{"procedure":{"code_type":"CPT","code":"27828","lay_name":"Surgery to fix lower shinbone and fibula fractures","blurb":"Open operation with internal or external hardware for a break involving the joint surface of the lower leg, with fixation placed in both lower leg bones.","slug":"cpt-27828-surgery-to-fix-lower-shinbone-and-fibula-fractures","description":"Open Treatment Fracture Distal Tibia & Fibula","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"147","label":"Treatment, fracture or dislocation of lower extremity (other than hip or femur)","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":779,"n_usable":702,"n_not_usable":0,"n_labelled":49,"n_no_cash":22,"n_estimated":6,"n_states":49,"cash_p10":1483.0,"cash_p20":2271.9,"cash_p25":2537.6,"cash_p50":6167.0,"cash_p75":14254.12,"cash_p80":15239.31,"cash_p90":24768.8,"cash_mean_trimmed":6993.73,"gross_p50":6441.0,"cash_to_gross_p50":0.65,"medicare_rate":13116.76,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.4702,"by_state":[{"state":"AK","n":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":9,"p20":null,"p50":null,"p80":null},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":67,"p20":3910.14,"p50":14331.2,"p80":24768.8},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":11,"p20":2544.62,"p50":11934.4,"p80":19178.12},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":30,"p20":2542.8,"p50":3249.6,"p80":3711.4},{"state":"ID","n":13,"p20":2664.0,"p50":15889.0,"p80":19343.0},{"state":"IL","n":23,"p20":1669.85,"p50":2423.1,"p80":9483.38},{"state":"IN","n":15,"p20":1495.0,"p50":1845.2,"p80":3917.62},{"state":"KS","n":14,"p20":818.7,"p50":2111.2,"p80":17260.0},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":35,"p20":2271.9,"p50":2502.0,"p80":17653.66},{"state":"MN","n":26,"p20":2860.59,"p50":5320.86,"p80":6856.96},{"state":"MO","n":11,"p20":2936.25,"p50":6869.8,"p80":12796.0},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":9,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":3197.0,"p50":3824.64,"p80":4439.35},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":31,"p20":5110.0,"p50":14061.89,"p80":15805.75},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":2215.85,"p50":13116.76,"p80":15239.31},{"state":"OH","n":19,"p20":2345.25,"p50":4791.8,"p80":19119.68},{"state":"OK","n":13,"p20":2782.92,"p50":2782.92,"p80":12299.1},{"state":"OR","n":27,"p20":2441.4,"p50":4398.4,"p80":29451.0},{"state":"PA","n":25,"p20":818.84,"p50":6346.0,"p80":19980.16},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":46,"p20":8908.16,"p50":12653.0,"p80":12833.0},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":28,"p20":2564.1,"p50":4771.2,"p80":27260.48},{"state":"WI","n":37,"p20":6441.0,"p50":6993.35,"p80":10014.3},{"state":"WV","n":20,"p20":1400.3,"p50":4407.88,"p80":15011.35},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":504,"p20":2423.1,"p50":7418.4,"p80":17841.12},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":183,"p20":1932.0,"p50":3721.9,"p80":8049.76}],"ownership":[{"key":"for_profit","n":71,"p20":2782.92,"p50":11303.3,"p80":21879.07},{"key":"government","n":111,"p20":2415.0,"p50":3710.0,"p80":14023.5},{"key":"nonprofit","n":519,"p20":2271.9,"p50":6565.72,"p80":15889.0}],"affiliation":[{"key":"affiliated","n":535,"p20":2294.56,"p50":6993.35,"p80":17353.56},{"key":"independent","n":167,"p20":2115.0,"p50":3751.3,"p80":11934.4}]},"histogram":[{"lo":1077.3,"hi":1499.73,"n":37},{"lo":1499.73,"hi":2087.8,"n":43},{"lo":2087.8,"hi":2906.47,"n":97},{"lo":2906.47,"hi":4046.15,"n":76},{"lo":4046.15,"hi":5632.72,"n":58},{"lo":5632.72,"hi":7841.42,"n":65},{"lo":7841.42,"hi":10916.19,"n":56},{"lo":10916.19,"hi":15196.63,"n":82},{"lo":15196.63,"hi":21155.52,"n":56},{"lo":21155.52,"hi":29451.0,"n":62}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-11","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":433,"n_usable":385,"n_not_usable":0,"n_labelled":21,"n_no_cash":27,"n_estimated":0,"n_states":46,"cash_p10":1477.64,"cash_p20":2063.2,"cash_p25":2441.4,"cash_p50":6347.4,"cash_p75":14241.77,"cash_p80":17260.0,"cash_p90":24768.8,"cash_mean_trimmed":6714.63,"gross_p50":7135.