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Procedure price report · Other fracture and dislocation procedure

Surgical repair of seven or more broken ribs with hardware

CPT 21813the billing code this page is about

Open surgery to realign and stabilize rib fractures using plates, screws, or other internal fixation, billed when seven or more ribs are repaired.

Hospitals typically charge $2,411 cash for this outpatient procedure — the median across 223 hospitals that filed a usable cash price; the average of the middle 60% is $2,864. Most fall between $1,607 and $5,113 (20th–80th percentile).

Hospitals
223
States
32
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 223 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,083$1,636$2,411$4,579$5,580

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($1,083 vs $5,580).

How the prices are spread

$659 – $844: 6 hospitals$659$844 – $1,082: 5 hospitals$1,082 – $1,387: 10 hospitals$1,082$1,387 – $1,778: 34 hospitals$1,778 – $2,279: 39 hospitals$1,778$2,279 – $2,922: 40 hospitals$2,922 – $3,745: 8 hospitals$2,922$3,745 – $4,801: 21 hospitals$4,801 – $6,154: 30 hospitals$4,801$6,154 – $7,888: 8 hospitals$6,154median $2,411price bands are equal on a log scale
Hospitals per price band (201 of 223 — the bands cover the 5th to 95th percentile)
FromToHospitals
$659$8446
$844$1,0825
$1,082$1,38710
$1,387$1,77834
$1,778$2,27939
$2,279$2,92240
$2,922$3,7458
$3,745$4,80121
$4,801$6,15430
$6,154$7,8888

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$2,411
Cash as a multiple of Medicare1.47×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,411.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,778 across 12 hospitalsMI$1,778New York: median $1,894 across 21 hospitalsNY$1,894Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,411 across 14 hospitalsIA$2,411Indiana: no hospital in the corpus filed a usable priceINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $741 across 18 hospitalsPA$741New Jersey: median $3,786 across 23 hospitalsNJ$3,786Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,113 across 22 hospitalsCA$5,113Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,607 across 12 hospitalsOK$1,607Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $2,717 across 17 hospitalsTX$2,717Florida: median $3,824 across 15 hospitalsFL$3,824
Cash price by state, most expensive first. National median $2,411. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$5,113+112%$5,113 – $5,113
Florida FL15$3,824+59%$2,416 – $3,824
New Jersey NJ23$3,786+57%$1,771 – $5,419
Texas TX17$2,717+13%$2,717 – $2,717
Iowa IA14$2,4110%$2,192 – $2,411
New York NY21$1,894−21%$1,894 – $2,007
Michigan MI12$1,778−26%$1,636 – $2,211
Oklahoma OK12$1,607−33%$1,607 – $1,607
Pennsylvania PA18$741−69%$604 – $3,274
Illinois IL7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,411.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care206$2,411$1,607 – $5,110
Children’s1fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit16fewer than 20 hospitals
Government32$1,894$1,575 – $2,508
Non-profit175$2,411$1,607 – $5,113
System affiliation
Part of a system192$2,411$1,607 – $5,113
Independent31$1,973$1,394 – $3,256

Cash price vs list price

Median list price (chargemaster)$3,131
Median cash price$2,411
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

140 hospitals filed a usable inpatient cash price for this code. The median is $2,411 and the average of the middle 60% is $2,942; most fall between $1,607 and $5,113.

Cash price percentiles, inpatient, across 140 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,175$1,636$2,411$3,824$5,113

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($1,175 vs $5,113).

Of the 152 hospitals that filed this code inpatient, 140 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 0 a list price only.

How complete is this

223 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 242 hospitals that filed this code at all gave us
Usable cash price — counted223
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded1
Hospitals that filed this code242

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Open Tx Rib Fx W/Fixj Thoracoscopic Vis 7+ Ribs.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Surgical repair of seven or more broken ribs with hardware (CPT 21813) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-21813-surgical-repair-of-seven-or-more-broken-ribs-with-hardware