CPT 27814 Surgery
Open treatment of bimalleolar ankle fracture Cost
Body System: Musculoskeletal
Medicare Facility Rate
$683
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)
12.12
Work RVU
6.95
Facility PE RVU
2.05
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| US — Carrier 01112 Locality 05 | $836 | $1,253 — $2,089 |
| US — Carrier 01112 Locality 09 | $848 | $1,273 — $2,121 |
| US — Carrier 01112 Locality 51 | $802 | $1,203 — $2,006 |
| US — Carrier 01112 Locality 52 | $838 | $1,257 — $2,095 |
| US — Carrier 01112 Locality 53 | $799 | $1,198 — $1,997 |
| US — Carrier 01112 Locality 54 | $727 | $1,090 — $1,817 |
| US — Carrier 01112 Locality 55 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 56 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 57 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 58 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 59 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 60 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 61 | $721 | $1,082 — $1,803 |
| US — Carrier 01112 Locality 62 | $743 | $1,115 — $1,858 |
| US — Carrier 01112 Locality 63 | $748 | $1,122 — $1,870 |
| US — Carrier 01112 Locality 64 | $745 | $1,118 — $1,863 |
| US — Carrier 01112 Locality 65 | $858 | $1,287 — $2,145 |
| US — Carrier 01112 Locality 66 | $758 | $1,138 — $1,896 |
| US — Carrier 01112 Locality 67 | $766 | $1,148 — $1,914 |
| US — Carrier 01112 Locality 68 | $721 | $1,082 — $1,803 |
Frequently Asked Questions
How much does Open treatment of bimalleolar ankle fracture cost?
The Medicare facility rate is $683. 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 bimalleolar ankle 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 $683.