CPT 27236 Surgery - Musculoskeletal

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

$3,662 — $6,866

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$1,090
Hospital Facility Fee
$3,270
Anesthesia (est.)
$218
Important: The physician fee of $1,090 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$1,090
Physician component only — CMS PFS 2026

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

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What Insurance Companies Actually Pay

Real negotiated rates from 10 hospitals across 4 states (from hospital price transparency filings)

Lowest
$1
Highest
$16,776
Average
$6,083
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
Average by State
GA: $2,452 (9) TN: $2,919 (11) TX: $5,984 (130) CO: $8,445 (34)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

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.

17.17
Work RVU
11.85
Practice Expense RVU
3.61
Malpractice RVU
32.63
Total RVU

Payment = Total RVU (32.63) x CF ($33.40) = $1,090

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.

Source: www.carecredit.com See our data-backed answer →
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.

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