CPT 27244 Surgery - Musculoskeletal

How Much Does Open Treatment of Intertrochanteric Hip Fracture Cost?

Also known as: Treat thigh fracture (CPT 27244)

Surgery to repair a specific type of hip fracture using a metal nail or plate inserted into the bone.

The total estimated cost of Open Treatment of Intertrochanteric Hip Fracture (CPT 27244) is $3,767 to $7,064, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,121.

Total Estimated Cost of Care

$3,767 — $7,064

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

Surgeon/Physician Fee
$1,121
Hospital Facility Fee
$3,364
Anesthesia (est.)
$224
Important: The physician fee of $1,121 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)
$1,121
Physician component only — CMS PFS 2026

Patient Guide: Open Treatment of Intertrochanteric Hip Fracture

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon inserts a large metal nail into the thigh bone through a small incision to stabilize the hip fracture.

How Long Does It Take?

1-2 hours surgery, 3-7 days hospital stay

Common Reasons Doctors Order This

Hip fracture from fall, intertrochanteric femur fracture

How to Prepare

Usually emergency surgery. Provide medication list and allergies to staff.

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
$6,128
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 $13,839 $11,735 - $15,050 3
BCBS-TX $1,796 $960 - $2,457 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 $595 $167 - $2,207 2
Multiplan $10,478 $10,478 2
Oscar $3,390 $3,390 3
Curative Administrators $8,778 $8,778 3
Average by State
GA: $2,452 (9) TN: $3,053 (11) TX: $6,036 (129) 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.

17.73
Work RVU
12.09
Practice Expense RVU
3.75
Malpractice RVU
33.57
Total RVU

Payment = Total RVU (33.57) x CF ($33.40) = $1,121

Frequently Asked Questions

How much does Treat thigh fracture cost?

The Medicare facility rate for Treat thigh fracture is $1,121. 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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