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

Nonsurgical treatment of a back ankle break, no realignment

CPT 27767the billing code this page is about

Treatment of a fracture of the posterior malleolus, at the back of the lower shinbone at the ankle, without surgery and without repositioning the bone.

Hospitals typically charge $484 cash for this outpatient procedure — the median across 1,015 hospitals that filed a usable cash price; the average of the middle 60% is $507. Most fall between $283 and $912 (20th–80th percentile).

Hospitals
1,015
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 1,015 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
$215$305$484$780$1,276

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($215 vs $1,276).

How the prices are spread

$169 – $213: 50 hospitals$169$213 – $268: 81 hospitals$268 – $338: 146 hospitals$268$338 – $425: 83 hospitals$425 – $536: 186 hospitals$425$536 – $675: 91 hospitals$675 – $850: 100 hospitals$675$850 – $1,071: 73 hospitals$1,071 – $1,349: 62 hospitals$1,071$1,349 – $1,699: 43 hospitals$1,349median $484price bands are equal on a log scale
Hospitals per price band (915 of 1,015 — the bands cover the 5th to 95th percentile)
FromToHospitals
$169$21350
$213$26881
$268$338146
$338$42583
$425$536186
$536$67591
$675$850100
$850$1,07173
$1,071$1,34962
$1,349$1,69943

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$484
Cash as a multiple of Medicare1.92×

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 $484.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $368 across 11 hospitalsME$368Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $186 across 10 hospitalsNH$186Washington: median $575 across 27 hospitalsWA$575Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $524 across 25 hospitalsMN$524Illinois: median $525 across 41 hospitalsIL$525Wisconsin: median $760 across 50 hospitalsWI$760Michigan: median $339 across 41 hospitalsMI$339New York: median $396 across 55 hospitalsNY$396Massachusetts: median $603 across 24 hospitalsMA$603Oregon: median $551 across 25 hospitalsOR$551Nevada: 7 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 $662 across 28 hospitalsIA$662Indiana: median $321 across 31 hospitalsIN$321Ohio: median $431 across 53 hospitalsOH$431Pennsylvania: median $372 across 42 hospitalsPA$372New Jersey: median $1,600 across 27 hospitalsNJ$1,600Connecticut: 9 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 $602 across 81 hospitalsCA$602Utah: median $891 across 25 hospitalsUT$891Colorado: median $599 across 19 hospitalsCO$599Nebraska: median $512 across 20 hospitalsNE$512Missouri: median $336 across 12 hospitalsMO$336Kentucky: median $263 across 11 hospitalsKY$263West Virginia: median $323 across 24 hospitalsWV$323Virginia: median $368 across 12 hospitalsVA$368Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $347 across 15 hospitalsAZ$347New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $323 across 12 hospitalsKS$323Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $291 across 11 hospitalsTN$291North Carolina: median $521 across 21 hospitalsNC$521South Carolina: median $436 across 22 hospitalsSC$436Oklahoma: median $480 across 24 hospitalsOK$480Louisiana: median $316 across 11 hospitalsLA$316Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $350 across 10 hospitalsAL$350Georgia: median $806 across 30 hospitalsGA$806Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $333 across 49 hospitalsTX$333Florida: median $1,028 across 31 hospitalsFL$1,028
Cash price by state, most expensive first. National median $484. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ27$1,600+231%$266 – $5,339
Florida FL31$1,028+113%$456 – $1,625
Utah UT25$891+84%$767 – $960
Georgia GA30$806+67%$316 – $1,270
Wisconsin WI50$760+57%$456 – $1,489
Iowa IA28$662+37%$323 – $979
Massachusetts MA24$603+25%$305 – $1,138
California CA81$602+24%$432 – $1,126
Colorado CO19$599+24%$403 – $1,242
Washington WA27$575+19%$416 – $768
Oregon OR25$551+14%$205 – $1,137
Illinois IL41$525+9%$310 – $959
Minnesota MN25$524+8%$294 – $557
North Carolina NC21$521+8%$440 – $521
Nebraska NE20$512+6%$329 – $753
Oklahoma OK24$480−1%$188 – $480
South Carolina SC22$436−10%$436 – $487
Ohio OH53$431−11%$309 – $717
New York NY55$396−18%$284 – $780
Pennsylvania PA42$372−23%$220 – $1,643
Maine ME11$368−24%$218 – $447
Virginia VA12$368−24%$204 – $488
Alabama AL10$350−28%$164 – $790
Arizona AZ15$347−28%$304 – $430
Michigan MI41$339−30%$263 – $473
Missouri MO12$336−31%$294 – $489
Texas TX49$333−31%$246 – $585
Kansas KS12$323−33%$199 – $902
West Virginia WV24$323−33%$284 – $488
Indiana IN31$321−34%$226 – $512
Louisiana LA11$316−35%$143 – $480
Tennessee TN11$291−40%$285 – $313
Kentucky KY11$263−46%$232 – $310
New Hampshire NH10$186−61%$152 – $362
Connecticut CT9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Maryland MD1not 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 $484.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care747$480$281 – $896
Children’s31$935$585 – $1,137
Critical access236$477$288 – $841
Ownership
For-profit89$522$305 – $1,270
Government161$451$264 – $704
Non-profit764$484$283 – $976
System affiliation
Part of a system844$484$284 – $959
Independent171$444$275 – $894

Cash price vs list price

Median list price (chargemaster)$756
Median cash price$484
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

721 hospitals filed a usable inpatient cash price for this code. The median is $498 and the average of the middle 60% is $547; most fall between $310 and $990.

Cash price percentiles, inpatient, across 721 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
$230$336$498$830$1,314

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($230 vs $1,314).

Of the 775 hospitals that filed this code inpatient, 721 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,015 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,101 hospitals that filed this code at all gave us
Usable cash price — counted1,015
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
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 — excluded30
Hospitals that filed this code1,101

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 Closed Treatment Pst Malleolus Fracture W/O Manj.

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, “Nonsurgical treatment of a back ankle break, no realignment (CPT 27767) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27767-nonsurgical-treatment-of-a-back-ankle-break-no-realignment