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Procedure price report · Other fracture and dislocation procedure

Surgery with hardware for a broken back of the pelvis

CPT 27218the billing code this page is about

Open repair with internal fixation of a fracture or dislocation of the back part of the pelvic ring on one side, including the sacrum or sacroiliac joint.

Hospitals typically charge $3,135 cash for this outpatient procedure — the median across 203 hospitals that filed a usable cash price; the average of the middle 60% is $3,053. Most fall between $1,501 and $5,442 (20th–80th percentile).

Hospitals
203
States
37
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 203 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
$1,197$1,631$3,135$4,881$8,139

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($1,197 vs $8,139).

How the prices are spread

$784 – $1,025: 7 hospitals$784$1,025 – $1,339: 9 hospitals$1,339 – $1,750: 31 hospitals$1,339$1,750 – $2,288: 17 hospitals$2,288 – $2,990: 17 hospitals$2,288$2,990 – $3,908: 45 hospitals$3,908 – $5,108: 20 hospitals$3,908$5,108 – $6,676: 23 hospitals$6,676 – $8,725: 6 hospitals$6,676$8,725 – $11,403: 9 hospitals$8,725median $3,135price bands are equal on a log scale
Hospitals per price band (184 of 203 — the bands cover the 5th to 95th percentile)
FromToHospitals
$784$1,0257
$1,025$1,3399
$1,339$1,75031
$1,750$2,28817
$2,288$2,99017
$2,990$3,90845
$3,908$5,10820
$5,108$6,67623
$6,676$8,7256
$8,725$11,4039

By state

The median cash price in each state, against the national median of $3,135.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,631 across 11 hospitalsIL$1,631Wisconsin: median $5,819 across 14 hospitalsWI$5,819Michigan: median $3,135 across 19 hospitalsMI$3,135New York: 5 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,109 across 10 hospitalsOR$2,109Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,401 across 11 hospitalsOH$4,401Pennsylvania: median $886 across 15 hospitalsPA$886New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,332 across 25 hospitalsCA$3,332Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 5 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: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,501 across 11 hospitalsOK$1,501Louisiana: 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: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,135. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI14$5,819+86%$5,819 – $11,403
New Jersey NJ12$5,110+63%$4,350 – $5,855
Ohio OH11$4,401+40%$2,267 – $5,442
California CA25$3,332+6%$1,963 – $3,332
Michigan MI19$3,1350%$2,873 – $3,230
Oregon OR10$2,109−33%$2,109 – $4,100
Illinois IL11$1,631−48%$1,631 – $2,526
Oklahoma OK11$1,501−52%$1,501 – $1,501
Pennsylvania PA15$886−72%$750 – $3,081
Idaho ID6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New York NY5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Washington WA1not 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 $3,135.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care161$3,135$1,501 – $4,881
Children’s7fewer than 20 hospitals
Critical access34$4,100$1,631 – $11,403
Ownership
For-profit17fewer than 20 hospitals
Government23$2,594$1,484 – $4,663
Non-profit162$3,230$1,501 – $5,442
System affiliation
Part of a system164$3,230$1,501 – $5,442
Independent39$2,334$1,484 – $4,202

Cash price vs list price

Median list price (chargemaster)$4,659
Median cash price$3,135
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

130 hospitals filed a usable inpatient cash price for this code. The median is $2,334 and the average of the middle 60% is $2,453; most fall between $1,501 and $3,521.

Cash price percentiles, inpatient, across 130 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
$1,277$1,541$2,334$3,332$7,987

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($1,277 vs $7,987).

Of the 147 hospitals that filed this code inpatient, 130 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

203 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 236 hospitals that filed this code at all gave us
Usable cash price — counted203
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded18
Hospitals that filed this code236

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Optx Post Pel Bone Fx&/Dislc Int Fixj if Pfrmd.

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, “Surgery with hardware for a broken back of the pelvis (CPT 27218) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27218-surgery-with-hardware-for-a-broken-back-of-the-pelvis