Surgery and procedures CPT 27786 Iowa Outpatient

Broken ankle treatment cost in Iowa

In Iowa, 52 hospitals publish a cash price for broken ankle (outer ankle bone) treatment without surgery or setting: from $82.40 to $4,822.50, with a median of $446.76. The lowest price is at Decatur County Hospital (Leon). The highest price is 58.5× the lowest.

  • The median here, $446.76, is 6% below the US median of $477.46.
  • That is 1.8× Medicare's 2026 national rate for the same service ($252.01).
  • Iowa ranks 22nd of 46 states by median, cheapest first.
  • 4 of 52 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 27786. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$82.40Decatur County Hospital
Median$446.76half of hospitals charge less
Highest$4,822.50in Iowa
Lowest saves$364.36vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Decatur County Hospital lowest Leon · Leon, IA Closed treatment of broken outside lower leg bone at ankle $82.40 $103.00 Mar 4, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Closed Tx Distal Fibular Fracture w/o Manipulation $107.70 $359.00 Feb 15, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC DIST FIB FX CLSD WO MANIP $123.30 $274.00 Sep 30, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC DIST FIB FX CLSD WO MANIP $137.00 $274.00 Sep 30, 2026
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MercyOne North Iowa Medical Center one side Mason City · Mason City, IA HC Treatment Fracture Fibular Distal Closed W/O Manipulation Rt $159.25 $245.00 Mar 31, 2026
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Story County Hospital Nevada · Ames, IA HC CL TX DSTL FIB FX WO MANIP $167.20 $209.00 Mar 30, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC CL TX DSTL FIB FX WO MANIP $174.00 $217.49 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC CL TX DSTL FIB FX WO MANIP $174.00 $217.49 Nov 4, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Closed treatment of broken outside lower leg bone at ankle $180.00 $225.00 Oct 21, 2026
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA IA ORTHO FAC SC-CLTX DSTL FIBULAR FX LAT $209.00 $321.00 May 29, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Closed treatment of broken outside lower leg bone at ankle $210.00 $300.00 Jul 20, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC CL TX DSTL FIB FX WO MANIP $231.46 $289.32 Nov 4, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC CL TX DSTL FIB FX WO MANIP $236.97 $296.21 Nov 4, 2026
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WinnMed Decorah · Decorah, IA Closed treatment of broken outside lower leg bone at ankle $238.70 $341.00 Oct 13, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Closed treatment of broken outside lower leg bone at ankle $252.00 $630.00 Sep 30, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC CL TX DSTL FIB FX WO MANIP $255.45 $319.31 Jan 28, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC CL TX DSTL FIB FX WO MANIP $333.48 $416.86 Jun 18, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Closed treatment of broken outside lower leg bone at ankle $337.50 $450.00 Oct 23, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC CL TX DSTL FIB FX WO MANIP $340.00 $425.00 Jun 29, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 27786 CLSD TX DISTAL FIB FX W/O MAN $389.07 $655.00 Jun 27, 2026
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Van Diest Medical Center Webster City · Webster City, IA TREATMENT OF ANKLE FRACTURE $401.60 $502.00 Feb 5, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC CL TX DSTL FIB FX WO MANIP $406.95 $508.68 Nov 4, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC DIST FIB FX CLSD WO MANIP $408.50 $950.00 Sep 30, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA ED 27786 CLSD TX ANKLE FX WO MANIP $416.00 $520.00 Mar 4, 2026
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Wayne County Hospital Corydon · Corydon, IA Closed treatment of broken outside lower leg bone at ankle $425.00 $425.00 Jun 10, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC CL TX DSTL FIB FX WO MANIP $425.75 $532.18 Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC CL TX DSTL FIB FX WO MANIP $467.76 $584.70 Nov 4, 2026
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Boone County Hospital Boone · Ames, IA Closed treatment of broken outside lower leg bone at ankle $480.80 $601.00 Jul 27, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC CL TX DSTL FIB FX WO MANIP $517.44 $924.00 Mar 26, 2026
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Avera Merrill Pioneer one side Rock Rapids · Rock Rapids, IA $532.53 $549.00 —
