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Procedure price report · Partial excision bone

Removal of shin or calf bone cyst with donor bone graft

CPT 27638the billing code this page is about

Surgery to remove a noncancerous cyst or growth from the tibia or fibula, with the cavity filled using donor bone.

Hospitals typically charge $3,720 cash for this outpatient procedure — the median across 380 hospitals that filed a usable cash price; the average of the middle 60% is $4,077. Most fall between $1,376 and $8,687 (20th–80th percentile).

Hospitals
380
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 380 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
$1,032$1,398$3,720$8,376$13,149

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,032 vs $13,149).

How the prices are spread

$737 – $996: 18 hospitals$737$996 – $1,344: 36 hospitals$1,344 – $1,815: 49 hospitals$1,344$1,815 – $2,451: 43 hospitals$2,451 – $3,310: 21 hospitals$2,451$3,310 – $4,469: 40 hospitals$4,469 – $6,035: 20 hospitals$4,469$6,035 – $8,149: 38 hospitals$8,149 – $11,004: 37 hospitals$8,149$11,004 – $14,858: 41 hospitals$11,004median $3,720price bands are equal on a log scale
Hospitals per price band (343 of 380 — the bands cover the 5th to 95th percentile)
FromToHospitals
$737$99618
$996$1,34436
$1,344$1,81549
$1,815$2,45143
$2,451$3,31021
$3,310$4,46940
$4,469$6,03520
$6,035$8,14938
$8,149$11,00437
$11,004$14,85841

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,720
Cash as a multiple of Medicare0.50×

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 $3,720.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 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: 5 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 $2,697 across 11 hospitalsMN$2,697Illinois: median $1,444 across 13 hospitalsIL$1,444Wisconsin: median $3,958 across 22 hospitalsWI$3,958Michigan: median $1,384 across 27 hospitalsMI$1,384New York: median $8,454 across 22 hospitalsNY$8,454Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $1,890 across 19 hospitalsIA$1,890Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,821 across 15 hospitalsOH$2,821Pennsylvania: median $5,050 across 21 hospitalsPA$5,050New Jersey: median $7,907 across 30 hospitalsNJ$7,907Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $13,149 across 26 hospitalsCA$13,149Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,229 across 13 hospitalsOK$1,229Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 21 hospitalsTX$5,887Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,720. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA26$13,149+253%$2,299 – $13,149
New York NY22$8,454+127%$7,413 – $8,630
New Jersey NJ30$7,907+113%$5,110 – $9,990
Texas TX21$5,887+58%$2,453 – $6,664
Pennsylvania PA21$5,050+36%$486 – $11,093
Wisconsin WI22$3,958+6%$3,720 – $3,958
Ohio OH15$2,821−24%$1,461 – $2,857
Minnesota MN11$2,697−27%$1,536 – $4,927
Iowa IA19$1,890−49%$1,890 – $2,213
Illinois IL13$1,444−61%$1,032 – $3,820
Michigan MI27$1,384−63%$1,384 – $3,958
Oklahoma OK13$1,229−67%$1,229 – $14,565
Florida FL9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not 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 $3,720.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care294$3,958$1,368 – $9,978
Children’s14fewer than 20 hospitals
Critical access71$2,314$1,384 – $3,958
Ownership
For-profit44$3,296$1,032 – $11,071
Government60$2,314$1,572 – $8,454
Non-profit275$3,720$1,339 – $9,058
System affiliation
Part of a system296$3,958$1,384 – $9,978
Independent84$2,299$1,376 – $7,171

Cash price vs list price

Median list price (chargemaster)$3,072
Median cash price$3,720
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

204 hospitals filed a usable inpatient cash price for this code. The median is $2,214 and the average of the middle 60% is $3,245; most fall between $1,229 and $8,170.

Cash price percentiles, inpatient, across 204 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
$996$1,339$2,214$6,664$13,149

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($996 vs $13,149).

Of the 230 hospitals that filed this code inpatient, 204 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

380 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 424 hospitals that filed this code at all gave us
Usable cash price — counted380
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded12
Hospitals that filed this code424

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 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Partial excision bone family.

Hospitals file this code under descriptions such as Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft.

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, “Removal of shin or calf bone cyst with donor bone graft (CPT 27638) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27638-removal-of-shin-or-calf-bone-cyst-with-donor-bone-graft