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Procedure price report · Amputation of lower extremity

Leg amputation through the thigh bone

CPT 27590the billing code this page is about

Surgical removal of the leg through the thigh bone at any level along the bone.

Hospitals typically charge $2,126 cash for this outpatient procedure — the median across 490 hospitals that filed a usable cash price; the average of the middle 60% is $2,237. Most fall between $1,025 and $4,108 (20th–80th percentile).

Hospitals
490
States
47
Filings dated
Jan 2024 – 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 490 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
$581$1,169$2,126$3,740$6,978

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($581 vs $6,978).

How the prices are spread

$318 – $451: 13 hospitals$318$451 – $638: 13 hospitals$638 – $904: 26 hospitals$638$904 – $1,280: 58 hospitals$1,280 – $1,813: 78 hospitals$1,280$1,813 – $2,567: 94 hospitals$2,567 – $3,636: 54 hospitals$2,567$3,636 – $5,148: 61 hospitals$5,148 – $7,290: 27 hospitals$5,148$7,290 – $10,324: 18 hospitals$7,290median $2,126price bands are equal on a log scale
Hospitals per price band (442 of 490 — the bands cover the 5th to 95th percentile)
FromToHospitals
$318$45113
$451$63813
$638$90426
$904$1,28058
$1,280$1,81378
$1,813$2,56794
$2,567$3,63654
$3,636$5,14861
$5,148$7,29027
$7,290$10,32418

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,126
Cash as a multiple of Medicare0.64×

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 $2,126.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $3,501 across 24 hospitalsMN$3,501Illinois: median $2,163 across 25 hospitalsIL$2,163Wisconsin: median $3,740 across 33 hospitalsWI$3,740Michigan: median $2,217 across 31 hospitalsMI$2,217New York: median $2,384 across 33 hospitalsNY$2,384Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,237 across 21 hospitalsOR$2,237Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,940 across 24 hospitalsIA$1,940Indiana: median $1,025 across 11 hospitalsIN$1,025Ohio: median $1,855 across 17 hospitalsOH$1,855Pennsylvania: median $490 across 23 hospitalsPA$490New Jersey: median $5,110 across 15 hospitalsNJ$5,110Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,411 across 13 hospitalsCA$1,411Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,259 across 12 hospitalsMO$1,259Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,216 across 17 hospitalsKS$1,216Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 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 $1,287 across 18 hospitalsOK$1,287Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: median $978 across 12 hospitalsMS$978Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,813 across 12 hospitalsTX$2,813Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,126. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ15$5,110+140%$3,986 – $5,855
Wisconsin WI33$3,740+76%$2,910 – $6,988
Minnesota MN24$3,501+65%$1,339 – $4,108
Texas TX12$2,813+32%$1,676 – $8,783
New York NY33$2,384+12%$938 – $4,084
Oregon OR21$2,237+5%$1,425 – $2,535
Michigan MI31$2,217+4%$1,317 – $2,910
Illinois IL25$2,163+2%$1,025 – $4,223
Iowa IA24$1,940−9%$1,752 – $2,371
Ohio OH17$1,855−13%$647 – $3,853
California CA13$1,411−34%$857 – $2,243
Oklahoma OK18$1,287−39%$1,287 – $6,492
Missouri MO12$1,259−41%$1,083 – $1,426
Kansas KS17$1,216−43%$929 – $1,720
Indiana IN11$1,025−52%$1,025 – $2,302
Mississippi MS12$978−54%$978 – $2,638
Pennsylvania PA23$490−77%$394 – $12,086
Idaho ID9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,126.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care328$2,122$975 – $4,233
Children’s8fewer than 20 hospitals
Critical access152$2,217$1,160 – $3,740
Ownership
For-profit34$2,269$1,028 – $10,493
Government95$1,946$1,034 – $3,325
Non-profit359$2,127$994 – $4,108
System affiliation
Part of a system350$2,217$1,025 – $4,293
Independent140$1,742$1,019 – $2,922

Cash price vs list price

Median list price (chargemaster)$2,465
Median cash price$2,126
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

295 hospitals filed a usable inpatient cash price for this code. The median is $1,690 and the average of the middle 60% is $1,783; most fall between $878 and $2,960.

Cash price percentiles, inpatient, across 295 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
$417$1,025$1,690$2,910$6,492

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($417 vs $6,492).

Of the 337 hospitals that filed this code inpatient, 295 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

490 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 564 hospitals that filed this code at all gave us
Usable cash price — counted490
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 — excluded23
Hospitals that filed this code564

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 Amputation of lower extremity family.

Hospitals file this code under descriptions such as PR Amputate Thigh,Thru Femur.

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, “Leg amputation through the thigh bone (CPT 27590) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27590-leg-amputation-through-the-thigh-bone