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

Nonsurgical care of outer ankle bone fracture, no resetting

CPT code CPT 27786the billing code this page is about

Treatment of a break in the lower end of the smaller lower leg bone, the bump on the outer ankle, without surgery and without repositioning the bone.

Hospitals typically charge $460 cash for this outpatient procedure — the median across 1,971 hospitals that filed a usable cash price; the average of the middle 60% is $476. Most fall between $254 and $807 (20th–80th percentile).

Hospitals
1,971
States
50
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 1,971 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
$194$280$460$716$1,126

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($194 vs $1,126).

How the prices are spread

$142 – $179: 77 hospitals$142$179 – $227: 115 hospitals$227 – $287: 241 hospitals$227$287 – $363: 208 hospitals$363 – $459: 245 hospitals$363$459 – $580: 259 hospitals$580 – $734: 273 hospitals$580$734 – $929: 166 hospitals$929 – $1,175: 121 hospitals$929$1,175 – $1,487: 72 hospitals$1,175median $460price bands are equal on a log scale
Hospitals per price band (1,777 of 1,971 — the bands cover the 5th to 95th percentile)
FromToHospitals
$142$17977
$179$227115
$227$287241
$287$363208
$363$459245
$459$580259
$580$734273
$734$929166
$929$1,175121
$1,175$1,48772

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$460
Cash as a multiple of Medicare1.82×

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 $460.

Alaska: median $821 across 14 hospitalsAK$821Maine: median $371 across 17 hospitalsME$371Vermont: median $455 across 10 hospitalsVT$455New Hampshire: median $219 across 14 hospitalsNH$219Washington: median $640 across 54 hospitalsWA$640Idaho: median $600 across 20 hospitalsID$600Montana: median $472 across 23 hospitalsMT$472North Dakota: median $414 across 20 hospitalsND$414Minnesota: median $580 across 65 hospitalsMN$580Illinois: median $486 across 76 hospitalsIL$486Wisconsin: median $532 across 70 hospitalsWI$532Michigan: median $369 across 58 hospitalsMI$369New York: median $477 across 87 hospitalsNY$477Massachusetts: median $825 across 42 hospitalsMA$825Oregon: median $523 across 42 hospitalsOR$523Nevada: median $448 across 13 hospitalsNV$448Wyoming: median $572 across 10 hospitalsWY$572South Dakota: median $465 across 34 hospitalsSD$465Iowa: median $456 across 69 hospitalsIA$456Indiana: median $336 across 42 hospitalsIN$336Ohio: median $359 across 78 hospitalsOH$359Pennsylvania: median $429 across 85 hospitalsPA$429New Jersey: median $909 across 38 hospitalsNJ$909Connecticut: median $433 across 13 hospitalsCT$433Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $652 across 117 hospitalsCA$652Utah: median $416 across 31 hospitalsUT$416Colorado: median $461 across 41 hospitalsCO$461Nebraska: median $458 across 58 hospitalsNE$458Missouri: median $438 across 40 hospitalsMO$438Kentucky: median $275 across 26 hospitalsKY$275West Virginia: median $319 across 30 hospitalsWV$319Virginia: median $242 across 28 hospitalsVA$242Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $372 across 17 hospitalsAZ$372New Mexico: median $490 across 18 hospitalsNM$490Kansas: median $485 across 49 hospitalsKS$485Arkansas: median $393 across 17 hospitalsAR$393Tennessee: median $242 across 27 hospitalsTN$242North Carolina: median $361 across 36 hospitalsNC$361South Carolina: median $650 across 39 hospitalsSC$650Oklahoma: median $289 across 40 hospitalsOK$289Louisiana: median $204 across 31 hospitalsLA$204Mississippi: median $161 across 34 hospitalsMS$161Alabama: median $342 across 17 hospitalsAL$342Georgia: median $527 across 64 hospitalsGA$527Hawaii: median $573 across 13 hospitalsHI$573Texas: median $466 across 138 hospitalsTX$466Florida: median $735 across 52 hospitalsFL$735
Cash price by state, most expensive first. National median $460. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ38$909+98%$283 – $4,881
Massachusetts MA42$825+79%$582 – $1,886
Alaska AK14$821+79%$395 – $1,558
Florida FL52$735+60%$449 – $1,304
California CA117$652+42%$338 – $1,126
South Carolina SC39$650+41%$289 – $984
Washington WA54$640+39%$459 – $792
Idaho ID20$600+30%$345 – $670
Minnesota MN65$580+26%$276 – $854
Hawaii HI13$573+25%$502 – $937
Wyoming WY10$572+24%$357 – $840
Wisconsin WI70$532+16%$317 – $856
Georgia GA64$527+15%$378 – $656
Oregon OR42$523+14%$284 – $808
New Mexico NM18$490+7%$256 – $1,733
Illinois IL76$486+6%$236 – $795
Kansas KS49$485+5%$291 – $845
New York NY87$477+4%$284 – $885
Montana MT23$472+3%$326 – $730
Texas TX138$466+1%$232 – $837
South Dakota SD34$465+1%$336 – $774
Colorado CO41$4610%$254 – $724
Nebraska NE58$4580%$334 – $658
Iowa IA69$456−1%$206 – $770
Vermont VT10$455−1%$240 – $840
Nevada NV13$448−3%$268 – $1,144
Missouri MO40$438−5%$203 – $542
Connecticut CT13$433−6%$233 – $1,047
Pennsylvania PA85$429−7%$252 – $838
Utah UT31$416−10%$363 – $466
North Dakota ND20$414−10%$271 – $703
Arkansas AR17$393−15%$207 – $561
Arizona AZ17$372−19%$372 – $596
Maine ME17$371−19%$249 – $586
Michigan MI58$369−20%$242 – $575
North Carolina NC36$361−21%$225 – $377
Ohio OH78$359−22%$268 – $717
Alabama AL17$342−26%$241 – $878
Indiana IN42$336−27%$221 – $629
West Virginia WV30$319−31%$237 – $492
Oklahoma OK40$289−37%$208 – $591
Kentucky KY26$275−40%$241 – $521
Tennessee TN27$242−47%$214 – $325
Virginia VA28$242−47%$203 – $450
New Hampshire NH14$219−52%$143 – $403
Louisiana LA31$204−56%$123 – $331
Mississippi MS34$161−65%$79 – $319
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not 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 $460.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,323$442$247 – $802
Children’s47$700$287 – $1,137
Critical access599$483$284 – $774
Ownership
For-profit169$525$267 – $1,073
Government385$458$253 – $783
Non-profit1,415$456$254 – $788
System affiliation
Part of a system1,571$466$254 – $802
Independent400$442$253 – $821

Cash price vs list price

Median list price (chargemaster)$736
Median cash price$460
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

1,466 hospitals filed a usable inpatient cash price for this code. The median is $488 and the average of the middle 60% is $504; most fall between $273 and $856.

Cash price percentiles, inpatient, across 1,466 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
$204$289$488$735$1,152

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($204 vs $1,152).

Of the 1,581 hospitals that filed this code inpatient, 1,466 gave a usable cash price; 42 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

1,971 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,126 hospitals that filed this code at all gave us
Usable cash price — counted1,971
Cash price carrying a plausibility flag — shown on the compare tool, excluded here74
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 — excluded80
Hospitals that filed this code2,126

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.

Hospitals file this code under descriptions such as Cltx Dstl Fibular Fx Lat Malls 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 care of outer ankle bone fracture, no resetting (CPT 27786) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27786-nonsurgical-care-of-outer-ankle-bone-fracture-no-resetting