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

Pinning of thighbone fracture near knee through the skin

CPT 27509the billing code this page is about

Repair of a break at the lower end of the thighbone, including growth plate separations, using pins or screws placed through small skin punctures rather than an open incision.

Hospitals typically charge $3,775 cash for this outpatient procedure — the median across 534 hospitals that filed a usable cash price; the average of the middle 60% is $3,942. Most fall between $1,132 and $7,906 (20th–80th percentile).

Hospitals
534
States
47
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 534 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
$776$1,258$3,775$6,731$10,468

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($776 vs $10,468).

How the prices are spread

$698 – $948: 42 hospitals$698$948 – $1,286: 75 hospitals$1,286 – $1,745: 38 hospitals$1,286$1,745 – $2,368: 38 hospitals$2,368 – $3,213: 31 hospitals$2,368$3,213 – $4,360: 44 hospitals$4,360 – $5,917: 55 hospitals$4,360$5,917 – $8,030: 87 hospitals$8,030 – $10,897: 45 hospitals$8,030$10,897 – $14,787: 27 hospitals$10,897median $3,775price bands are equal on a log scale
Hospitals per price band (482 of 534 — the bands cover the 5th to 95th percentile)
FromToHospitals
$698$94842
$948$1,28675
$1,286$1,74538
$1,745$2,36838
$2,368$3,21331
$3,213$4,36044
$4,360$5,91755
$5,917$8,03087
$8,030$10,89745
$10,897$14,78727

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,775
Cash as a multiple of Medicare0.51×

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 $3,775.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,030 across 17 hospitalsWA$5,030Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,185 across 16 hospitalsMN$3,185Illinois: median $1,275 across 17 hospitalsIL$1,275Wisconsin: median $3,775 across 21 hospitalsWI$3,775Michigan: median $1,187 across 32 hospitalsMI$1,187New York: median $8,454 across 26 hospitalsNY$8,454Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,263 across 23 hospitalsOR$2,263Nevada: 4 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 $1,624 across 17 hospitalsIA$1,624Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,116 across 15 hospitalsOH$2,116Pennsylvania: median $516 across 18 hospitalsPA$516New Jersey: median $7,807 across 30 hospitalsNJ$7,807Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,112 across 68 hospitalsCA$5,112Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $725 across 11 hospitalsWV$725Virginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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: median $6,648 across 12 hospitalsSC$6,648Oklahoma: median $1,088 across 13 hospitalsOK$1,088Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $7,412 across 21 hospitalsGA$7,412Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 40 hospitalsTX$5,887Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,775. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY26$8,454+124%$1,502 – $8,454
New Jersey NJ30$7,807+107%$4,881 – $9,388
Georgia GA21$7,412+96%$6,651 – $7,906
South Carolina SC12$6,648+76%$5,416 – $6,648
Texas TX40$5,887+56%$5,865 – $6,731
California CA68$5,112+35%$3,506 – $6,390
Washington WA17$5,030+33%$1,438 – $13,820
Wisconsin WI21$3,7750%$3,116 – $3,775
Minnesota MN16$3,185−16%$1,656 – $3,737
Oregon OR23$2,263−40%$1,258 – $14,931
Ohio OH15$2,116−44%$1,200 – $3,054
Iowa IA17$1,624−57%$1,624 – $2,668
Illinois IL17$1,275−66%$772 – $1,819
Michigan MI32$1,187−69%$1,055 – $3,775
Oklahoma OK13$1,088−71%$1,088 – $6,460
West Virginia WV11$725−81%$709 – $1,719
Pennsylvania PA18$516−86%$420 – $12,077
Indiana IN9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Carolina NC1not 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 $3,775.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care406$5,098$1,187 – $8,226
Children’s12fewer than 20 hospitals
Critical access115$2,161$982 – $4,350
Ownership
For-profit51$5,922$1,108 – $12,676
Government77$1,911$1,054 – $7,906
Non-profit405$3,775$1,187 – $7,443
System affiliation
Part of a system438$4,350$1,187 – $7,914
Independent96$1,458$996 – $5,250

Cash price vs list price

Median list price (chargemaster)$3,293
Median cash price$3,775
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

337 hospitals filed a usable inpatient cash price for this code. The median is $4,365 and the average of the middle 60% is $4,292; most fall between $1,252 and $7,076.

Cash price percentiles, inpatient, across 337 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
$840$1,472$4,365$6,707$13,820

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($840 vs $13,820).

Of the 373 hospitals that filed this code inpatient, 337 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

534 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 581 hospitals that filed this code at all gave us
Usable cash price — counted534
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
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 — excluded8
Hospitals that filed this code581

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 Treatment, fracture or dislocation of hip and femur family.

Hospitals file this code under descriptions such as Prq Skeletal Fixj Femoral Fx Distal End.

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, “Pinning of thighbone fracture near knee through the skin (CPT 27509) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27509-pinning-of-thighbone-fracture-near-knee-through-the-skin