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Procedure price report · Treatment, fracture or dislocation of lower extremity (other than hip or femur)

Pinning of a shinbone shaft break through the skin

CPT 27756the billing code this page is about

Fixation of a tibial shaft fracture using pins, screws or wires inserted through small skin punctures rather than through an open incision.

Hospitals typically charge $3,086 cash for this outpatient procedure — the median across 519 hospitals that filed a usable cash price; the average of the middle 60% is $3,671. Most fall between $970 and $8,797 (20th–80th percentile).

Hospitals
519
States
46
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 519 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
$734$1,103$3,086$7,907$12,106

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($734 vs $12,106).

How the prices are spread

$580 – $802: 31 hospitals$580$802 – $1,110: 76 hospitals$1,110 – $1,534: 60 hospitals$1,110$1,534 – $2,122: 33 hospitals$2,122 – $2,934: 25 hospitals$2,122$2,934 – $4,057: 46 hospitals$4,057 – $5,610: 38 hospitals$4,057$5,610 – $7,758: 49 hospitals$7,758 – $10,728: 52 hospitals$7,758$10,728 – $14,834: 59 hospitals$10,728median $3,086price bands are equal on a log scale
Hospitals per price band (469 of 519 — the bands cover the 5th to 95th percentile)
FromToHospitals
$580$80231
$802$1,11076
$1,110$1,53460
$1,534$2,12233
$2,122$2,93425
$2,934$4,05746
$4,057$5,61038
$5,610$7,75849
$7,758$10,72852
$10,728$14,83459

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,086
Cash as a multiple of Medicare0.42×

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 $3,086.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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 $7,637 across 17 hospitalsWA$7,637Idaho: median $3,000 across 12 hospitalsID$3,000Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,233 across 16 hospitalsMN$3,233Illinois: median $1,098 across 15 hospitalsIL$1,098Wisconsin: median $3,086 across 25 hospitalsWI$3,086Michigan: median $1,488 across 32 hospitalsMI$1,488New York: median $8,454 across 27 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,929 across 23 hospitalsOR$1,929Nevada: 4 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 $1,414 across 19 hospitalsIA$1,414Indiana: median $1,080 across 10 hospitalsIN$1,080Ohio: median $1,937 across 13 hospitalsOH$1,937Pennsylvania: median $453 across 18 hospitalsPA$453New Jersey: median $6,839 across 24 hospitalsNJ$6,839Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,652 across 69 hospitalsCA$5,652Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,010 across 13 hospitalsWV$1,010Virginia: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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: median $11,609 across 10 hospitalsSC$11,609Oklahoma: median $955 across 13 hospitalsOK$955Louisiana: median $4,660 across 10 hospitalsLA$4,660Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,184 across 13 hospitalsGA$6,184Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,342 across 28 hospitalsTX$5,342Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,086. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC10$11,609+276%$5,416 – $11,609
New York NY27$8,454+174%$1,316 – $8,454
Washington WA17$7,637+148%$1,103 – $14,415
New Jersey NJ24$6,839+122%$4,881 – $8,413
Georgia GA13$6,184+100%$6,184 – $14,700
California CA69$5,652+83%$3,787 – $11,693
Texas TX28$5,342+73%$1,910 – $8,797
Louisiana LA10$4,660+51%$2,523 – $6,582
Minnesota MN16$3,233+5%$2,459 – $3,233
Wisconsin WI25$3,0860%$2,158 – $3,086
Idaho ID12$3,000−3%$1,332 – $14,738
Ohio OH13$1,937−37%$1,082 – $2,682
Oregon OR23$1,929−37%$1,103 – $14,931
Michigan MI32$1,488−52%$970 – $3,086
Iowa IA19$1,414−54%$1,238 – $1,414
Illinois IL15$1,098−64%$863 – $1,717
Indiana IN10$1,080−65%$863 – $6,707
West Virginia WV13$1,010−67%$631 – $4,636
Oklahoma OK13$955−69%$955 – $14,565
Pennsylvania PA18$453−85%$369 – $12,077
Alabama AL8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maine ME1not 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 $3,086.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care383$4,261$1,079 – $9,613
Children’s14fewer than 20 hospitals
Critical access121$1,488$863 – $4,042
Ownership
For-profit50$5,342$954 – $14,581
Government85$1,700$905 – $6,707
Non-profit383$3,233$1,024 – $9,058
System affiliation
Part of a system410$3,703$1,062 – $9,978
Independent109$1,432$905 – $4,750

Cash price vs list price

Median list price (chargemaster)$2,980
Median cash price$3,086
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

312 hospitals filed a usable inpatient cash price for this code. The median is $3,138 and the average of the middle 60% is $3,979; most fall between $955 and $11,609.

Cash price percentiles, inpatient, across 312 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
$829$1,103$3,138$8,488$14,413

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($829 vs $14,413).

Of the 345 hospitals that filed this code inpatient, 312 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

519 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 571 hospitals that filed this code at all gave us
Usable cash price — counted519
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded16
Hospitals that filed this code571

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 23, 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 Treatment, fracture or dislocation of lower extremity (other than hip or femur) family.

Hospitals file this code under descriptions such as Prq Skeletal Fixation Tibial Shaft Fracture.

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, “Pinning of a shinbone shaft break through the skin (CPT 27756) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27756-pinning-of-a-shinbone-shaft-break-through-the-skin