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Procedure price report · Treatment, fracture or dislocation of hip and femur

Hip fracture surgery with screws or partial hip replacement

CPT 27236the billing code this page is about

Open surgery for a fracture of the narrow upper part of the thigh bone, repaired with internal hardware or treated by replacing the broken portion with an implant.

Hospitals typically charge $3,042 cash for this outpatient procedure — the median across 620 hospitals that filed a usable cash price; the average of the middle 60% is $3,391. Most fall between $1,482 and $6,217 (20th–80th percentile).

Hospitals
620
States
48
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 620 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
$943$1,805$3,042$5,514$9,152

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($943 vs $9,152).

How the prices are spread

$469 – $662: 15 hospitals$469$662 – $934: 14 hospitals$934 – $1,319: 40 hospitals$934$1,319 – $1,862: 65 hospitals$1,862 – $2,629: 96 hospitals$1,862$2,629 – $3,711: 117 hospitals$3,711 – $5,239: 74 hospitals$3,711$5,239 – $7,396: 75 hospitals$7,396 – $10,440: 43 hospitals$7,396$10,440 – $14,738: 23 hospitals$10,440median $3,042price bands are equal on a log scale
Hospitals per price band (562 of 620 — the bands cover the 5th to 95th percentile)
FromToHospitals
$469$66215
$662$93414
$934$1,31940
$1,319$1,86265
$1,862$2,62996
$2,629$3,711117
$3,711$5,23974
$5,239$7,39675
$7,396$10,44043
$10,440$14,73823

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,042
Cash as a multiple of Medicare0.41×

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 $3,042.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,193 across 10 hospitalsME$1,193Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,756 across 11 hospitalsNH$1,756Washington: median $2,563 across 17 hospitalsWA$2,563Idaho: median $4,214 across 16 hospitalsID$4,214Montana: median $1,854 across 10 hospitalsMT$1,854North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,731 across 31 hospitalsMN$4,731Illinois: median $2,942 across 25 hospitalsIL$2,942Wisconsin: median $6,217 across 40 hospitalsWI$6,217Michigan: median $3,042 across 37 hospitalsMI$3,042New York: median $2,941 across 35 hospitalsNY$2,941Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $3,310 across 27 hospitalsOR$3,310Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,942 across 39 hospitalsIA$2,942Indiana: median $2,025 across 21 hospitalsIN$2,025Ohio: median $3,551 across 19 hospitalsOH$3,551Pennsylvania: median $422 across 22 hospitalsPA$422New Jersey: median $4,627 across 21 hospitalsNJ$4,627Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,025 across 21 hospitalsCA$3,025Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,568 across 13 hospitalsCO$2,568Nebraska: median $3,784 across 15 hospitalsNE$3,784Missouri: median $1,900 across 11 hospitalsMO$1,900Kentucky: median $1,721 across 10 hospitalsKY$1,721West Virginia: median $2,969 across 17 hospitalsWV$2,969Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,418 across 14 hospitalsKS$1,418Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,499 across 12 hospitalsOK$2,499Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,609 across 14 hospitalsTX$3,609Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,042. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI40$6,217+104%$4,101 – $7,827
Minnesota MN31$4,731+56%$2,404 – $6,470
New Jersey NJ21$4,627+52%$1,688 – $5,855
Idaho ID16$4,214+39%$1,958 – $14,738
Nebraska NE15$3,784+24%$1,743 – $3,980
Texas TX14$3,609+19%$1,533 – $21,709
Ohio OH19$3,551+17%$1,595 – $5,404
Oregon OR27$3,310+9%$2,203 – $3,930
Michigan MI37$3,0420%$1,478 – $3,075
California CA21$3,025−1%$1,197 – $3,868
West Virginia WV17$2,969−2%$1,269 – $5,987
Iowa IA39$2,942−3%$2,180 – $3,446
Illinois IL25$2,942−3%$1,482 – $5,813
New York NY35$2,941−3%$1,132 – $7,413
Colorado CO13$2,568−16%$1,972 – $12,830
Washington WA17$2,563−16%$2,203 – $4,422
Oklahoma OK12$2,499−18%$2,499 – $2,499
Indiana IN21$2,025−33%$1,292 – $4,573
Missouri MO11$1,900−38%$1,828 – $9,152
Montana MT10$1,854−39%$731 – $3,627
New Hampshire NH11$1,756−42%$1,110 – $2,788
Kentucky KY10$1,721−43%$1,259 – $2,464
Kansas KS14$1,418−53%$824 – $2,933
Maine ME10$1,193−61%$798 – $2,404
Pennsylvania PA22$422−86%$300 – $5,318
Alabama AL9not enough hospitals filed a usable price
Florida FL9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Utah UT1not 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 $3,042.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care361$3,075$1,482 – $6,470
Children’s12fewer than 20 hospitals
Critical access246$2,938$1,622 – $5,758
Ownership
For-profit50$4,829$1,522 – $19,075
Government141$3,025$1,721 – $5,279
Non-profit428$2,942$1,482 – $6,217
System affiliation
Part of a system436$3,042$1,482 – $6,217
Independent184$3,025$1,805 – $5,486

Cash price vs list price

Median list price (chargemaster)$3,781
Median cash price$3,042
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

326 hospitals filed a usable inpatient cash price for this code. The median is $2,499 and the average of the middle 60% is $2,688; most fall between $1,355 and $5,477.

Cash price percentiles, inpatient, across 326 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
$500$1,482$2,499$4,287$7,506

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($500 vs $7,506).

Of the 382 hospitals that filed this code inpatient, 326 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

620 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 714 hospitals that filed this code at all gave us
Usable cash price — counted620
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
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 — excluded34
Hospitals that filed this code714

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Treatment, fracture or dislocation of hip and femur family.

Hospitals file this code under descriptions such as Optx Fem Fx Prox End Nck Int Fixj/Prostc Rplcmt.

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, “Hip fracture surgery with screws or partial hip replacement (CPT 27236) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27236-hip-fracture-surgery-with-screws-or-partial-hip-replacement