How Much Does Hip Pinning (Open Treatment of Hip Fracture) Cost?
Also known as: Treat thigh fracture (CPT 27236)
Surgical treatment of a femur fracture near the hip using screws, plates, rods, or other fixation devices.
The total estimated cost of Hip Pinning (Open Treatment of Hip Fracture) (CPT 27236) is $3,662 to $6,866, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,090.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Hip Pinning (Open Treatment of Hip Fracture)
What you need to know before your appointment
What to Expect
Under anesthesia, the surgeon realigns the broken thigh bone and secures it with metal hardware such as a rod, plate, or screws. Hospital stay is typically 2-5 days.
How Long Does It Take?
1-3 hours of surgery
Common Reasons Doctors Order This
Displaced hip fracture, intertrochanteric fracture, subtrochanteric fracture, femoral neck fracture
How to Prepare
Fast after midnight. Inform surgeons of all medications including blood thinners. Prepare home for recovery with assistive devices.
Procedures Commonly Done Together
These procedures are frequently performed alongside Treat thigh fracture
What Insurance Companies Actually Pay
Real negotiated rates from 10 hospitals across 4 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $4,395 | $2,089 - $11,593 | 8 |
| Cigna | $7,114 | $1,333 - $16,776 | 10 |
| United | $7,858 | $4,257 - $13,938 | 9 |
| BCBS | $13,442 | $11,398 - $14,618 | 3 |
| BCBS-TX | $1,744 | $932 - $2,387 | 3 |
| Superior Health Plan | $948 | $948 | 2 |
| Humana | $4,055 | $2,204 - $4,690 | 6 |
| Anthem | $7,643 | $4,765 - $10,063 | 2 |
| BCBS - TN | $301 | $167 - $737 | 2 |
| Multiplan | $10,478 | $10,478 | 2 |
| Oscar | $3,390 | $3,390 | 3 |
| Healthcare Highways | $5,841 | $5,841 | 3 |
How to Reduce Your Cost for Treat thigh 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
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 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.
Payment = Total RVU (32.63) x CF ($33.40) = $1,090
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
How much does hip surgery cost out of pocket?
Hip replacement surgery is a complex procedure that will generally cost around 9,000 for a total hip replacement, including the cost of the new hip joint implant. On average, you should expect to pay anywhere from 8,175 to 3,750 or more for your surgery.
What is the 90% rule with hip replacement?
Can I still walk if my hip is fractured?
How urgent is hip fracture surgery?
Surgery to repair a hip fracture should be done within 24-48 hours. The longer you wait to get treatment, the weaker and frailer your body becomes. We live in an aging society; every day, 10,000 people in the U.S. turn 65.
Frequently Asked Questions
How much does Treat thigh fracture cost?
The Medicare facility rate for Treat thigh fracture is $1,090. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Treat thigh fracture cost without insurance?
Without insurance, the cost of Treat thigh 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 Treat thigh fracture?
Most commercial health insurance plans and Medicare cover Treat thigh 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.