CPT 27236 Surgery

Open treatment of femoral fracture Cost

Body System: Musculoskeletal

Medicare Facility Rate
$1,025
CMS PFS CY2026
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$4
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

18.37
Work RVU
9.85
Facility PE RVU
3.45
Malpractice RVU

Cost by Location

Location Medicare Rate Est. Commercial
AK — ALASKA $1,355 $1,761 — $2,710
AL — ALABAMA $993 $1,291 — $1,986
AR — ARKANSAS $980 $1,275 — $1,961
AZ — ARIZONA $1,066 $1,385 — $2,131
CA — BAKERSFIELD $1,097 $1,426 — $2,194
CA — CHICO $1,087 $1,413 — $2,174
CA — EL CENTRO $1,088 $1,414 — $2,175
CA — FRESNO $1,087 $1,413 — $2,174
CA — HANFORD-CORCORAN $1,087 $1,413 — $2,174
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $1,151 $1,496 — $2,302
CA — MADERA $1,087 $1,413 — $2,174
CA — MERCED $1,087 $1,413 — $2,174
CA — MODESTO $1,087 $1,413 — $2,174
CA — NAPA $1,198 $1,558 — $2,397
CA — OXNARD-THOUSAND OAKS-VENTURA $1,138 $1,480 — $2,276
CA — REDDING $1,087 $1,413 — $2,174
CA — REST OF CALIFORNIA $1,087 $1,413 — $2,174
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $1,126 $1,464 — $2,252
CA — SACRAMENTO-ROSEVILLE-FOLSOM $1,125 $1,462 — $2,249
CA — SALINAS $1,120 $1,456 — $2,240

Frequently Asked Questions

How much does Open treatment of femoral fracture cost?

The Medicare facility rate is $1,025. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $4.

How much does Open treatment of femoral fracture cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,025.