The cost of ankle fracture surgery in the emergency department ranges from $10,000 to $40,000. There is a wide range of ankle fractures including simple lateral ankle fractures, medial ankle fractures, double fractures of the medial and lateral ankle, and triple ankle fractures; there is also a Pilon fracture involving the surface of the ankle, which is a very severe ankle fracture. Thus there is a range of costs for ankle fractures; for a simple medial ankle fracture, two hollow screws are usually given to fix the fracture; the entire cost of this procedure, including anesthesia and hospitalization costs, is usually less than $10,000 for this procedure. Similarly, the cost of a simple lateral ankle fracture is about $10,000; however, the more complex Pilon fracture involves collapse of the internal and external ankle joints and even the posterior ankle surface, and multiple plates, including hollow nails, may be used during the operation; in addition, ankle collapse may require bone grafting with artificial allograft bone, and thus the cost typically exceeds $30,000 to $40,000. The cost of surgery for ankle fracture needs to be determined by the nature of the fracture as well as the materials used. The cost of surgery for different degrees of fracture will vary and should be determined based on the doctor’s examination.