Ankle replacement Cost by Hospital

Ankle replacement is a surgical procedure. Prices are from 1146 US hospitals across 52 states, from their machine-readable files.

$5,568median cash price · 1146 hospitals, 52 statestypically $1,095–$35,049 depending on the hospital
≈ 6.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$7,972
Cash / self-pay
$5,568
Insurer-negotiated
$16,439
Medicare pays
$885
$1,095$35,049
Median cash $5,568  ·  Medicare $885  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,568 — about 6.3× 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 $7,972 list price could save about $2,404 (30%).

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 —
Bayside Community Hospital Anahuac, TX $1,019 $586 — 106 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 —

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 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: $5,568; Medicare pays $885.

InsurerHospitalsNegotiated median
Medicaid 83
$427
$77 – $2,453
Medicare 190
$520
$63 – $21,761
Univera 11
$794
$115 – $1,168
Tricare / VA 113
$956
$368 – $21,338
MVP Health Care 38
$1,189
$452 – $54,174
Independent Health 17
$1,209
$488 – $2,734
Geisinger 27
$1,267
$1,267 – $26,987
AmeriHealth 86
$1,267
$821 – $21,338
Centene / Ambetter 408
$1,349
$392 – $30,033
Sanford Health Plan 25
$1,381
$392 – $32,565
Priority Health 29
$1,889
$623 – $18,636
Highmark 70
$2,349
$392 – $43,791
UCare 34
$2,453
$664 – $28,355
HealthPartners 72
$2,590
$427 – $28,886
Molina Healthcare 289
$2,702
$520 – $27,922
Health Net 76
$2,835
$392 – $33,097
MultiPlan / PHCS network 102
$2,850
$373 – $29,884
Medica 50
$3,009
$694 – $19,080
Workers' Comp / No-Fault 26
$3,058
$2,492 – $28,676
Harvard Pilgrim 15
$3,168
$724 – $21,987
Oscar Health 96
$3,549
$1,815 – $7,276
SelectHealth 30
$5,307
$1,601 – $26,676
Humana 568
$5,647
$892 – $26,368
Aetna 675
$5,768
$969 – $29,886
Blue Cross Blue Shield 649
$6,181
$394 – $41,739
Cigna 447
$7,480
$1,419 – $35,535
Amerigroup 82
$8,805
$488 – $28,621
Anthem 287
$8,835
$458 – $44,089
UnitedHealthcare 753
$9,248
$870 – $25,638
Security Health Plan 23
$9,791
$413 – $19,057
Coventry 34
$11,929
$1,014 – $41,129
Healthcare Highways 24
$14,320
$2,069 – $42,583
EmblemHealth 45
$18,107
$4,127 – $214,064
UPMC Health Plan 46
$18,174
$1,343 – $49,174
Bright Health 21
$20,621
$1,617 – $26,677
Devoted Health 167
$22,017
$17,564 – $25,671
Kaiser Permanente 114
$22,222
$427 – $69,590
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
Tennessee$1,960

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 1146 US hospitals across 52 states, the typical (median) cash price is $5,568, versus a chargemaster (list) price around $7,972, a median insurer-negotiated rate of $16,439, a Medicare rate of about $885. Most cash prices fall between $1,095 and $35,049 — 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 1146 US hospitals is $5,568. Most hospitals fall between $1,095 and $35,049. 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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