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Procedure price report · Treatment, fracture or dislocation of lower extremity (other than hip or femur)

Surgery for shinbone top fracture on one side of knee

CPT 27535the billing code this page is about

Open surgical repair of a break in the upper end of the shinbone involving one side of the knee joint surface, with or without internal or external hardware.

Hospitals typically charge $2,621 cash for this outpatient procedure — the median across 648 hospitals that filed a usable cash price; the average of the middle 60% is $3,415. Most fall between $1,406 and $8,730 (20th–80th percentile).

Hospitals
648
States
49
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 648 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
$952$1,617$2,621$6,750$17,070

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($952 vs $17,070).

How the prices are spread

$643 – $934: 22 hospitals$643$934 – $1,356: 66 hospitals$1,356 – $1,971: 112 hospitals$1,356$1,971 – $2,863: 114 hospitals$2,863 – $4,161: 57 hospitals$2,863$4,161 – $6,045: 71 hospitals$6,045 – $8,783: 46 hospitals$6,045$8,783 – $12,762: 47 hospitals$12,762 – $18,543: 22 hospitals$12,762$18,543 – $26,942: 27 hospitals$18,543median $2,621price bands are equal on a log scale
Hospitals per price band (584 of 648 — the bands cover the 5th to 95th percentile)
FromToHospitals
$643$93422
$934$1,35666
$1,356$1,971112
$1,971$2,863114
$2,863$4,16157
$4,161$6,04571
$6,045$8,78346
$8,783$12,76247
$12,762$18,54322
$18,543$26,94227

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,621
Cash as a multiple of Medicare0.35×

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 $2,621.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,122 across 17 hospitalsWA$2,122Idaho: median $5,665 across 17 hospitalsID$5,665Montana: median $1,618 across 10 hospitalsMT$1,618North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,624 across 29 hospitalsMN$3,624Illinois: median $2,320 across 21 hospitalsIL$2,320Wisconsin: median $4,681 across 35 hospitalsWI$4,681Michigan: median $2,072 across 38 hospitalsMI$2,072New York: median $2,668 across 35 hospitalsNY$2,668Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,589 across 22 hospitalsOR$2,589Nevada: 6 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 $2,212 across 36 hospitalsIA$2,212Indiana: median $1,141 across 17 hospitalsIN$1,141Ohio: median $3,487 across 23 hospitalsOH$3,487Pennsylvania: median $4,772 across 26 hospitalsPA$4,772New Jersey: median $5,419 across 23 hospitalsNJ$5,419Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,872 across 20 hospitalsCA$1,872Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,889 across 10 hospitalsCO$1,889Nebraska: median $2,828 across 12 hospitalsNE$2,828Missouri: median $1,777 across 16 hospitalsMO$1,777Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,777 across 16 hospitalsWV$1,777Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,823 across 16 hospitalsKS$1,823Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $9,072 across 10 hospitalsTN$9,072North Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,882 across 14 hospitalsOK$1,882Louisiana: median $12,230 across 12 hospitalsLA$12,230Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,638 across 11 hospitalsAL$5,638Georgia: median $6,588 across 10 hospitalsGA$6,588Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,741 across 21 hospitalsTX$2,741Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,621. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Louisiana LA12$12,230+367%$5,876 – $19,562
Tennessee TN10$9,072+246%$928 – $13,591
Georgia GA10$6,588+151%$6,588 – $7,640
Idaho ID17$5,665+116%$1,796 – $12,106
Alabama AL11$5,638+115%$2,539 – $16,867
New Jersey NJ23$5,419+107%$3,786 – $7,743
Pennsylvania PA26$4,772+82%$256 – $7,418
Wisconsin WI35$4,681+79%$1,883 – $4,681
Minnesota MN29$3,624+38%$1,414 – $5,118
Ohio OH23$3,487+33%$1,413 – $24,705
Nebraska NE12$2,828+8%$2,183 – $3,866
Texas TX21$2,741+5%$1,858 – $11,055
New York NY35$2,668+2%$1,468 – $8,613
Oregon OR22$2,589−1%$1,656 – $2,957
Illinois IL21$2,320−11%$952 – $4,500
Iowa IA36$2,212−16%$1,887 – $2,890
Washington WA17$2,122−19%$1,656 – $13,600
Michigan MI38$2,072−21%$1,384 – $4,681
Colorado CO10$1,889−28%$1,250 – $2,166
Oklahoma OK14$1,882−28%$1,882 – $2,077
California CA20$1,872−29%$1,010 – $2,626
Kansas KS16$1,823−30%$1,280 – $4,089
Missouri MO16$1,777−32%$1,398 – $17,761
West Virginia WV16$1,777−32%$955 – $11,685
Montana MT10$1,618−38%$551 – $2,725
Indiana IN17$1,141−56%$952 – $2,656
Florida FL9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Rhode Island RI1not 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 $2,621.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care426$3,487$1,483 – $11,262
Children’s13fewer than 20 hospitals
Critical access207$2,131$1,322 – $4,390
Ownership
For-profit74$6,476$1,717 – $19,787
Government134$2,296$1,430 – $4,615
Non-profit438$2,579$1,384 – $8,613
System affiliation
Part of a system470$2,933$1,398 – $9,058
Independent178$2,198$1,413 – $5,665

Cash price vs list price

Median list price (chargemaster)$3,362
Median cash price$2,621
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

317 hospitals filed a usable inpatient cash price for this code. The median is $2,077 and the average of the middle 60% is $2,340; most fall between $1,067 and $4,681.

Cash price percentiles, inpatient, across 317 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
$755$1,250$2,077$4,288$6,588

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($755 vs $6,588).

Of the 362 hospitals that filed this code inpatient, 317 gave a usable cash price; 18 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

648 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 743 hospitals that filed this code at all gave us
Usable cash price — counted648
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded34
Hospitals that filed this code743

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 lower extremity (other than hip or femur) family.

Hospitals file this code under descriptions such as Open Tx Tibial Fracture Proximal Unicondylar.

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 for shinbone top fracture on one side of knee (CPT 27535) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27535-surgery-for-shinbone-top-fracture-on-one-side-of-knee