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CostHelper > Health & Personal Care  > Orthopedics and Injuries > Sprained or Broken Ankle

Sprained or Broken Ankle Cost


How Much Does a Sprained or Broken Ankle Cost?

 
low costWith Insurance: $100 to Out-of-Pocket Maximumaverage costNon-Surgical Treatment: $500-$2,500+high costWith Surgery: $11,000-$20,000+
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  Typical costs:
  • Without health insurance, diagnosis and non-surgical treatment for a sprained or broken ankle typically costs less than $500 for a mild to moderate sprain and up to $2,500 or more for a fracture requiring a cast. An ankle X-ray can cost an average of $180, according to NewChoiceHealth.com[1] , but some radiology centers charge $1,000 or more. Non-surgical treatment of a sprain that involves wrapping the ankle costs about $128, while application of a short leg cast costs about $238, not including the doctor fee, according to Saint Elizabeth Regional Medical Center[2] in Lincoln, Nebraska. A typical doctor fee for non-surgical treatment of a fracture would include $90 to $200 for an office visit plus $250 to $950 for treatment, according to Carolina Orthopaedic Surgery Associates[3] .
  • Without health insurance, diagnosis and surgical treatment of a broken ankle typically costs just under $11,000 to $20,000 or more. For example, surgery for a fractured ankle costs between $9,719 and $17,634, not including the doctor fee, according to a cost calculator from Saint Elizabeth Regional Medical Center[4] in Lincoln, Nebraska. And a typical doctor fee for surgical treatment of a fracture could reach $2,000 or more, according to Carolina Orthopaedic Surgery Associates[5] .
  • Treatment for a sprained or broken ankle generally will be covered by health insurance. Typical expenses for a patient with insurance can include an X-ray copay, an office visit copay and coinsurance of 30 percent or more for the procedure. The total could range from $100 for a mild sprain to thousands of dollars, or the yearly out-of-pocket maximum for surgery.
Related articles: Ankle Replacement, Crutches, Sprained or Broken Wrist, Hip Fracture, Broken Leg

