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Procedure price report · Other OR therapeutic procedures on bone

Surgical cutting of both lower leg bones for realignment

CPT 27709the billing code this page is about

Open surgery that cuts both the shinbone and the outer leg bone to correct the alignment of the lower leg.

Hospitals typically charge $4,707 cash for this outpatient procedure — the median across 317 hospitals that filed a usable cash price; the average of the middle 60% is $6,140. Most fall between $1,889 and $15,153 (20th–80th percentile).

Hospitals
317
States
43
Filings dated
Jun 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 317 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
$1,277$2,105$4,707$13,149$19,343

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,277 vs $19,343).

How the prices are spread

$1,102 – $1,513: 30 hospitals$1,102$1,513 – $2,077: 32 hospitals$2,077 – $2,851: 31 hospitals$2,077$2,851 – $3,915: 33 hospitals$3,915 – $5,376: 30 hospitals$3,915$5,376 – $7,381: 32 hospitals$7,381 – $10,134: 4 hospitals$7,381$10,134 – $13,915: 37 hospitals$13,915 – $19,106: 41 hospitals$13,915$19,106 – $26,233: 19 hospitals$19,106median $4,707price bands are equal on a log scale
Hospitals per price band (289 of 317 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,102$1,51330
$1,513$2,07732
$2,077$2,85131
$2,851$3,91533
$3,915$5,37630
$5,376$7,38132
$7,381$10,1344
$10,134$13,91537
$13,915$19,10641
$19,106$26,23319

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$4,707
Cash as a multiple of Medicare0.36×

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 $4,707.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $7,118 across 15 hospitalsMN$7,118Illinois: median $2,105 across 13 hospitalsIL$2,105Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $2,858 across 13 hospitalsMI$2,858New York: median $15,226 across 22 hospitalsNY$15,226Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 7 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 $2,876 across 16 hospitalsIA$2,876Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,353 across 12 hospitalsOH$3,353Pennsylvania: median $2,138 across 19 hospitalsPA$2,138New Jersey: median $14,062 across 30 hospitalsNJ$14,062Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $13,149 across 27 hospitalsCA$13,149Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 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: 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 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: 4 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 $1,889 across 13 hospitalsOK$1,889Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,707 across 24 hospitalsTX$4,707Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,707. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY22$15,226+223%$3,710 – $15,226
New Jersey NJ30$14,062+199%$5,039 – $15,153
California CA27$13,149+179%$5,316 – $13,149
Minnesota MN15$7,118+51%$2,431 – $7,118
Texas TX24$4,7070%$3,919 – $12,132
Ohio OH12$3,353−29%$1,529 – $4,545
Iowa IA16$2,876−39%$2,876 – $2,876
Michigan MI13$2,858−39%$1,782 – $17,654
Pennsylvania PA19$2,138−55%$708 – $21,753
Illinois IL13$2,105−55%$1,277 – $2,398
Oklahoma OK13$1,889−60%$1,889 – $11,972
Florida FL8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not 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 $4,707.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care258$4,707$1,889 – $15,226
Children’s17fewer than 20 hospitals
Critical access41$4,925$2,138 – $10,629
Ownership
For-profit35$4,038$1,277 – $18,522
Government52$2,938$2,100 – $15,226
Non-profit229$5,110$1,889 – $14,242
System affiliation
Part of a system258$5,420$1,889 – $15,226
Independent59$2,757$1,906 – $11,142

Cash price vs list price

Median list price (chargemaster)$4,662
Median cash price$4,707
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

166 hospitals filed a usable inpatient cash price for this code. The median is $2,876 and the average of the middle 60% is $5,495; most fall between $1,766 and $13,149.

Cash price percentiles, inpatient, across 166 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
$1,277$1,889$2,876$10,629$13,865

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,277 vs $13,865).

Of the 186 hospitals that filed this code inpatient, 166 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

317 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 346 hospitals that filed this code at all gave us
Usable cash price — counted317
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
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 — excluded8
Hospitals that filed this code346

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 Other OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as Osteotomy Tibia & 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, “Surgical cutting of both lower leg bones for realignment (CPT 27709) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27709-surgical-cutting-of-both-lower-leg-bones-for-realignment