HRHospitalRates.comCompare prices

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

Setting an upper fibula fracture without surgery

CPT 27781the billing code this page is about

Treatment of a break in the upper end or shaft of the smaller lower leg bone by manually repositioning the bone fragments, without opening the skin.

Hospitals typically charge $1,699 cash for this outpatient procedure — the median across 1,557 hospitals that filed a usable cash price; the average of the middle 60% is $1,757. Most fall between $788 and $3,274 (20th–80th percentile).

Hospitals
1,557
States
49
Filings dated
Aug 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 1,557 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
$537$888$1,699$2,870$5,172

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($537 vs $5,172).

How the prices are spread

$362 – $482: 52 hospitals$362$482 – $642: 76 hospitals$642 – $854: 167 hospitals$642$854 – $1,136: 154 hospitals$1,136 – $1,512: 156 hospitals$1,136$1,512 – $2,012: 280 hospitals$2,012 – $2,678: 162 hospitals$2,012$2,678 – $3,564: 155 hospitals$3,564 – $4,743: 82 hospitals$3,564$4,743 – $6,311: 119 hospitals$4,743median $1,699price bands are equal on a log scale
Hospitals per price band (1,403 of 1,557 — the bands cover the 5th to 95th percentile)
FromToHospitals
$362$48252
$482$64276
$642$854167
$854$1,136154
$1,136$1,512156
$1,512$2,012280
$2,012$2,678162
$2,678$3,564155
$3,564$4,74382
$4,743$6,311119

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,699
Cash as a multiple of Medicare1.03×

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 $1,699.