What should be included:
  • Ankle sprains often can be treated with a brace and compression wrap, ice, rest, elevation and non-steroidal anti-inflammatory drugs, according to WebMD[6] .
  • For non-surgical treatment of ankle fractures, a doctor usually applies a brace or short leg cast, and might order follow-up X-rays to make sure the bone is staying in place during healing.
  • For surgical treatment of ankle fractures, the doctor places wires, screws or other hardware to hold the bones in place during healing; the exact treatment depends on the type and severity of fracture. The American Academy of Orthopedic Surgeons[7] outlines the typical treatment for various types of ankle fractures.
Additional costs:
  • Going to an emergency room for initial treatment could add $1,000 to $2,000 or more to the final bill; costs would include an emergency room visit fee, an emergency room doctor fee and the cost of a temporary cast such as an air cast; the patient would then need to seek treatment from a specialist.
  • Crutches cost about $15 to $40 for a basic pair or up to $100 or more for deluxe forearm crutches.
  • Physical therapy might be necessary for regaining strength and balance. Several sessions per week at $50 to $75 per hour for six to eight weeks could cost $1,000 or more.
  • For patients who have a broken bone treated surgically, metal hardware usually can be left in, unless it causes irritation in the future; if removal is required, it can cost between about $2,533 and $11,710 or more, according to Saint Elizabeth Regional Medical Center[8] in Lincoln, Nebraska.
Discounts:
  • Some orthopedic specialists offer discounts for uninsured/cash-paying patients. For example, the Southern California Orthopedic Institute offers discounted services for cash-paying patients, and the Northwest Community Hospital Orthopedic Services Center[9] , in Chicago, offers discounts for prompt payment.
  • Some free clinics, such as the Community Health Free Clinic[10] in Chicago, offer orthopedic specialty care. The U.S. Department of Health and Human Services[11] provides a directory of federally funded health centers; if the nearest clinic doesn't offer orthopedic care, ask for a referral.
Shopping for a sprained or broken ankle:
  • A general practitioner can refer the patient to a specialist. Or, the American Board of Orthopaedic Surgery[12] offers an orthopedic surgeon finder by city, state or zip code. Sports-related injuries can be treated by a sports medicine specialist, who could be either a family physician or an orthopedic surgeon; the American Osteopathic Academy of Sports Medicine has a doctor finder.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
high ankle "skier" sprain
Amount: $25,000.00
Posted by: florida skier in gainesville, FL.Posted: February 5th, 2014 10:02AM
Type of Injury: badly sprained ankleType of Treatment: surgery
Medical Center: Univ Florida Sports Medicine OrthopedicsInsurance Carrier: BCBS
similar to what others reported. initial exam Xrays plus soft splint in Utah in the ski resort clinic (out of state) $900, surgery at UFlorida Shands $12,000 plus other stuff came to about $25,000. TI paid $2,300 close to my $2,500 deductible. nice Xmas ski trip :-)
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lateral malleous closed fracture
Amount: $1,717.00
Posted by: Broken Ankle in Chicago suburb, IL.Posted: April 14th, 2013 12:04PM
Type of Injury: ankle fractureType of Treatment: x-rays, crutches and walking boot
Medical Center: Immediate care in Chicago suburbInsurance Carrier: BCBS
I'm an HMO patient and didn't know that I wasn't allowed to go to immediate care w/o a referral. I received my benefits book a couple of weeks after my fall. For a closed fracture which the PA just examined, I've been billed for surgery (medical code 27786) - $1200. This is how it's done per http://www.myorthoteam.com/services/fracture-care The set of X-rays was billed at $150, medical visit at $360, crutches at $65 and boot at $275.
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Fractured Ankle -3 area break
Amount: $24,000.00
Posted by: texasgirl in San Antonio, TX.Posted: December 29th, 2012 01:12AM
Type of Injury: Fractured AnkleType of Treatment: emergency room plus surgery
Medical Center: University HCSInsurance Carrier: none
I took a tiny misstep off of my patio.(Wouldn't you know it, 95% of the time I have insurance and nothing happens.) I fell straight down and heard a snap and saw my foot and I knew it was broken. The first emergency room I went to did not set my bone back in, they sent me home with a loose semi-splint and told me to go see an orthopedic surgeon. -Three doctors told me that they should have set my bone right there and then. I then went to the orth. dr and he sent me to a public emergency room because of no insurance. After going in and out for xrays and paperwork, I finally got a bed. They tried to set my bone in, but could not get it to go. They scheduled me for surgery three days later. I received 2 screws, a plate, and 28 staples. All doctors were amazing at UHCS and at The San Antonio Orthopaedic Group. $2000 for my first emergency room visit where all they did was take xrays and give me meds;$4000 for my second emergency room visit and $19,245 for my ankle surgery.
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Broken Ankle
Amount: $4,000.00
Posted by: Kid's Mom in Orange, CA.Posted: January 19th, 2012 10:01AM
Type of Injury: Broken Ankle (minor)Type of Treatment: splint
Medical Center: Childrens Hospital Orange CountyInsurance Carrier: Blue Cross Blue Shield
We spent over $4000 for the ER and then there were 3 or 4 follow-up visits with Ortho MD. Insurance covered much of the ER visit, but we were still stuck with about $1000. I don't recall how much the follow up office visits cost.
It was a very minor break. It did not show up on the initial xray.
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External Resources:
  1.  www.newchoicehealth.com/Directory/Procedure/107/Ankle%20X-Ray
  2.  tp.chi.acelogicus.net/nese/Default.aspx
  3.  www.c-osa.com/charges.htm
  4.  tp.chi.acelogicus.net/nese/Default.aspx
  5.  www.c-osa.com/charges.htm
  6.  www.webmd.com/a-to-z-guides/ankle-sprain-treatment-overview
  7.  orthoinfo.aaos.org/topic.cfm?topic=A00391
  8.  tp.chi.acelogicus.net/nese/Default.aspx
  9.  www.nch.org/medical-services/orthopedic-services/index.php
  10.  www.communityhfc.org/referals.htm
  11.  findahealthcenter.hrsa.gov/Search_HCC.aspx
  12.  www.abos.org/find-a-certified-orthopaedic-surgeon.aspx
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