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Procedure price report · Partial excision bone

Partial removal of the calf bone

CPT 27641the billing code this page is about

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

Hospitals typically charge $2,776 cash for this outpatient procedure — the median across 502 hospitals that filed a usable cash price; the average of the middle 60% is $2,918. Most fall between $1,190 and $6,021 (20th–80th percentile).

Hospitals
502
States
45
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 502 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
$877$1,267$2,776$4,881$9,565

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($877 vs $9,565).

How the prices are spread

$657 – $903: 36 hospitals$657$903 – $1,241: 55 hospitals$1,241 – $1,706: 59 hospitals$1,241$1,706 – $2,345: 48 hospitals$2,345 – $3,223: 39 hospitals$2,345$3,223 – $4,429: 101 hospitals$4,429 – $6,088: 44 hospitals$4,429$6,088 – $8,368: 20 hospitals$8,368 – $11,501: 38 hospitals$8,368$11,501 – $15,808: 12 hospitals$11,501median $2,776price bands are equal on a log scale
Hospitals per price band (452 of 502 — the bands cover the 5th to 95th percentile)
FromToHospitals
$657$90336
$903$1,24155
$1,241$1,70659
$1,706$2,34548
$2,345$3,22339
$3,223$4,429101
$4,429$6,08844
$6,088$8,36820
$8,368$11,50138
$11,501$15,80812

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,776
Cash as a multiple of Medicare0.83×

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 $2,776.

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: 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: median $1,256 across 12 hospitalsWA$1,256Idaho: 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: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,362 across 23 hospitalsMN$2,362Illinois: median $1,352 across 18 hospitalsIL$1,352Wisconsin: median $3,293 across 32 hospitalsWI$3,293Michigan: median $1,926 across 30 hospitalsMI$1,926New York: median $3,840 across 30 hospitalsNY$3,840Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,404 across 15 hospitalsOR$1,404Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $1,642 across 23 hospitalsIA$1,642Indiana: median $903 across 12 hospitalsIN$903Ohio: median $2,558 across 20 hospitalsOH$2,558Pennsylvania: median $2,382 across 21 hospitalsPA$2,382New Jersey: median $4,627 across 30 hospitalsNJ$4,627Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,565 across 29 hospitalsCA$9,565Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 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: median $1,627 across 13 hospitalsWV$1,627Virginia: 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,082 across 15 hospitalsOK$1,082Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 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 $3,410 across 26 hospitalsTX$3,410Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,776. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$9,565+245%$1,768 – $9,565
New Jersey NJ30$4,627+67%$3,594 – $8,411
New York NY30$3,840+38%$1,216 – $3,884
Texas TX26$3,410+23%$2,701 – $3,714
Wisconsin WI32$3,293+19%$3,252 – $4,410
Ohio OH20$2,558−8%$1,346 – $26,193
Pennsylvania PA21$2,382−14%$428 – $5,486
Minnesota MN23$2,362−15%$1,133 – $4,279
Michigan MI30$1,926−31%$1,926 – $4,499
Iowa IA23$1,642−41%$1,311 – $1,841
West Virginia WV13$1,627−41%$691 – $4,683
Oregon OR15$1,404−49%$1,218 – $2,171
Illinois IL18$1,352−51%$903 – $3,317
Washington WA12$1,256−55%$830 – $3,814
Oklahoma OK15$1,082−61%$1,082 – $6,612
Indiana IN12$903−67%$903 – $2,731
Florida FL9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,776.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care371$3,257$1,216 – $6,361
Children’s14fewer than 20 hospitals
Critical access116$2,136$1,006 – $4,279
Ownership
For-profit57$3,559$1,244 – $8,372
Government82$1,886$1,177 – $4,448
Non-profit362$2,982$1,202 – $6,021
System affiliation
Part of a system393$3,293$1,216 – $6,361
Independent109$1,761$1,066 – $3,710

Cash price vs list price

Median list price (chargemaster)$3,041
Median cash price$2,776
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

247 hospitals filed a usable inpatient cash price for this code. The median is $1,886 and the average of the middle 60% is $2,268; most fall between $1,077 and $5,486.

Cash price percentiles, inpatient, across 247 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
$823$1,160$1,886$3,714$8,389

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($823 vs $8,389).

Of the 275 hospitals that filed this code inpatient, 247 gave a usable cash price; 19 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

502 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 558 hospitals that filed this code at all gave us
Usable cash price — counted502
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
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 — excluded13
Hospitals that filed this code558

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 Fibula.

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 calf bone (CPT 27641) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27641-partial-removal-of-the-calf-bone