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.