Alaska: median $1,870 across 11 hospitalsAK$1,870Maine: median $927 across 16 hospitalsME$927Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $941 across 10 hospitalsNH$941Washington: median $2,270 across 47 hospitalsWA$2,270Idaho: median $3,000 across 14 hospitalsID$3,000Montana: median $1,186 across 11 hospitalsMT$1,186North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,660 across 52 hospitalsMN$1,660Illinois: median $1,790 across 57 hospitalsIL$1,790Wisconsin: median $1,695 across 48 hospitalsWI$1,695Michigan: median $998 across 54 hospitalsMI$998New York: median $2,849 across 73 hospitalsNY$2,849Massachusetts: median $1,807 across 33 hospitalsMA$1,807Oregon: median $1,489 across 40 hospitalsOR$1,489Nevada: median $1,683 across 13 hospitalsNV$1,683Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,190 across 11 hospitalsSD$1,190Iowa: median $1,193 across 32 hospitalsIA$1,193Indiana: median $960 across 28 hospitalsIN$960Ohio: median $1,902 across 55 hospitalsOH$1,902Pennsylvania: median $1,975 across 75 hospitalsPA$1,975New Jersey: median $2,194 across 35 hospitalsNJ$2,194Connecticut: median $2,070 across 13 hospitalsCT$2,070Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,706 across 109 hospitalsCA$2,706Utah: median $891 across 29 hospitalsUT$891Colorado: median $1,518 across 30 hospitalsCO$1,518Nebraska: median $1,029 across 29 hospitalsNE$1,029Missouri: median $2,072 across 24 hospitalsMO$2,072Kentucky: median $1,333 across 18 hospitalsKY$1,333West Virginia: median $1,801 across 15 hospitalsWV$1,801Virginia: median $1,196 across 49 hospitalsVA$1,196Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $516 across 16 hospitalsAZ$516New Mexico: median $895 across 10 hospitalsNM$895Kansas: median $600 across 21 hospitalsKS$600Arkansas: median $1,025 across 14 hospitalsAR$1,025Tennessee: median $422 across 25 hospitalsTN$422North Carolina: median $1,737 across 36 hospitalsNC$1,737South Carolina: median $1,813 across 37 hospitalsSC$1,813Oklahoma: median $676 across 28 hospitalsOK$676Louisiana: median $652 across 26 hospitalsLA$652Mississippi: median $719 across 26 hospitalsMS$719Alabama: median $1,230 across 15 hospitalsAL$1,230Georgia: median $1,379 across 56 hospitalsGA$1,379Hawaii: median $3,756 across 11 hospitalsHI$3,756Texas: median $1,651 across 110 hospitalsTX$1,651Florida: median $2,990 across 62 hospitalsFL$2,990
Cash price by state, most expensive first. National median $1,699. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Hawaii HI11$3,756+121%$2,122 – $3,821
Idaho ID14$3,000+77%$758 – $4,436
Florida FL62$2,990+76%$2,126 – $7,121
New York NY73$2,849+68%$1,033 – $4,572
California CA109$2,706+59%$1,673 – $5,359
Washington WA47$2,270+34%$835 – $3,314
New Jersey NJ35$2,194+29%$1,771 – $5,419
Missouri MO24$2,072+22%$808 – $2,480
Connecticut CT13$2,070+22%$1,447 – $2,636
Pennsylvania PA75$1,975+16%$826 – $2,790
Ohio OH55$1,902+12%$1,493 – $4,785
Alaska AK11$1,870+10%$973 – $3,531
South Carolina SC37$1,813+7%$1,622 – $4,229
Massachusetts MA33$1,807+6%$813 – $4,550
West Virginia WV15$1,801+6%$621 – $3,029
Illinois IL57$1,790+5%$788 – $4,914
North Carolina NC36$1,737+2%$706 – $3,106
Wisconsin WI48$1,6950%$837 – $2,697
Nevada NV13$1,683−1%$871 – $2,068
Minnesota MN52$1,660−2%$1,009 – $2,080
Texas TX110$1,651−3%$1,124 – $3,029
Colorado CO30$1,518−11%$910 – $4,181
Oregon OR40$1,489−12%$968 – $2,383
Georgia GA56$1,379−19%$1,189 – $6,909
Kentucky KY18$1,333−22%$447 – $3,167
Alabama AL15$1,230−28%$653 – $1,564
Virginia VA49$1,196−30%$399 – $2,631
Iowa IA32$1,193−30%$707 – $2,803
South Dakota SD11$1,190−30%$1,190 – $2,246
Montana MT11$1,186−30%$361 – $1,340
Nebraska NE29$1,029−39%$844 – $1,957
Arkansas AR14$1,025−40%$674 – $1,428
Michigan MI54$998−41%$657 – $2,211
Indiana IN28$960−44%$711 – $1,692
New Hampshire NH10$941−45%$289 – $1,337
Maine ME16$927−45%$479 – $1,765
New Mexico NM10$895−47%$592 – $2,000
Utah UT29$891−48%$787 – $1,219
Mississippi MS26$719−58%$478 – $996
Oklahoma OK28$676−60%$676 – $2,348
Louisiana LA26$652−62%$242 – $1,454
Kansas KS21$600−65%$328 – $1,551
Arizona AZ16$516−70%$516 – $1,973
Tennessee TN25$422−75%$246 – $821
North Dakota ND9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Rhode Island RI7not 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 $1,699.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,182$1,807$835 – $3,685
Children’s38$2,480$1,230 – $7,564
Critical access334$1,124$676 – $2,328
Ownership
For-profit155$1,899$676 – $4,438
Government241$1,399$788 – $2,480
Non-profit1,158$1,749$807 – $3,315
System affiliation
Part of a system1,289$1,771$835 – $3,463
Independent268$1,306$664 – $2,583

Cash price vs list price

Median list price (chargemaster)$2,955
Median cash price$1,699
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

1,183 hospitals filed a usable inpatient cash price for this code. The median is $1,737 and the average of the middle 60% is $1,835; most fall between $837 and $3,463.

Cash price percentiles, inpatient, across 1,183 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
$565$960$1,737$2,990$4,969

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($565 vs $4,969).

Of the 1,266 hospitals that filed this code inpatient, 1,183 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,557 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,675 hospitals that filed this code at all gave us
Usable cash price — counted1,557
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
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 — excluded57
Hospitals that filed this code1,675

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 Cltx Prox Fibula/Shft Fx 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, “Setting an upper fibula fracture without surgery (CPT 27781) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27781-setting-an-upper-fibula-fracture-without-surgery