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

Open repair of shin bone fracture at both sides of knee

CPT 27536the billing code this page is about

Surgery through an incision to realign a break across both weight-bearing surfaces at the top of the shin bone, with or without plates, screws, or pins.

Hospitals typically charge $3,412 cash for this outpatient procedure — the median across 539 hospitals that filed a usable cash price; the average of the middle 60% is $3,923. Most fall between $1,822 and $8,904 (20th–80th percentile).

Hospitals
539
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 539 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
$1,252$2,052$3,412$6,564$16,024

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,252 vs $16,024).

How the prices are spread

$855 – $1,219: 19 hospitals$855$1,219 – $1,736: 49 hospitals$1,736 – $2,474: 92 hospitals$1,736$2,474 – $3,525: 90 hospitals$3,525 – $5,022: 70 hospitals$3,525$5,022 – $7,155: 62 hospitals$7,155 – $10,195: 45 hospitals$7,155$10,195 – $14,526: 26 hospitals$14,526 – $20,696: 21 hospitals$14,526$20,696 – $29,488: 13 hospitals$20,696median $3,412price bands are equal on a log scale
Hospitals per price band (487 of 539 — the bands cover the 5th to 95th percentile)
FromToHospitals
$855$1,21919
$1,219$1,73649
$1,736$2,47492
$2,474$3,52590
$3,525$5,02270
$5,022$7,15562
$7,155$10,19545
$10,195$14,52626
$14,526$20,69621
$20,696$29,48813

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,412
Cash as a multiple of Medicare0.46×

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 $3,412.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,684 across 15 hospitalsWA$2,684Idaho: median $6,000 across 15 hospitalsID$6,000Montana: 9 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 $4,706 across 25 hospitalsMN$4,706Illinois: median $2,186 across 17 hospitalsIL$2,186Wisconsin: median $6,185 across 33 hospitalsWI$6,185Michigan: median $2,290 across 34 hospitalsMI$2,290New York: median $3,432 across 35 hospitalsNY$3,432Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,469 across 18 hospitalsOR$3,469Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $2,924 across 32 hospitalsIA$2,924Indiana: median $1,490 across 10 hospitalsIN$1,490Ohio: median $4,521 across 19 hospitalsOH$4,521Pennsylvania: median $4,383 across 19 hospitalsPA$4,383New Jersey: median $5,741 across 22 hospitalsNJ$5,741Connecticut: 3 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 $2,344 across 19 hospitalsCA$2,344Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $3,137 across 10 hospitalsNE$3,137Missouri: median $1,888 across 12 hospitalsMO$1,888Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,995 across 15 hospitalsWV$1,995Virginia: 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: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,915 across 10 hospitalsKS$1,915Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,488 across 13 hospitalsOK$2,488Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,218 across 13 hospitalsTX$3,218Florida: median $18,412 across 10 hospitalsFL$18,412
Cash price by state, most expensive first. National median $3,412. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$18,412+440%$4,521 – $18,412
Wisconsin WI33$6,185+81%$4,213 – $6,185
Idaho ID15$6,000+76%$2,379 – $12,106
New Jersey NJ22$5,741+68%$4,350 – $9,887
Minnesota MN25$4,706+38%$2,174 – $5,674
Ohio OH19$4,521+33%$1,807 – $31,317
Pennsylvania PA19$4,383+28%$176 – $6,347
Oregon OR18$3,469+2%$2,196 – $3,912
New York NY35$3,432+1%$1,327 – $8,613
Texas TX13$3,218−6%$1,933 – $5,417
Nebraska NE10$3,137−8%$1,770 – $4,019
Iowa IA32$2,924−14%$2,418 – $3,238
Washington WA15$2,684−21%$2,037 – $7,803
Oklahoma OK13$2,488−27%$2,488 – $2,786
California CA19$2,344−31%$1,562 – $14,149
Michigan MI34$2,290−33%$1,878 – $6,185
Illinois IL17$2,186−36%$1,490 – $4,344
West Virginia WV15$1,995−42%$1,247 – $9,771
Kansas KS10$1,915−44%$574 – $3,643
Missouri MO12$1,888−45%$1,822 – $15,435
Indiana IN10$1,490−56%$1,490 – $2,844
Alabama AL9not enough hospitals filed a usable price
Colorado CO9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not 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 $3,412.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care360$3,874$1,896 – $10,468
Children’s10fewer than 20 hospitals
Critical access169$2,924$1,746 – $5,674
Ownership
For-profit56$5,717$2,036 – $20,339
Government103$2,978$1,906 – $7,413
Non-profit380$3,489$1,809 – $8,234
System affiliation
Part of a system399$3,606$1,784 – $9,058
Independent140$3,073$1,915 – $7,697

Cash price vs list price

Median list price (chargemaster)$4,191
Median cash price$3,412
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

266 hospitals filed a usable inpatient cash price for this code. The median is $2,488 and the average of the middle 60% is $2,640; most fall between $1,473 and $5,050.

Cash price percentiles, inpatient, across 266 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
$1,096$1,524$2,488$4,157$6,380

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($1,096 vs $6,380).

Of the 305 hospitals that filed this code inpatient, 266 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

539 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 627 hospitals that filed this code at all gave us
Usable cash price — counted539
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded37
Hospitals that filed this code627

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 Optx Tibial Fx Prox Bicondylar W/WO Int Fixj.

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, “Open repair of shin bone fracture at both sides of knee (CPT 27536) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27536-open-repair-of-shin-bone-fracture-at-both-sides-of-knee