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Procedure price report · Partial excision bone

Partial removal of the shin bone

CPT 27640the billing code this page is about

Surgery to cut away part of the tibia, such as infected or diseased bone, with or without a bone graft.

Hospitals typically charge $3,182 cash for this outpatient procedure — the median across 544 hospitals that filed a usable cash price; the average of the middle 60% is $3,201. Most fall between $1,430 and $5,741 (20th–80th percentile).

Hospitals
544
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 544 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
$1,013$1,582$3,182$4,971$9,441

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($1,013 vs $9,441).

How the prices are spread

$824 – $1,078: 34 hospitals$824$1,078 – $1,411: 45 hospitals$1,411 – $1,846: 50 hospitals$1,411$1,846 – $2,416: 66 hospitals$2,416 – $3,162: 46 hospitals$2,416$3,162 – $4,139: 80 hospitals$4,139 – $5,417: 79 hospitals$4,139$5,417 – $7,090: 40 hospitals$7,090 – $9,279: 19 hospitals$7,090$9,279 – $12,144: 31 hospitals$9,279median $3,182price bands are equal on a log scale
Hospitals per price band (490 of 544 — the bands cover the 5th to 95th percentile)
FromToHospitals
$824$1,07834
$1,078$1,41145
$1,411$1,84650
$1,846$2,41666
$2,416$3,16246
$3,162$4,13980
$4,139$5,41779
$5,417$7,09040
$7,090$9,27919
$9,279$12,14431

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$3,182
Cash as a multiple of Medicare0.95×

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 $3,182.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,430 across 10 hospitalsVT$1,430New Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,473 across 14 hospitalsWA$2,473Idaho: median $5,758 across 10 hospitalsID$5,758Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,789 across 23 hospitalsMN$3,789Illinois: median $1,579 across 15 hospitalsIL$1,579Wisconsin: median $4,378 across 33 hospitalsWI$4,378Michigan: median $2,076 across 32 hospitalsMI$2,076New York: median $3,840 across 31 hospitalsNY$3,840Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,478 across 15 hospitalsOR$2,478Nevada: 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 $2,054 across 20 hospitalsIA$2,054Indiana: median $1,572 across 13 hospitalsIN$1,572Ohio: median $3,182 across 22 hospitalsOH$3,182Pennsylvania: median $3,139 across 24 hospitalsPA$3,139New Jersey: median $4,627 across 33 hospitalsNJ$4,627Connecticut: 2 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 $9,565 across 34 hospitalsCA$9,565Utah: no hospital in the corpus filed a usable priceUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,560 across 11 hospitalsNE$2,560Missouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: 7 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 $1,608 across 14 hospitalsKS$1,608Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,895 across 12 hospitalsTN$1,895North Carolina: 5 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 $1,374 across 15 hospitalsOK$1,374Louisiana: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,370 across 26 hospitalsTX$4,370Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,182. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA34$9,565+201%$2,110 – $9,565
Idaho ID10$5,758+81%$1,240 – $8,372
New Jersey NJ33$4,627+45%$3,594 – $8,411
Wisconsin WI33$4,378+38%$3,318 – $6,157
Texas TX26$4,370+37%$2,862 – $4,600
New York NY31$3,840+21%$1,625 – $4,084
Minnesota MN23$3,789+19%$1,562 – $4,971
Ohio OH22$3,1820%$1,816 – $4,619
Pennsylvania PA24$3,139−1%$538 – $5,486
Nebraska NE11$2,560−20%$1,967 – $3,825
Oregon OR15$2,478−22%$1,532 – $2,758
Washington WA14$2,473−22%$1,107 – $4,773
Michigan MI32$2,076−35%$2,076 – $4,499
Iowa IA20$2,054−35%$1,481 – $2,054
Tennessee TN12$1,895−40%$1,499 – $5,610
Kansas KS14$1,608−49%$1,150 – $3,248
Illinois IL15$1,579−50%$972 – $3,626
Indiana IN13$1,572−51%$972 – $2,461
Vermont VT10$1,430−55%$1,181 – $2,234
Oklahoma OK15$1,374−57%$1,374 – $6,615
Colorado CO9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not 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 $3,182.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care410$3,396$1,499 – $6,114
Children’s10fewer than 20 hospitals
Critical access123$2,473$1,397 – $4,600
Ownership
For-profit64$4,370$1,582 – $9,441
Government95$2,354$1,319 – $3,840
Non-profit384$3,318$1,481 – $5,810
System affiliation
Part of a system422$3,546$1,499 – $6,114
Independent122$2,368$1,326 – $4,015

Cash price vs list price

Median list price (chargemaster)$4,152
Median cash price$3,182
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

267 hospitals filed a usable inpatient cash price for this code. The median is $2,484 and the average of the middle 60% is $3,044; most fall between $1,374 and $5,810.

Cash price percentiles, inpatient, across 267 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
$972$1,420$2,484$4,619$8,396

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($972 vs $8,396).

Of the 301 hospitals that filed this code inpatient, 267 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

544 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 607 hospitals that filed this code at all gave us
Usable cash price — counted544
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded21
Hospitals that filed this code607

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 Partial excision bone family.

Hospitals file this code under descriptions such as Partial Excision Bone Tibia.

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, “Partial removal of the shin bone (CPT 27640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27640-partial-removal-of-the-shin-bone