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

Open surgery for an inner ankle break

CPT 27766the billing code this page is about

Surgical repair of a fracture of the medial malleolus through an incision, including screws, pins or other internal hardware when used.

Hospitals typically charge $3,255 cash for this outpatient procedure — the median across 888 hospitals that filed a usable cash price; the average of the middle 60% is $4,189. Most fall between $1,275 and $10,022 (20th–80th percentile).

Hospitals
888
States
50
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 888 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
$889$1,410$3,255$8,454$15,835

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($889 vs $15,835).

How the prices are spread

$656 – $925: 54 hospitals$656$925 – $1,303: 99 hospitals$1,303 – $1,835: 118 hospitals$1,303$1,835 – $2,585: 73 hospitals$2,585 – $3,641: 82 hospitals$2,585$3,641 – $5,130: 74 hospitals$5,130 – $7,226: 65 hospitals$5,130$7,226 – $10,179: 103 hospitals$10,179 – $14,340: 72 hospitals$10,179$14,340 – $20,200: 61 hospitals$14,340median $3,255price bands are equal on a log scale
Hospitals per price band (801 of 888 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$92554
$925$1,30399
$1,303$1,835118
$1,835$2,58573
$2,585$3,64182
$3,641$5,13074
$5,130$7,22665
$7,226$10,179103
$10,179$14,34072
$14,340$20,20061

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,255
Cash as a multiple of Medicare0.44×

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 $3,255.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,366 across 10 hospitalsVT$1,366New Hampshire: median $754 across 10 hospitalsNH$754Washington: median $2,250 across 30 hospitalsWA$2,250Idaho: median $7,885 across 17 hospitalsID$7,885Montana: median $1,310 across 12 hospitalsMT$1,310North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,755 across 36 hospitalsMN$2,755Illinois: median $1,843 across 28 hospitalsIL$1,843Wisconsin: median $3,197 across 38 hospitalsWI$3,197Michigan: median $1,410 across 38 hospitalsMI$1,410New York: median $1,919 across 44 hospitalsNY$1,919Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,027 across 29 hospitalsOR$2,027Nevada: 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 $1,488 across 40 hospitalsIA$1,488Indiana: median $1,323 across 21 hospitalsIN$1,323Ohio: median $2,051 across 28 hospitalsOH$2,051Pennsylvania: median $8,376 across 20 hospitalsPA$8,376New Jersey: median $7,907 across 34 hospitalsNJ$7,907Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,258 across 72 hospitalsCA$4,258Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,558 across 19 hospitalsCO$2,558Nebraska: median $1,947 across 19 hospitalsNE$1,947Missouri: median $6,617 across 23 hospitalsMO$6,617Kentucky: median $908 across 12 hospitalsKY$908West Virginia: median $4,732 across 20 hospitalsWV$4,732Virginia: median $4,118 across 11 hospitalsVA$4,118Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $2,486 across 12 hospitalsAZ$2,486New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,747 across 21 hospitalsKS$1,747Arkansas: median $3,128 across 10 hospitalsAR$3,128Tennessee: median $5,521 across 16 hospitalsTN$5,521North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,275 across 19 hospitalsOK$1,275Louisiana: median $5,793 across 13 hospitalsLA$5,793Mississippi: median $4,949 across 10 hospitalsMS$4,949Alabama: median $6,476 across 15 hospitalsAL$6,476Georgia: median $7,242 across 17 hospitalsGA$7,242Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,596 across 46 hospitalsTX$6,596Florida: median $18,998 across 17 hospitalsFL$18,998
Cash price by state, most expensive first. National median $3,255. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL17$18,998+484%$2,051 – $20,970
Pennsylvania PA20$8,376+157%$3,556 – $13,461
New Jersey NJ34$7,907+143%$4,881 – $9,388
Idaho ID17$7,885+142%$1,227 – $13,906
Georgia GA17$7,242+122%$6,653 – $17,434
Missouri MO23$6,617+103%$915 – $17,104
Texas TX46$6,596+103%$4,485 – $11,073
Alabama AL15$6,476+99%$1,709 – $12,862
Louisiana LA13$5,793+78%$4,059 – $10,915
Tennessee TN16$5,521+70%$648 – $8,848
Mississippi MS10$4,949+52%$1,038 – $12,702
West Virginia WV20$4,732+45%$662 – $8,233
California CA72$4,258+31%$2,351 – $13,759
Virginia VA11$4,118+27%$409 – $45,884
Wisconsin WI38$3,197−2%$2,660 – $4,726
Arkansas AR10$3,128−4%$1,275 – $4,376
Minnesota MN36$2,755−15%$1,460 – $3,680
Colorado CO19$2,558−21%$1,254 – $19,279
Arizona AZ12$2,486−24%$948 – $10,503
Washington WA30$2,250−31%$1,330 – $13,140
Ohio OH28$2,051−37%$1,265 – $19,157
Oregon OR29$2,027−38%$1,130 – $12,042
Nebraska NE19$1,947−40%$1,223 – $3,825
New York NY44$1,919−41%$1,026 – $8,454
Illinois IL28$1,843−43%$715 – $3,170
Kansas KS21$1,747−46%$839 – $6,642
Iowa IA40$1,488−54%$1,157 – $1,930
Michigan MI38$1,410−57%$1,189 – $9,978
Vermont VT10$1,366−58%$533 – $1,581
Indiana IN21$1,323−59%$715 – $7,639
Montana MT12$1,310−60%$894 – $2,794
Oklahoma OK19$1,275−61%$1,275 – $11,489
Kentucky KY12$908−72%$614 – $4,655
New Hampshire NH10$754−77%$497 – $1,428
Alaska AK9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $3,255.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care611$5,085$1,454 – $13,391
Children’s15fewer than 20 hospitals
Critical access260$1,756$1,007 – $3,702
Ownership
For-profit102$7,892$1,891 – $17,673
Government168$1,816$1,106 – $8,142
Non-profit616$3,255$1,275 – $9,532
System affiliation
Part of a system664$3,825$1,366 – $11,616
Independent224$1,947$1,058 – $7,861

Cash price vs list price

Median list price (chargemaster)$3,563
Median cash price$3,255
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

451 hospitals filed a usable inpatient cash price for this code. The median is $2,551 and the average of the middle 60% is $3,270; most fall between $1,096 and $8,848.

Cash price percentiles, inpatient, across 451 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
$715$1,232$2,551$6,653$13,759

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($715 vs $13,759).

Of the 508 hospitals that filed this code inpatient, 451 gave a usable cash price; 30 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

888 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 994 hospitals that filed this code at all gave us
Usable cash price — counted888
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded34
Hospitals that filed this code994

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

Hospitals file this code under descriptions such as Open Treatment Medial Malleolus 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, “Open surgery for an inner ankle break (CPT 27766) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27766-open-surgery-for-an-inner-ankle-break