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Procedure price report · Other OR therapeutic procedures on bone

Upper shin bone cut to straighten leg, after growth ends

CPT 27457the billing code this page is about

Surgery that cuts the upper shin bone, and often the calf bone, to correct bowleg or knock-knee in a patient whose growth plates have closed.

Hospitals typically charge $2,962 cash for this outpatient procedure — the median across 273 hospitals that filed a usable cash price; the average of the middle 60% is $3,498. Most fall between $1,558 and $8,613 (20th–80th percentile).

Hospitals
273
States
45
Filings dated
Dec 2023 – 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 273 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
$1,294$1,769$2,962$6,447$12,525

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($1,294 vs $12,525).

How the prices are spread

$729 – $1,019: 8 hospitals$729$1,019 – $1,425: 22 hospitals$1,425 – $1,993: 49 hospitals$1,425$1,993 – $2,787: 40 hospitals$2,787 – $3,896: 29 hospitals$2,787$3,896 – $5,448: 33 hospitals$5,448 – $7,618: 23 hospitals$5,448$7,618 – $10,652: 19 hospitals$10,652 – $14,894: 19 hospitals$10,652$14,894 – $20,826: 5 hospitals$14,894median $2,962price bands are equal on a log scale
Hospitals per price band (247 of 273 — the bands cover the 5th to 95th percentile)
FromToHospitals
$729$1,0198
$1,019$1,42522
$1,425$1,99349
$1,993$2,78740
$2,787$3,89629
$3,896$5,44833
$5,448$7,61823
$7,618$10,65219
$10,652$14,89419
$14,894$20,8265

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,962
Cash as a multiple of Medicare0.40×

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 $2,962.

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: 4 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: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $6,447 across 15 hospitalsMN$6,447Illinois: median $1,763 across 12 hospitalsIL$1,763Wisconsin: median $4,260 across 10 hospitalsWI$4,260Michigan: median $2,244 across 12 hospitalsMI$2,244New York: median $7,413 across 19 hospitalsNY$7,413Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,769 across 11 hospitalsOR$1,769Nevada: 5 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: median $2,366 across 17 hospitalsIA$2,366Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $729 across 17 hospitalsPA$729New Jersey: median $4,881 across 21 hospitalsNJ$4,881Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,558 across 12 hospitalsOK$1,558Louisiana: 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: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,962. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY19$7,413+150%$1,918 – $9,058
Minnesota MN15$6,447+118%$3,341 – $6,447
New Jersey NJ21$4,881+65%$1,963 – $6,311
Wisconsin WI10$4,260+44%$4,260 – $4,260
Iowa IA17$2,366−20%$2,031 – $2,366
Michigan MI12$2,244−24%$1,860 – $9,978
Oregon OR11$1,769−40%$1,769 – $3,172
Illinois IL12$1,763−40%$1,335 – $2,366
Oklahoma OK12$1,558−47%$1,558 – $1,558
Pennsylvania PA17$729−75%$594 – $12,525
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not 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

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 $2,962.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care207$2,888$1,558 – $9,058
Children’s11fewer than 20 hospitals
Critical access55$3,172$1,417 – $5,495
Ownership
For-profit34$4,990$1,335 – $20,544
Government44$2,356$1,697 – $7,413
Non-profit195$2,823$1,558 – $6,839
System affiliation
Part of a system213$3,172$1,558 – $9,058
Independent60$2,492$1,524 – $4,990

Cash price vs list price

Median list price (chargemaster)$3,555
Median cash price$2,962
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

142 hospitals filed a usable inpatient cash price for this code. The median is $2,282 and the average of the middle 60% is $2,329; most fall between $1,372 and $4,715.

Cash price percentiles, inpatient, across 142 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
$1,266$1,558$2,282$3,580$11,148

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($1,266 vs $11,148).

Of the 162 hospitals that filed this code inpatient, 142 gave a usable cash price; 14 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

273 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 319 hospitals that filed this code at all gave us
Usable cash price — counted273
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded14
Hospitals that filed this code319

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 Prox Tibia Fib Exc/Osteot After Epiphysl.

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 shin bone cut to straighten leg, after growth ends (CPT 27457) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27457-upper-shin-bone-cut-to-straighten-leg-after-growth-ends