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":57,"p20":7303.68,"p50":14331.2,"p80":24768.8},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":2149.0,"p50":3249.6,"p80":3249.6},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":1669.85,"p50":2423.1,"p80":9268.2},{"state":"IN","n":11,"p20":1444.31,"p50":1669.85,"p80":1669.85},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":16,"p20":2001.6,"p50":3792.8,"p80":6993.35},{"state":"MN","n":20,"p20":2749.26,"p50":5844.0,"p80":6856.96},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":1576.49,"p50":2294.56,"p80":3749.0},{"state":"OH","n":10,"p20":1400.0,"p50":1989.0,"p80":5016.84},{"state":"OK","n":11,"p20":2782.92,"p50":2782.92,"p80":2782.92},{"state":"OR","n":16,"p20":2441.4,"p50":3856.5,"p80":29451.0},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":39,"p20":8908.16,"p50":12653.0,"p80":12653.0},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":15,"p20":2564.1,"p50":15219.93,"p80":27260.48},{"state":"WI","n":16,"p20":6993.35,"p50":6993.35,"p80":6993.35},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":280,"p20":2215.85,"p50":6993.35,"p80":17353.56},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":98,"p20":1912.3,"p50":3980.68,"p80":14023.5}],"ownership":[{"key":"for_profit","n":38,"p20":1669.85,"p50":4757.0,"p80":12653.0},{"key":"government","n":43,"p20":2385.71,"p50":3710.0,"p80":14023.5},{"key":"nonprofit","n":303,"p20":2115.0,"p50":6856.96,"p80":18455.05}],"affiliation":[{"key":"affiliated","n":309,"p20":2193.0,"p50":6993.35,"p80":18799.2},{"key":"independent","n":76,"p20":2001.6,"p50":2750.03,"p80":12207.33}]},"histogram":[{"lo":1209.93,"hi":1659.09,"n":28},{"lo":1659.09,"hi":2274.99,"n":36},{"lo":2274.99,"hi":3119.54,"n":52},{"lo":3119.54,"hi":4277.6,"n":43},{"lo":4277.6,"hi":5865.56,"n":14},{"lo":5865.56,"hi":8043.03,"n":41},{"lo":8043.03,"hi":11028.83,"n":31},{"lo":11028.83,"hi":15123.05,"n":40},{"lo":15123.05,"hi":20737.17,"n":24},{"lo":20737.17,"hi":28435.4,"n":38}],"previous":null}},"related":[{"code_type":"CPT","code":"27560","lay_name":"Resetting a dislocated kneecap without anesthesia","slug":"cpt-27560-resetting-a-dislocated-kneecap-without-anesthesia"},{"code_type":"CPT","code":"27818","lay_name":"Setting a three-part ankle fracture without surgery","slug":"cpt-27818-setting-a-three-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"28515","lay_name":"Setting a broken toe without surgery","slug":"cpt-28515-setting-a-broken-toe-without-surgery"},{"code_type":"CPT","code":"27810","lay_name":"Setting a two-part ankle fracture without surgery","slug":"cpt-27810-setting-a-two-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"27788","lay_name":"Setting an outer ankle bone fracture without surgery","slug":"cpt-27788-setting-an-outer-ankle-bone-fracture-without-surgery"},{"code_type":"CPT","code":"27840","lay_name":"Resetting a dislocated ankle without anesthesia","slug":"cpt-27840-resetting-a-dislocated-ankle-without-anesthesia"},{"code_type":"CPT","code":"28660","lay_name":"Setting a dislocated toe joint without anesthesia","slug":"cpt-28660-setting-a-dislocated-toe-joint-without-anesthesia"},{"code_type":"CPT","code":"27786","lay_name":"Nonsurgical care of outer ankle bone fracture, no resetting","slug":"cpt-27786-nonsurgical-care-of-outer-ankle-bone-fracture-no-resetting"},{"code_type":"CPT","code":"28630","lay_name":"Setting a dislocated toe knuckle joint without anesthesia","slug":"cpt-28630-setting-a-dislocated-toe-knuckle-joint-without-anesthesia"},{"code_type":"CPT","code":"27550","lay_name":"Putting a dislocated knee back in place without anesthesia","slug":"cpt-27550-putting-a-dislocated-knee-back-in-place-without-anesthesia"},{"code_type":"CPT","code":"28470","lay_name":"Treatment of a broken foot bone without realignment","slug":"cpt-28470-treatment-of-a-broken-foot-bone-without-realignment"},{"code_type":"CPT","code":"28495","lay_name":"Setting a broken big toe without surgery","slug":"cpt-28495-setting-a-broken-big-toe-without-surgery"}]}