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

Repair of a shinbone shaft break with a rod inside the bone

CPT code CPT 27759the billing code this page is about

Treatment of a tibial shaft fracture by placing a metal rod down the center of the bone, with or without locking screws or wire loops.

Hospitals typically charge $3,757 cash for this outpatient procedure — the median across 757 hospitals that filed a usable cash price; the average of the middle 60% is $5,467. Most fall between $1,631 and $15,153 (20th–80th percentile).

Hospitals
757
States
48
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 757 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
$1,068$1,847$3,757$12,714$21,358

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($1,068 vs $21,358).

How the prices are spread

$693 – $1,010: 24 hospitals$693$1,010 – $1,471: 61 hospitals$1,471 – $2,144: 106 hospitals$1,471$2,144 – $3,124: 104 hospitals$3,124 – $4,553: 70 hospitals$3,124$4,553 – $6,634: 68 hospitals$6,634 – $9,668: 49 hospitals$6,634$9,668 – $14,088: 70 hospitals$14,088 – $20,530: 74 hospitals$14,088$20,530 – $29,917: 57 hospitals$20,530median $3,757price bands are equal on a log scale
Hospitals per price band (683 of 757 — the bands cover the 5th to 95th percentile)
FromToHospitals
$693$1,01024
$1,010$1,47161
$1,471$2,144106
$2,144$3,124104
$3,124$4,55370
$4,553$6,63468
$6,634$9,66849
$9,668$14,08870
$14,088$20,53074
$20,530$29,91757

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$3,757
Cash as a multiple of Medicare0.29×

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 $3,757.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,412 across 10 hospitalsVT$1,412New Hampshire: median $1,267 across 10 hospitalsNH$1,267Washington: median $2,412 across 24 hospitalsWA$2,412Idaho: median $5,768 across 15 hospitalsID$5,768Montana: 8 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 $4,378 across 28 hospitalsMN$4,378Illinois: median $2,208 across 30 hospitalsIL$2,208Wisconsin: median $4,826 across 38 hospitalsWI$4,826Michigan: median $2,448 across 38 hospitalsMI$2,448New York: median $3,707 across 45 hospitalsNY$3,707Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,123 across 24 hospitalsOR$2,123Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $2,457 across 33 hospitalsIA$2,457Indiana: median $1,302 across 31 hospitalsIN$1,302Ohio: median $3,310 across 20 hospitalsOH$3,310Pennsylvania: median $7,386 across 29 hospitalsPA$7,386New Jersey: median $14,242 across 33 hospitalsNJ$14,242Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,088 across 54 hospitalsCA$7,088Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,142 across 10 hospitalsCO$2,142Nebraska: median $4,238 across 17 hospitalsNE$4,238Missouri: median $3,159 across 14 hospitalsMO$3,159Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,727 across 21 hospitalsWV$2,727Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,213 across 10 hospitalsTN$1,213North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,609 across 13 hospitalsOK$1,609Louisiana: median $19,723 across 10 hospitalsLA$19,723Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $7,899 across 11 hospitalsAL$7,899Georgia: median $9,791 across 13 hospitalsGA$9,791Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $10,815 across 36 hospitalsTX$10,815Florida: median $3,757 across 10 hospitalsFL$3,757
Cash price by state, most expensive first. National median $3,757. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Louisiana LA10$19,723+425%$6,145 – $21,366
New Jersey NJ33$14,242+279%$5,339 – $17,627
Texas TX36$10,815+188%$7,948 – $18,543
Georgia GA13$9,791+161%$9,791 – $23,258
Alabama AL11$7,899+110%$2,821 – $15,005
Pennsylvania PA29$7,386+97%$648 – $19,980
California CA54$7,088+89%$2,151 – $21,358
Idaho ID15$5,768+54%$2,001 – $15,889
Wisconsin WI38$4,826+28%$3,665 – $10,912
Minnesota MN28$4,378+17%$2,084 – $5,740
Nebraska NE17$4,238+13%$2,580 – $5,879
Florida FL10$3,7570%$1,663 – $9,697
New York NY45$3,707−1%$1,188 – $15,226
Ohio OH20$3,310−12%$1,014 – $15,473
Missouri MO14$3,159−16%$1,539 – $28,292
West Virginia WV21$2,727−27%$1,060 – $7,772
Iowa IA33$2,457−35%$2,031 – $5,157
Michigan MI38$2,448−35%$1,720 – $3,665
Washington WA24$2,412−36%$1,847 – $15,220
Illinois IL30$2,208−41%$1,302 – $13,891
Colorado CO10$2,142−43%$1,664 – $8,791
Oregon OR24$2,123−44%$1,641 – $3,294
Oklahoma OK13$1,609−57%$1,609 – $12,299
Vermont VT10$1,412−62%$506 – $2,859
Indiana IN31$1,302−65%$1,140 – $4,297
New Hampshire NH10$1,267−66%$911 – $2,414
Tennessee TN10$1,213−68%$1,068 – $12,046
Arkansas AR9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not 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 $3,757.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care538$5,855$1,685 – $17,406
Children’s16fewer than 20 hospitals
Critical access202$2,427$1,461 – $4,892
Ownership
For-profit76$12,046$2,213 – $23,258
Government134$2,821$1,678 – $11,614
Non-profit546$3,757$1,609 – $14,597
System affiliation
Part of a system572$4,887$1,609 – $15,226
Independent185$2,925$1,659 – $11,458

Cash price vs list price

Median list price (chargemaster)$4,440
Median cash price$3,757
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

371 hospitals filed a usable inpatient cash price for this code. The median is $2,937 and the average of the middle 60% is $4,085; most fall between $1,424 and $10,815.

Cash price percentiles, inpatient, across 371 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
$1,028$1,609$2,937$8,439$21,358

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($1,028 vs $21,358).

Of the 418 hospitals that filed this code inpatient, 371 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

757 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 842 hospitals that filed this code at all gave us
Usable cash price — counted757
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded30
Hospitals that filed this code842

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.

Hospitals file this code under descriptions such as Tx Tibl Shft Fx Imed Implt W/WO Screws&/Cercla.

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, “Repair of a shinbone shaft break with a rod inside the bone (CPT 27759) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27759-repair-of-a-shinbone-shaft-break-with-a-rod-inside-the-bone