Closed treatment of broken outside lower leg bone at ankle
Medicare pricing data for 8,710 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Closed treatment of broken outside lower leg bone at ankle (HCPCS code 27786) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $280.93, but hospitals typically charge $1,164 — a 4.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $280.93, your out-of-pocket cost would be approximately $56.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $216.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $336 | $2,101 | 257 | 516 | +19.5% |
| New York | $330 | $1,726 | 564 | 1,028 | +17.3% |
| Puerto Rico | $322 | $405 | 11 | 14 | +14.6% |
| Connecticut | $319 | $1,064 | 132 | 250 | +13.5% |
| Maryland | $311 | $1,162 | 252 | 427 | +10.9% |
| Rhode Island | $306 | $1,053 | 43 | 63 | +8.9% |
| Montana | $301 | $885 | 7 | 18 | +7.3% |
| Wyoming | $299 | $833 | 12 | 16 | +6.6% |
| Massachusetts | $299 | $1,283 | 284 | 555 | +6.3% |
| Pennsylvania | $297 | $1,043 | 604 | 1,187 | +5.9% |
| Hawaii | $297 | $1,067 | 24 | 32 | +5.8% |
| California | $293 | $1,247 | 540 | 812 | +4.4% |
| Florida | $292 | $1,159 | 632 | 1,230 | +3.9% |
| Delaware | $285 | $1,230 | 51 | 111 | +1.3% |
| New Hampshire | $283 | $1,306 | 26 | 36 | +0.9% |
| Alaska | $282 | $1,790 | 16 | 21 | +0.5% |
| Michigan | $281 | $885 | 398 | 618 | +0.1% |
| Colorado | $278 | $1,435 | 122 | 180 | -1.1% |
| Indiana | $277 | $885 | 239 | 453 | -1.4% |
| Louisiana | $276 | $904 | 80 | 157 | -1.7% |
| Utah | $276 | $845 | 80 | 114 | -1.9% |
| South Carolina | $276 | $938 | 137 | 284 | -1.9% |
| South Dakota | $274 | $1,005 | 28 | 38 | -2.3% |
| Nevada | $271 | $1,546 | 63 | 99 | -3.7% |
| Georgia | $269 | $1,193 | 216 | 371 | -4.3% |
| New Mexico | $269 | $947 | 46 | 79 | -4.4% |
| Alabama | $268 | $884 | 201 | 372 | -4.5% |
| Washington | $267 | $1,082 | 120 | 169 | -4.9% |
| Maine | $267 | $933 | 21 | 30 | -5.0% |
| Oregon | $266 | $1,068 | 62 | 85 | -5.3% |
| Iowa | $266 | $947 | 110 | 222 | -5.5% |
| Arizona | $265 | $1,160 | 140 | 222 | -5.6% |
| Arkansas | $265 | $785 | 34 | 65 | -5.6% |
| Kansas | $265 | $945 | 101 | 167 | -5.8% |
| North Dakota | $264 | $1,155 | 24 | 30 | -6.0% |
| Wisconsin | $263 | $1,883 | 125 | 173 | -6.5% |
| West Virginia | $262 | $882 | 81 | 162 | -6.9% |
| Ohio | $261 | $982 | 536 | 853 | -6.9% |
| Nebraska | $260 | $877 | 27 | 35 | -7.6% |
| Missouri | $259 | $973 | 207 | 358 | -7.7% |
| Texas | $259 | $1,225 | 442 | 601 | -7.7% |
| Minnesota | $259 | $1,195 | 160 | 216 | -7.7% |
| Kentucky | $259 | $939 | 127 | 208 | -7.8% |
| Illinois | $258 | $1,091 | 347 | 724 | -8.3% |
| Tennessee | $256 | $1,125 | 202 | 329 | -8.9% |
| Oklahoma | $255 | $1,056 | 78 | 113 | -9.1% |
| Idaho | $254 | $931 | 31 | 44 | -9.5% |
| North Carolina | $254 | $1,053 | 286 | 418 | -9.6% |
| Mississippi | $254 | $1,229 | 114 | 200 | -9.7% |
| Virginia | $225 | $876 | 221 | 461 | -19.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber