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Procedure price report · Other OR therapeutic procedures on bone

Multiple thigh bone cuts realigned over an internal rod

CPT 27454the billing code this page is about

Surgery in which the thigh bone is cut in several places and straightened over a rod placed inside the bone canal.

Hospitals typically charge $3,287 cash for this outpatient procedure — the median across 171 hospitals that filed a usable cash price; the average of the middle 60% is $3,693. Most fall between $1,970 and $6,839 (20th–80th percentile).

Hospitals
171
States
40
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 171 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
$1,208$2,128$3,287$6,343$9,303

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($1,208 vs $9,303).

How the prices are spread

$536 – $781: 2 hospitals$536$781 – $1,137: 6 hospitals$1,137 – $1,656: 14 hospitals$1,137$1,656 – $2,411: 35 hospitals$2,411 – $3,511: 28 hospitals$2,411$3,511 – $5,112: 23 hospitals$5,112 – $7,444: 26 hospitals$5,112$7,444 – $10,840: 18 hospitals$10,840 – $15,785: 1 hospitals$10,840$15,785 – $22,985: 2 hospitals$15,785median $3,287price bands are equal on a log scale
Hospitals per price band (155 of 171 — the bands cover the 5th to 95th percentile)
FromToHospitals
$536$7812
$781$1,1376
$1,137$1,65614
$1,656$2,41135
$2,411$3,51128
$3,511$5,11223
$5,112$7,44426
$7,444$10,84018
$10,840$15,7851
$15,785$22,9852

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,287
Cash as a multiple of Medicare0.44×

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 $3,287.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 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: 1 hospital 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: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $3,287 across 18 hospitalsMI$3,287New York: median $7,413 across 15 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: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $493 across 16 hospitalsPA$493New Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital 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: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 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 $2,128 across 11 hospitalsOK$2,128Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 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: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,287. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY15$7,413+126%$3,922 – $9,058
New Jersey NJ13$5,339+62%$4,350 – $6,311
Michigan MI18$3,2870%$3,287 – $9,978
Oklahoma OK11$2,128−35%$2,128 – $2,128
Pennsylvania PA16$493−85%$420 – $5,318
Illinois IL9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maine ME1not 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
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not 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 $3,287.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care142$3,287$1,990 – $7,413
Children’s10fewer than 20 hospitals
Critical access18fewer than 20 hospitals
Ownership
For-profit18fewer than 20 hospitals
Government30$2,694$2,137 – $7,413
Non-profit122$3,287$1,970 – $6,343
System affiliation
Part of a system133$3,287$1,843 – $7,413
Independent38$2,861$2,060 – $5,498

Cash price vs list price

Median list price (chargemaster)$3,675
Median cash price$3,287
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.

How complete is this

171 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 193 hospitals that filed this code at all gave us
Usable cash price — counted171
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
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 — excluded2
Hospitals that filed this code193

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 Mlt W/Relignmt Imed Rod Fem Shft.

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, “Multiple thigh bone cuts realigned over an internal rod (CPT 27454) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27454-multiple-thigh-bone-cuts-realigned-over-an-internal-rod