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Knoxville Hospital & Clinics Knoxville · Pella, IA Closed treatment of broken outside lower leg bone at ankle $546.00 $910.00 Jan 24, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Closed treatment of broken outside lower leg bone at ankle $583.80 $973.00 Aug 20, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Closed treatment of broken outside lower leg bone at ankle $594.36 $1,143.00 Oct 19, 2026
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Avera Holy Family Hospital one side Estherville · Estherville, IA $599.46 $618.00 —
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Hancock County Health System Britt · Britt, IA Closed treatment of broken outside lower leg bone at ankle $610.50 $814.00 Oct 20, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP $614.60 $878.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP $614.60 $878.00 Mar 11, 2026
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Kossuth Regional Health Center Algona · Algona, IA Closed treatment of broken outside lower leg bone at ankle $650.40 $813.00 Jul 16, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Closed treatment of broken outside lower leg bone at ankle $716.00 $895.00 Jul 27, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC CL TX DSTL FIB FX WO MANIP $716.81 $896.01 Nov 4, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA OR 27786 Trtmnt Of Ankle Fract $745.00 $745.00 Sep 1, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA CLOSED TREAT DI $755.61 $888.95 Apr 24, 2026
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Franklin General Hospital Hampton · Hampton, IA Closed treatment of broken outside lower leg bone at ankle $814.50 $905.00 Nov 3, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Closed treatment of broken outside lower leg bone at ankle $827.79 $1,235.50 Oct 16, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC CL TX DSTL FIB FX WO MANIP $837.00 $930.00 Mar 31, 2026
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Sioux Center Health one side Sioux Center · Sioux Center, IA $896.28 $924.00 Apr 1, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Closed treatment of broken outside lower leg bone at ankle $932.00 $932.00 Nov 3, 2026
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Mercy Medical Center - New Hampton one side New Hampton · New Hampton, IA HC Treatment Fracture Fibular Distal Closed W/O Manipulation Rt $1,606.15 $2,471.00 Mar 31, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Treatment Fracture Fibular Distal Closed W/O Manipulation Rt $2,471.00 $2,471.00 Mar 31, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $2,709.40 $2,852.00 Apr 1, 2026
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MercyOne Waterloo Medical Center one side Waterloo · Waterloo-Cedar Falls, IA HC Treatment Fracture Fibular Distal Closed W/O Manipulation Rt $3,302.65 $5,081.00 Mar 31, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Closed treatment of broken outside lower leg bone at ankle $4,822.50 $6,430.00 Sep 2, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Waterloo-Cedar Falls, IA 5 $174.00 $340.00
Des Moines-West Des Moines, IA 4 $180.00 $338.38
Omaha, NE-IA 3 $107.70 $137.00
Ames, IA 2 $167.20 $324.00
Carroll, IA 2 $827.79 $879.90
Iowa City, IA 2 $614.60 $614.60
Algona, IA 1 $650.40 $650.40
Britt, IA 1 $610.50 $610.50
Cedar Rapids, IA 1 $255.45 $255.45
Centerville, IA 1 $2,471.00 $2,471.00
Charles City, IA 1 $252.00 $252.00
Cherokee, IA 1 $837.00 $837.00
Clarinda, IA 1 $337.50 $337.50
Corning, IA 1 $123.30 $123.30
Corydon, IA 1 $425.00 $425.00
Cedar Rapids, IA 1 $425.75 $425.75
Decorah, IA 1 $238.70 $238.70
Denison, IA 1 $716.00 $716.00
Dubuque, IA 1 $236.97 $236.97
Estherville, IA 1 $599.46 $599.46
Fairfield, IA 1 $583.80 $583.80
Fort Dodge, IA 1 $231.46 $231.46
Greenfield, IA 1 $4,822.50 $4,822.50
Grinnell, IA 1 $406.95 $406.95
Hampton, IA 1 $814.50 $814.50
Harwarden, IA 1 $755.61 $755.61
Jefferson, IA 1 $517.44 $517.44
Keosauqua, IA 1 $210.00 $210.00
Leon, IA 1 $82.40 $82.40
Marshalltown, IA 1 $174.00 $174.00
Mason City, IA 1 $159.25 $159.25
New Hampton, IA 1 $1,606.15 $1,606.15
Pella, IA 1 $546.00 $546.00
Rock Rapids, IA 1 $532.53 $532.53
Sheldon, IA 1 $416.00 $416.00
Sioux Center, IA 1 $896.28 $896.28
Sioux City, IA-NE-SD 1 $716.81 $716.81
Spirit Lake, IA 1 $2,709.40 $2,709.40
Webster City, IA 1 $401.60 $401.60
West Union, IA 1 $389.07 $389.07
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What broken ankle treatment is, what the price covers and why prices differ: Broken ankle treatment explained.

Broken ankle (outer ankle bone) treatment without surgery or setting in other states

Median cash price across the state's hospitals.