CPT 27752 Surgery - Musculoskeletal

How Much Does Treatment of Tibia Fracture Cost?

Also known as: Treatment of tibia fracture (CPT 27752)

Non-surgical treatment of a tibia (shinbone) fracture using a cast or brace.

The total estimated cost of Treatment of Tibia Fracture (CPT 27752) is $1,682 to $3,154, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $501.

Total Estimated Cost of Care

$1,682 — $3,154

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$501
Hospital Facility Fee
$1,502
Anesthesia (est.)
$100
Important: The physician fee of $501 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$501
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$608
Non-facility setting

Patient Guide: Treatment of Tibia Fracture

What you need to know before your appointment

What to Expect

Your doctor will set your broken shinbone in proper alignment and apply a cast or brace. You will need to avoid putting weight on the leg for several weeks.

How Long Does It Take?

Office procedure, plus 8-16 weeks of healing

Common Reasons Doctors Order This

Tibial shaft fracture that is stable and aligned, stress fracture of the tibia

How to Prepare

Arrange for help at home. Get crutches or a knee scooter. Elevate and ice the leg to reduce swelling before casting.

Procedures Commonly Done Together

These procedures are frequently performed alongside Treatment of tibia fracture

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How to Reduce Your Cost for Treatment of tibia fracture

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($608) differs from the facility rate ($501). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

6.11
Work RVU
7.54
Practice Expense RVU
1.34
Malpractice RVU
18.21
Total RVU

Payment = Total RVU (18.21) x CF ($33.40) = $608

Frequently Asked Questions

How much does Treatment of tibia fracture cost?

The Medicare facility rate for Treatment of tibia fracture is $501. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Treatment of tibia fracture cost without insurance?

Without insurance, the cost of Treatment of tibia fracture can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Treatment of tibia fracture?

Most commercial health insurance plans and Medicare cover Treatment of tibia fracture when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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