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

Surgery to fix a fracture at the back of the ankle

CPT 27769the billing code this page is about

Open surgical repair of a break in the posterior malleolus, the rear edge of the lower shinbone at the ankle, including screws or plates if used.

Hospitals typically charge $2,539 cash for this outpatient procedure — the median across 509 hospitals that filed a usable cash price; the average of the middle 60% is $3,507. Most fall between $1,177 and $8,613 (20th–80th percentile).

Hospitals
509
States
48
Filings dated
Jan 2024 – 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 509 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
$909$1,265$2,539$7,861$14,482

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($909 vs $14,482).

How the prices are spread

$720 – $994: 52 hospitals$720$994 – $1,372: 68 hospitals$1,372 – $1,895: 67 hospitals$1,372$1,895 – $2,617: 45 hospitals$2,617 – $3,614: 36 hospitals$2,617$3,614 – $4,990: 36 hospitals$4,990 – $6,891: 44 hospitals$4,990$6,891 – $9,516: 47 hospitals$9,516 – $13,141: 22 hospitals$9,516$13,141 – $18,147: 42 hospitals$13,141median $2,539price bands are equal on a log scale
Hospitals per price band (459 of 509 — the bands cover the 5th to 95th percentile)
FromToHospitals
$720$99452
$994$1,37268
$1,372$1,89567
$1,895$2,61745
$2,617$3,61436
$3,614$4,99036
$4,990$6,89144
$6,891$9,51647
$9,516$13,14122
$13,141$18,14742

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,539
Cash as a multiple of Medicare0.34×

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 $2,539.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $5,506 across 12 hospitalsID$5,506Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,636 across 20 hospitalsMN$2,636Illinois: median $1,381 across 13 hospitalsIL$1,381Wisconsin: median $4,410 across 32 hospitalsWI$4,410Michigan: median $1,069 across 33 hospitalsMI$1,069New York: median $7,413 across 30 hospitalsNY$7,413Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,134 across 19 hospitalsOR$2,134Nevada: 6 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 $1,795 across 24 hospitalsIA$1,795Indiana: median $909 across 10 hospitalsIN$909Ohio: median $2,726 across 20 hospitalsOH$2,726Pennsylvania: median $5,050 across 23 hospitalsPA$5,050New Jersey: median $7,907 across 32 hospitalsNJ$7,907Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,482 across 35 hospitalsCA$14,482Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,292 across 11 hospitalsNE$2,292Missouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $799 across 13 hospitalsWV$799Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,201 across 13 hospitalsOK$1,201Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 22 hospitalsTX$5,887Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,539. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$14,482+470%$1,452 – $14,482
New Jersey NJ32$7,907+211%$5,110 – $9,532
New York NY30$7,413+192%$1,301 – $8,454
Texas TX22$5,887+132%$2,425 – $5,887
Idaho ID12$5,506+117%$1,796 – $14,738
Pennsylvania PA23$5,050+99%$474 – $12,077
Wisconsin WI32$4,410+74%$3,607 – $5,914
Ohio OH20$2,726+7%$1,468 – $23,201
Minnesota MN20$2,636+4%$1,184 – $3,093
Nebraska NE11$2,292−10%$1,786 – $3,825
Oregon OR19$2,134−16%$1,351 – $2,415
Iowa IA24$1,795−29%$1,636 – $2,231
Illinois IL13$1,381−46%$909 – $1,795
Oklahoma OK13$1,201−53%$1,201 – $9,082
Michigan MI33$1,069−58%$961 – $4,410
Indiana IN10$909−64%$825 – $1,588
West Virginia WV13$799−69%$764 – $2,006
Washington WA9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not 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 $2,539.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care363$3,786$1,193 – $9,532
Children’s9fewer than 20 hospitals
Critical access136$1,910$1,097 – $4,410
Ownership
For-profit45$5,506$1,069 – $12,190
Government88$1,851$1,193 – $8,454
Non-profit375$2,724$1,145 – $8,429
System affiliation
Part of a system389$3,093$1,122 – $9,124
Independent120$1,984$1,205 – $6,415

Cash price vs list price

Median list price (chargemaster)$2,629
Median cash price$2,539
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

262 hospitals filed a usable inpatient cash price for this code. The median is $2,058 and the average of the middle 60% is $2,821; most fall between $1,201 and $6,980.

Cash price percentiles, inpatient, across 262 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
$909$1,274$2,058$5,887$14,482

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($909 vs $14,482).

Of the 288 hospitals that filed this code inpatient, 262 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

509 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 563 hospitals that filed this code at all gave us
Usable cash price — counted509
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded12
Hospitals that filed this code563

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 Posterior 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, “Surgery to fix a fracture at the back of the ankle (CPT 27769) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27769-surgery-to-fix-a-fracture-at-the-back-of-the-ankle