How Much Does Treatment of Tibia Fracture Cost?
Also known as: Treatment of tibia fracture (CPT 27759)
The total estimated cost of Treatment of Tibia Fracture (CPT 27759) is $3,085 to $5,785, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $918.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Procedures Commonly Done Together
These procedures are frequently performed alongside Treatment of tibia fracture
How to Reduce Your Cost for Treatment of tibia 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 (27.49) x CF ($33.40) = $918
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
How much is surgery for a broken leg?
Health Insurance Coverage For instance, non-surgical treatment for a broken leg might cost around ,500 or more, while surgical treatments could increase the price significantly. Without insurance, the costs could be between 7,000 and 5,000, depending on the complexity of the injury and treatment required.
Can I get surgery even if I can't afford it?
Government Assistance: In some cases, government programs such as Medicare or Medicaid may cover the cost of surgery if you meet certain eligibility requirements. Charity: Sometimes, local charities will help cover the cost of your surgery if it is deemed necessary.
How much is a hospital bill for a broken leg?
Key Takeaways. The cost to treat a broken leg varies widely, from around ,500 for non-surgical care to over 0,000 for surgeries, excluding additional fees. Treatment costs include diagnostics (X-rays), surgery, hospital stays, and physical therapy for recovery.
Does insurance cover a broken leg?
Even with health insurance, you're still responsible for deductibles, copays, coinsurance, and non-covered services that can add up fast if you have a severe break. Accident insurance provides a cash benefit that you can use to help pay medical and non-medical expenses after breaking a bone.
Frequently Asked Questions
How much does Treatment of tibia fracture cost?
The Medicare facility rate for Treatment of tibia fracture is $918. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Treatment of tibia fracture cost without insurance?
Without insurance, the cost of Treatment of tibia 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 Treatment of tibia fracture?
Most commercial health insurance plans and Medicare cover Treatment of tibia 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.