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

Surgery to repair a knee fracture at the shin bone top

CPT 27540the billing code this page is about

Open surgery to repair a break involving the bony spine or bump on the top of the shin bone at the knee, which may include hardware to hold the bone in place.

Hospitals typically charge $2,295 cash for this outpatient procedure — the median across 441 hospitals that filed a usable cash price; the average of the middle 60% is $3,039. Most fall between $1,272 and $7,413 (20th–80th percentile).

Hospitals
441
States
47
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 441 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
$896$1,462$2,295$5,638$11,148

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($896 vs $11,148).

How the prices are spread

$656 – $892: 22 hospitals$656$892 – $1,214: 36 hospitals$1,214 – $1,651: 55 hospitals$1,214$1,651 – $2,246: 79 hospitals$2,246 – $3,056: 43 hospitals$2,246$3,056 – $4,158: 19 hospitals$4,158 – $5,656: 55 hospitals$4,158$5,656 – $7,695: 23 hospitals$7,695 – $10,469: 41 hospitals$7,695$10,469 – $14,243: 24 hospitals$10,469median $2,295price bands are equal on a log scale
Hospitals per price band (397 of 441 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$89222
$892$1,21436
$1,214$1,65155
$1,651$2,24679
$2,246$3,05643
$3,056$4,15819
$4,158$5,65655
$5,656$7,69523
$7,695$10,46941
$10,469$14,24324

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,295
Cash as a multiple of Medicare0.31×

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 $2,295.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,144 across 13 hospitalsWA$2,144Idaho: median $5,150 across 13 hospitalsID$5,150Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,331 across 20 hospitalsMN$4,331Illinois: median $2,506 across 17 hospitalsIL$2,506Wisconsin: median $4,267 across 33 hospitalsWI$4,267Michigan: median $2,042 across 30 hospitalsMI$2,042New York: median $2,435 across 27 hospitalsNY$2,435Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,429 across 17 hospitalsOR$2,429Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,993 across 21 hospitalsIA$1,993Indiana: median $1,123 across 10 hospitalsIN$1,123Ohio: median $2,085 across 12 hospitalsOH$2,085Pennsylvania: median $1,258 across 20 hospitalsPA$1,258New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,995 across 13 hospitalsCA$1,995Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $896 across 13 hospitalsWV$896Virginia: 5 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: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,712 across 12 hospitalsOK$1,712Louisiana: 6 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: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,575 across 11 hospitalsTX$2,575Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,295. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ22$6,311+175%$4,881 – $9,990
Idaho ID13$5,150+124%$1,563 – $14,738
Minnesota MN20$4,331+89%$1,773 – $5,081
Wisconsin WI33$4,267+86%$4,267 – $7,783
Texas TX11$2,575+12%$1,301 – $6,031
Illinois IL17$2,506+9%$1,123 – $4,451
New York NY27$2,435+6%$1,030 – $8,613
Oregon OR17$2,429+6%$1,516 – $2,704
Washington WA13$2,144−7%$1,516 – $14,057
Ohio OH12$2,085−9%$1,611 – $2,938
Michigan MI30$2,042−11%$1,564 – $4,267
California CA13$1,995−13%$1,247 – $2,627
Iowa IA21$1,993−13%$1,693 – $1,993
Oklahoma OK12$1,712−25%$1,712 – $1,712
Pennsylvania PA20$1,258−45%$131 – $5,773
Indiana IN10$1,123−51%$1,123 – $3,641
West Virginia WV13$896−61%$864 – $2,235
Georgia GA9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,295.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care306$2,506$1,285 – $8,229
Children’s16fewer than 20 hospitals
Critical access119$2,042$1,145 – $4,328
Ownership
For-profit45$6,254$1,458 – $13,883
Government88$1,998$1,333 – $6,564
Non-profit308$2,283$1,248 – $6,078
System affiliation
Part of a system323$2,704$1,272 – $7,985
Independent118$2,056$1,258 – $5,050

Cash price vs list price

Median list price (chargemaster)$3,062
Median cash price$2,295
Cash as a share of list, median hospital66%

At the typical hospital, asking for the cash price cuts the list price by about 34%. 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

227 hospitals filed a usable inpatient cash price for this code. The median is $1,975 and the average of the middle 60% is $2,141; most fall between $1,084 and $4,267.

Cash price percentiles, inpatient, across 227 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
$712$1,123$1,975$4,267$11,148

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($712 vs $11,148).

Of the 268 hospitals that filed this code inpatient, 227 gave a usable cash price; 13 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

441 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 508 hospitals that filed this code at all gave us
Usable cash price — counted441
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded29
Hospitals that filed this code508

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 Intercondylar Spine/Tubrst Fracture Knee.

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 to repair a knee fracture at the shin bone top (CPT 27540) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27540-surgery-to-repair-a-knee-fracture-at-the-shin-bone-top