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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 with realignment

CPT 27768the billing code this page is about

Treatment of a posterior malleolus fracture at the back of the ankle in which the bone is moved back into position without an incision.

Hospitals typically charge $1,454 cash for this outpatient procedure — the median across 1,247 hospitals that filed a usable cash price; the average of the middle 60% is $1,557. Most fall between $659 and $2,821 (20th–80th percentile).

Hospitals
1,247
States
49
Filings dated
Dec 2022 – 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 1,247 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
$425$828$1,454$2,580$3,894

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($425 vs $3,894).

How the prices are spread

$265 – $356: 41 hospitals$265$356 – $479: 58 hospitals$479 – $645: 70 hospitals$479$645 – $867: 106 hospitals$867 – $1,167: 182 hospitals$867$1,167 – $1,570: 150 hospitals$1,570 – $2,111: 173 hospitals$1,570$2,111 – $2,840: 165 hospitals$2,840 – $3,820: 110 hospitals$2,840$3,820 – $5,138: 69 hospitals$3,820median $1,454price bands are equal on a log scale
Hospitals per price band (1,124 of 1,247 — the bands cover the 5th to 95th percentile)
FromToHospitals
$265$35641
$356$47958
$479$64570
$645$867106
$867$1,167182
$1,167$1,570150
$1,570$2,111173
$2,111$2,840165
$2,840$3,820110
$3,820$5,13869

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,454
Cash as a multiple of Medicare0.89×

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 $1,454.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,586 across 11 hospitalsME$1,586Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,175 across 38 hospitalsWA$2,175Idaho: median $1,096 across 13 hospitalsID$1,096Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $2,317 across 10 hospitalsND$2,317Minnesota: median $1,402 across 24 hospitalsMN$1,402Illinois: median $1,503 across 47 hospitalsIL$1,503Wisconsin: median $1,101 across 43 hospitalsWI$1,101Michigan: median $1,434 across 54 hospitalsMI$1,434New York: median $2,007 across 64 hospitalsNY$2,007Massachusetts: median $1,744 across 19 hospitalsMA$1,744Oregon: median $2,150 across 32 hospitalsOR$2,150Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,761 across 10 hospitalsSD$2,761Iowa: median $1,086 across 26 hospitalsIA$1,086Indiana: median $543 across 32 hospitalsIN$543Ohio: median $1,513 across 54 hospitalsOH$1,513Pennsylvania: median $1,854 across 38 hospitalsPA$1,854New Jersey: median $3,786 across 28 hospitalsNJ$3,786Connecticut: median $2,510 across 11 hospitalsCT$2,510Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,114 across 95 hospitalsCA$1,114Utah: median $905 across 28 hospitalsUT$905Colorado: median $2,231 across 25 hospitalsCO$2,231Nebraska: median $700 across 22 hospitalsNE$700Missouri: median $1,086 across 25 hospitalsMO$1,086Kentucky: median $370 across 18 hospitalsKY$370West Virginia: median $488 across 14 hospitalsWV$488Virginia: median $1,508 across 40 hospitalsVA$1,508Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $526 across 14 hospitalsAZ$526New Mexico: median $1,532 across 10 hospitalsNM$1,532Kansas: median $1,087 across 19 hospitalsKS$1,087Arkansas: median $947 across 14 hospitalsAR$947Tennessee: median $659 across 25 hospitalsTN$659North Carolina: median $3,276 across 23 hospitalsNC$3,276South Carolina: median $1,465 across 16 hospitalsSC$1,465Oklahoma: median $452 across 29 hospitalsOK$452Louisiana: median $1,454 across 13 hospitalsLA$1,454Mississippi: median $568 across 25 hospitalsMS$568Alabama: median $1,401 across 11 hospitalsAL$1,401Georgia: median $973 across 25 hospitalsGA$973Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,328 across 94 hospitalsTX$2,328Florida: median $2,126 across 47 hospitalsFL$2,126
Cash price by state, most expensive first. National median $1,454. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$3,786+160%$1,773 – $5,741
North Carolina NC23$3,276+125%$1,160 – $3,276
South Dakota SD10$2,761+90%$912 – $3,764
Connecticut CT11$2,510+73%$774 – $4,550
Texas TX94$2,328+60%$1,325 – $2,821
North Dakota ND10$2,317+59%$827 – $2,527
Colorado CO25$2,231+53%$1,371 – $4,181
Washington WA38$2,175+50%$1,156 – $3,322
Oregon OR32$2,150+48%$1,379 – $3,812
Florida FL47$2,126+46%$1,625 – $4,940
New York NY64$2,007+38%$1,365 – $4,136
Pennsylvania PA38$1,854+28%$336 – $2,706
Massachusetts MA19$1,744+20%$1,079 – $2,868
Maine ME11$1,586+9%$961 – $2,771
New Mexico NM10$1,532+5%$755 – $1,754
Ohio OH54$1,513+4%$799 – $4,785
Virginia VA40$1,508+4%$647 – $2,565
Illinois IL47$1,503+3%$843 – $2,383
South Carolina SC16$1,465+1%$735 – $3,338
Louisiana LA13$1,4540%$516 – $2,669
Michigan MI54$1,434−1%$481 – $2,321
Minnesota MN24$1,402−4%$1,038 – $1,877
Alabama AL11$1,401−4%$1,110 – $2,881
California CA95$1,114−23%$946 – $2,058
Wisconsin WI43$1,101−24%$615 – $3,111
Idaho ID13$1,096−25%$794 – $4,436
Kansas KS19$1,087−25%$407 – $2,268
Iowa IA26$1,086−25%$265 – $1,518
Missouri MO25$1,086−25%$685 – $1,414
Georgia GA25$973−33%$460 – $2,739
Arkansas AR14$947−35%$873 – $1,428
Utah UT28$905−38%$864 – $1,985
Nebraska NE22$700−52%$202 – $1,616
Tennessee TN25$659−55%$447 – $890
Mississippi MS25$568−61%$408 – $852
Indiana IN32$543−63%$261 – $1,548
Arizona AZ14$526−64%$526 – $1,973
West Virginia WV14$488−66%$488 – $1,198
Oklahoma OK29$452−69%$222 – $1,847
Kentucky KY18$370−75%$259 – $1,709
Montana MT9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Vermont VT6not 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 $1,454.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care958$1,595$685 – $2,844
Children’s24$3,063$1,199 – $7,680
Critical access263$1,081$494 – $2,321
Ownership
For-profit117$1,559$598 – $2,636
Government199$1,401$772 – $2,539
Non-profit929$1,454$659 – $2,918
System affiliation
Part of a system1,030$1,492$659 – $2,881
Independent217$1,365$711 – $2,320

Cash price vs list price

Median list price (chargemaster)$2,442
Median cash price$1,454
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

938 hospitals filed a usable inpatient cash price for this code. The median is $1,434 and the average of the middle 60% is $1,599; most fall between $662 and $2,868.

Cash price percentiles, inpatient, across 938 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
$449$860$1,434$2,622$3,866

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($449 vs $3,866).

Of the 1,008 hospitals that filed this code inpatient, 938 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,247 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,345 hospitals that filed this code at all gave us
Usable cash price — counted1,247
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 — excluded47
Hospitals that filed this code1,345

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 July 20, 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 PR Closed Treatment Pst Malleolus Fracture W 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 with realignment (CPT 27768) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27768-nonsurgical-treatment-of-a-back-ankle-break-with-realignment