Medicare | 188 |
$63 – $21,761 |
| Univera | 11 |
$115 – $1,168 |
| Tricare / VA | 111 |
$368 – $21,381 |
| Centene / Ambetter | 392 |
$392 – $29,077 |
| MVP Health Care | 38 |
$452 – $51,979 |
| Independent Health | 17 |
$488 – $2,734 |
| Geisinger | 25 |
$1,267 – $25,962 |
| AmeriHealth | 83 |
$819 – $21,338 |
| Sanford Health Plan | 25 |
$392 – $32,565 |
| Priority Health | 30 |
$623 – $18,585 |
| Highmark | 62 |
$392 – $39,726 |
| UCare | 34 |
$664 – $28,355 |
| HealthPartners | 70 |
$427 – $28,069 |
| Molina Healthcare | 287 |
$520 – $27,797 |
| Health Net | 74 |
$392 – $29,899 |
| MultiPlan / PHCS network | 100 |
$373 – $29,884 |
| Medica | 50 |
$694 – $19,080 |
| Workers' Comp / No-Fault | 26 |
$2,492 – $28,676 |
| Harvard Pilgrim | 14 |
$704 – $22,301 |
| Oscar Health | 84 |
$1,815 – $7,276 |
| SelectHealth | 30 |
$1,601 – $26,676 |
| Humana | 559 |
$895 – $26,103 |
| Aetna | 655 |
$969 – $29,570 |
| Blue Cross Blue Shield | 646 |
$394 – $41,542 |
| Cigna | 440 |
$1,419 – $35,535 |
| Amerigroup | 81 |
$488 – $27,423 |
| Anthem | 272 |
$458 – $44,089 |
| UnitedHealthcare | 733 |
$862 – $25,269 |
| Security Health Plan | 23 |
$413 – $19,057 |
| Coventry | 32 |
$993 – $46,894 |
| Healthcare Highways | 24 |
$2,069 – $42,583 |
| UPMC Health Plan | 43 |
$1,470 – $43,092 |
| Bright Health | 21 |
$1,617 – $26,677 |
| EmblemHealth | 31 |
$4,127 – $214,064 |
| Devoted Health | 163 |
$17,529 – $25,671 |
| Kaiser Permanente | 114 |
$427 – $62,335 |
| AvMed | 31 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Constantine Demetracopoulos, M.D. | Orthopedic Surgery | New York, NY | 31 |
| David Thordarson, M.D. | Orthopedic Surgery | Los Angeles, CA | 29 |
| Lew Schon, MD | Orthopedic Surgery | Baltimore, MD | 24 |
| David Pedowitz, MD | Orthopedic Surgery | Bryn Mawr, PA | 20 |
| Mark Casillas, M.D. | Orthopedic Surgery | San Antonio, TX | 20 |
| Mark Conklin, MD | Orthopedic Surgery | Golden, CO | 20 |
| Johannes Coetzee, MB, CHB, MD | Orthopedic Surgery | Edina, MN | 18 |
| Jensen Henry | Orthopedic Surgery | New York, NY | 18 |
| Christopher Gross, M.D. | Orthopedic Surgery | Charleston, SC | 17 |
| Kurt Hofmann, MD | Orthopedic Surgery | Waltham, MA | 17 |
| Paul Fortin, M.D. | Orthopedic Surgery | Royal Oak, MI | 16 |
| Craig Haytmanek, MD | Orthopedic Surgery | Vail, CO | 16 |
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?
Does Medicare cover Ankle replacement?
What does Medicare pay for Ankle replacement?
Why do Ankle replacement prices vary between hospitals?
Is the cash price lower than using insurance?
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