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Procedure price report · Other OR therapeutic procedures on bone

Upper thigh bone cut with fixation or cast

CPT 27165the billing code this page is about

Open surgery that divides the thigh bone just below the hip ball and holds it in the new position with internal or external hardware, a cast, or both.

Hospitals typically charge $3,615 cash for this outpatient procedure — the median across 220 hospitals that filed a usable cash price; the average of the middle 60% is $4,075. Most fall between $2,189 and $8,904 (20th–80th percentile).

Hospitals
220
States
43
Filings dated
Jan 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 220 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
$1,422$2,255$3,615$6,868$14,738

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,422 vs $14,738).

How the prices are spread

$795 – $1,103: 6 hospitals$795$1,103 – $1,529: 11 hospitals$1,529 – $2,121: 15 hospitals$1,529$2,121 – $2,942: 57 hospitals$2,942 – $4,080: 22 hospitals$2,942$4,080 – $5,658: 30 hospitals$5,658 – $7,848: 21 hospitals$5,658$7,848 – $10,884: 22 hospitals$10,884 – $15,096: 8 hospitals$10,884$15,096 – $20,936: 7 hospitals$15,096median $3,615price bands are equal on a log scale
Hospitals per price band (199 of 220 — the bands cover the 5th to 95th percentile)
FromToHospitals
$795$1,1036
$1,103$1,52911
$1,529$2,12115
$2,121$2,94257
$2,942$4,08022
$4,080$5,65830
$5,658$7,84821
$7,848$10,88422
$10,884$15,0968
$15,096$20,9367

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,615
Cash as a multiple of Medicare0.49×

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 $3,615.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,526 across 12 hospitalsIL$2,526Wisconsin: median $2,847 across 12 hospitalsWI$2,847Michigan: median $2,448 across 22 hospitalsMI$2,448New York: median $7,413 across 16 hospitalsNY$7,413Massachusetts: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $4,459 across 13 hospitalsOH$4,459Pennsylvania: median $581 across 16 hospitalsPA$581New Jersey: median $5,110 across 19 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,255 across 12 hospitalsOK$2,255Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,615. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY16$7,413+105%$4,166 – $9,058
New Jersey NJ19$5,110+41%$2,056 – $6,839
Ohio OH13$4,459+23%$2,189 – $5,275
Wisconsin WI12$2,847−21%$2,847 – $6,160
Illinois IL12$2,526−30%$1,063 – $5,520
Michigan MI22$2,448−32%$2,448 – $6,486
Oklahoma OK12$2,255−38%$2,255 – $2,255
Pennsylvania PA16$581−84%$495 – $5,318
Florida FL7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kansas KS1not 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 Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $3,615.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care174$3,816$2,234 – $8,904
Children’s14fewer than 20 hospitals
Critical access31$2,847$1,832 – $12,009
Ownership
For-profit23$6,160$1,063 – $15,580
Government39$3,398$2,279 – $8,904
Non-profit157$3,189$2,189 – $7,413
System affiliation
Part of a system164$3,786$2,119 – $8,979
Independent56$3,322$2,234 – $8,904

Cash price vs list price

Median list price (chargemaster)$4,714
Median cash price$3,615
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

112 hospitals filed a usable inpatient cash price for this code. The median is $2,526 and the average of the middle 60% is $2,801; most fall between $1,438 and $5,318.

Cash price percentiles, inpatient, across 112 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
$1,063$1,635$2,526$4,459$9,205

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($1,063 vs $9,205).

Of the 128 hospitals that filed this code inpatient, 112 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

220 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 262 hospitals that filed this code at all gave us
Usable cash price — counted220
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
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 — excluded12
Hospitals that filed this code262

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 4, 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 OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as Osteot Intertrchntric/Subtrchntric W/Int/Xtrnl.

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, “Upper thigh bone cut with fixation or cast (CPT 27165) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27165-upper-thigh-bone-cut-with-fixation-or-cast