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

Setting an outer ankle bone fracture without surgery

CPT 27788the billing code this page is about

Treatment of a break in the lower end of the smaller lower leg bone at the outer ankle by manually repositioning the fragments, without opening the skin.

Hospitals typically charge $580 cash for this outpatient procedure — the median across 2,170 hospitals that filed a usable cash price; the average of the middle 60% is $602. Most fall between $284 and $1,056 (20th–80th percentile).

Hospitals
2,170
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 2,170 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
$222$322$580$956$1,444

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($222 vs $1,444).

How the prices are spread

$154 – $199: 54 hospitals$154$199 – $258: 162 hospitals$258 – $334: 242 hospitals$258$334 – $431: 217 hospitals$431 – $558: 252 hospitals$431$558 – $722: 303 hospitals$722 – $933: 261 hospitals$722$933 – $1,207: 232 hospitals$1,207 – $1,561: 153 hospitals$1,207$1,561 – $2,019: 78 hospitals$1,561median $580price bands are equal on a log scale
Hospitals per price band (1,954 of 2,170 — the bands cover the 5th to 95th percentile)
FromToHospitals
$154$19954
$199$258162
$258$334242
$334$431217
$431$558252
$558$722303
$722$933261
$933$1,207232
$1,207$1,561153
$1,561$2,01978

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$580
Cash as a multiple of Medicare2.3×

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 $580.

Alaska: median $929 across 15 hospitalsAK$929Maine: median $328 across 21 hospitalsME$328Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $379 across 17 hospitalsNH$379Washington: median $752 across 60 hospitalsWA$752Idaho: median $519 across 18 hospitalsID$519Montana: median $485 across 23 hospitalsMT$485North Dakota: median $394 across 19 hospitalsND$394Minnesota: median $730 across 82 hospitalsMN$730Illinois: median $536 across 95 hospitalsIL$536Wisconsin: median $722 across 81 hospitalsWI$722Michigan: median $460 across 68 hospitalsMI$460New York: median $568 across 93 hospitalsNY$568Massachusetts: median $1,246 across 42 hospitalsMA$1,246Oregon: median $810 across 47 hospitalsOR$810Nevada: median $901 across 17 hospitalsNV$901Wyoming: median $771 across 14 hospitalsWY$771South Dakota: median $635 across 17 hospitalsSD$635Iowa: median $599 across 58 hospitalsIA$599Indiana: median $425 across 44 hospitalsIN$425Ohio: median $584 across 75 hospitalsOH$584Pennsylvania: median $632 across 98 hospitalsPA$632New Jersey: median $329 across 45 hospitalsNJ$329Connecticut: median $598 across 16 hospitalsCT$598Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $944 across 123 hospitalsCA$944Utah: median $416 across 32 hospitalsUT$416Colorado: median $722 across 41 hospitalsCO$722Nebraska: median $582 across 49 hospitalsNE$582Missouri: median $697 across 41 hospitalsMO$697Kentucky: median $288 across 32 hospitalsKY$288West Virginia: median $411 across 32 hospitalsWV$411Virginia: median $246 across 52 hospitalsVA$246Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $501 across 24 hospitalsAZ$501New Mexico: median $582 across 24 hospitalsNM$582Kansas: median $649 across 44 hospitalsKS$649Arkansas: median $501 across 24 hospitalsAR$501Tennessee: median $286 across 42 hospitalsTN$286North Carolina: median $531 across 41 hospitalsNC$531South Carolina: median $538 across 42 hospitalsSC$538Oklahoma: median $392 across 46 hospitalsOK$392Louisiana: median $257 across 33 hospitalsLA$257Mississippi: median $200 across 42 hospitalsMS$200Alabama: median $338 across 22 hospitalsAL$338Georgia: median $677 across 67 hospitalsGA$677Hawaii: median $932 across 15 hospitalsHI$932Texas: median $575 across 141 hospitalsTX$575Florida: median $731 across 72 hospitalsFL$731
Cash price by state, most expensive first. National median $580. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA42$1,246+115%$420 – $1,863
California CA123$944+63%$547 – $1,282
Hawaii HI15$932+61%$555 – $1,050
Alaska AK15$929+60%$550 – $1,928
Nevada NV17$901+55%$381 – $1,805
Oregon OR47$810+40%$547 – $1,444
Wyoming WY14$771+33%$480 – $1,097
Washington WA60$752+30%$515 – $1,008
Florida FL72$731+26%$556 – $1,845
Minnesota MN82$730+26%$509 – $969
Wisconsin WI81$722+24%$358 – $1,139
Colorado CO41$722+24%$375 – $856
Missouri MO41$697+20%$301 – $976
Georgia GA67$677+17%$316 – $992
Kansas KS44$649+12%$336 – $1,576
South Dakota SD17$635+10%$393 – $976
Pennsylvania PA98$632+9%$284 – $1,369
Iowa IA58$599+3%$297 – $956
Connecticut CT16$598+3%$325 – $2,135
Ohio OH75$584+1%$406 – $717
Nebraska NE49$5820%$273 – $1,221
New Mexico NM24$5820%$260 – $1,748
Texas TX141$575−1%$280 – $1,243
New York NY93$568−2%$284 – $1,030
South Carolina SC42$538−7%$305 – $623
Illinois IL95$536−8%$270 – $1,101
North Carolina NC41$531−8%$357 – $815
Idaho ID18$519−10%$237 – $670
Arizona AZ24$501−14%$501 – $1,174
Arkansas AR24$501−14%$207 – $949
Montana MT23$485−16%$155 – $1,039
Michigan MI68$460−21%$339 – $990
Indiana IN44$425−27%$284 – $747
Utah UT32$416−28%$363 – $479
West Virginia WV32$411−29%$287 – $649
North Dakota ND19$394−32%$246 – $766
Oklahoma OK46$392−32%$278 – $653
New Hampshire NH17$379−35%$190 – $555
Alabama AL22$338−42%$274 – $935
New Jersey NJ45$329−43%$266 – $4,350
Maine ME21$328−44%$218 – $752
Kentucky KY32$288−50%$260 – $525
Tennessee TN42$286−51%$212 – $705
Louisiana LA33$257−56%$145 – $480
Virginia VA52$246−58%$208 – $497
Mississippi MS42$200−66%$100 – $319
Vermont VT9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE4not 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 $580.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,527$564$280 – $1,044
Children’s43$976$627 – $1,494
Critical access597$600$344 – $1,050
Ownership
For-profit237$677$286 – $1,553
Government402$598$321 – $1,021
Non-profit1,528$572$280 – $1,030
System affiliation
Part of a system1,734$582$284 – $1,044
Independent436$573$308 – $1,090

Cash price vs list price

Median list price (chargemaster)$958
Median cash price$580
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

1,584 hospitals filed a usable inpatient cash price for this code. The median is $600 and the average of the middle 60% is $621; most fall between $301 and $1,050.

Cash price percentiles, inpatient, across 1,584 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
$228$348$600$971$1,444

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($228 vs $1,444).

Of the 1,694 hospitals that filed this code inpatient, 1,584 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 69 a list price only.

How complete is this

2,170 of the 3,956 hospitals with a price file in our corpus (55%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,321 hospitals that filed this code at all gave us
Usable cash price — counted2,170
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded80
Hospitals that filed this code2,321

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 Dstl Fibular Fx Lat Malls 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 outer ankle bone fracture without surgery (CPT 27788) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27788-setting-an-outer-ankle-bone-fracture-without-surgery