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

Nonsurgical care of three-part ankle fracture, no resetting

CPT 27816the billing code this page is about

Treatment of breaks on the inner and outer ankle plus the back edge of the lower shinbone, without surgery and without repositioning the bones.

Hospitals typically charge $473 cash for this outpatient procedure — the median across 1,532 hospitals that filed a usable cash price; the average of the middle 60% is $490. Most fall between $263 and $816 (20th–80th percentile).

Hospitals
1,532
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 1,532 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
$198$284$473$735$1,129

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($198 vs $1,129).

How the prices are spread

$143 – $182: 48 hospitals$143$182 – $232: 107 hospitals$232 – $296: 178 hospitals$232$296 – $378: 154 hospitals$378 – $482: 218 hospitals$378$482 – $615: 225 hospitals$615 – $784: 198 hospitals$615$784 – $1,000: 118 hospitals$1,000 – $1,276: 92 hospitals$1,000$1,276 – $1,627: 42 hospitals$1,276median $473price bands are equal on a log scale
Hospitals per price band (1,380 of 1,532 — the bands cover the 5th to 95th percentile)
FromToHospitals
$143$18248
$182$232107
$232$296178
$296$378154
$378$482218
$482$615225
$615$784198
$784$1,000118
$1,000$1,27692
$1,276$1,62742

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$473
Cash as a multiple of Medicare1.88×

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 $473.

Alaska: median $1,079 across 12 hospitalsAK$1,079Maine: median $377 across 15 hospitalsME$377Vermont: median $390 across 10 hospitalsVT$390New Hampshire: median $250 across 11 hospitalsNH$250Washington: median $652 across 46 hospitalsWA$652Idaho: median $551 across 16 hospitalsID$551Montana: median $436 across 15 hospitalsMT$436North Dakota: median $365 across 11 hospitalsND$365Minnesota: median $539 across 46 hospitalsMN$539Illinois: median $479 across 57 hospitalsIL$479Wisconsin: median $732 across 56 hospitalsWI$732Michigan: median $395 across 53 hospitalsMI$395New York: median $456 across 71 hospitalsNY$456Massachusetts: median $839 across 32 hospitalsMA$839Oregon: median $626 across 39 hospitalsOR$626Nevada: median $538 across 11 hospitalsNV$538Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $582 across 17 hospitalsSD$582Iowa: median $498 across 40 hospitalsIA$498Indiana: median $367 across 36 hospitalsIN$367Ohio: median $481 across 62 hospitalsOH$481Pennsylvania: median $488 across 69 hospitalsPA$488New Jersey: median $977 across 32 hospitalsNJ$977Connecticut: median $433 across 13 hospitalsCT$433Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $621 across 101 hospitalsCA$621Utah: median $416 across 30 hospitalsUT$416Colorado: median $654 across 34 hospitalsCO$654Nebraska: median $419 across 33 hospitalsNE$419Missouri: median $373 across 25 hospitalsMO$373Kentucky: median $288 across 14 hospitalsKY$288West Virginia: median $341 across 24 hospitalsWV$341Virginia: median $263 across 31 hospitalsVA$263Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $394 across 16 hospitalsAZ$394New Mexico: median $397 across 15 hospitalsNM$397Kansas: median $405 across 27 hospitalsKS$405Arkansas: median $393 across 12 hospitalsAR$393Tennessee: median $229 across 26 hospitalsTN$229North Carolina: median $455 across 32 hospitalsNC$455South Carolina: median $483 across 23 hospitalsSC$483Oklahoma: median $292 across 27 hospitalsOK$292Louisiana: median $219 across 21 hospitalsLA$219Mississippi: median $156 across 25 hospitalsMS$156Alabama: median $383 across 17 hospitalsAL$383Georgia: median $525 across 48 hospitalsGA$525Hawaii: median $577 across 10 hospitalsHI$577Texas: median $354 across 100 hospitalsTX$354Florida: median $735 across 52 hospitalsFL$735
Cash price by state, most expensive first. National median $473. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK12$1,079+128%$402 – $2,133
New Jersey NJ32$977+106%$266 – $5,110
Massachusetts MA32$839+77%$598 – $1,918
Florida FL52$735+55%$147 – $1,699
Wisconsin WI56$732+55%$438 – $866
Colorado CO34$654+38%$378 – $1,031
Washington WA46$652+38%$478 – $928
Oregon OR39$626+32%$252 – $1,019
California CA101$621+31%$383 – $1,126
South Dakota SD17$582+23%$397 – $693
Hawaii HI10$577+22%$561 – $868
Idaho ID16$551+16%$237 – $670
Minnesota MN46$539+14%$346 – $615
Nevada NV11$538+14%$268 – $720
Georgia GA48$525+11%$404 – $901
Iowa IA40$498+5%$206 – $828
Pennsylvania PA69$488+3%$252 – $996
South Carolina SC23$483+2%$305 – $572
Ohio OH62$481+2%$345 – $717
Illinois IL57$479+1%$211 – $1,007
New York NY71$456−4%$281 – $623
North Carolina NC32$455−4%$264 – $518
Montana MT15$436−8%$286 – $785
Connecticut CT13$433−9%$264 – $1,728
Nebraska NE33$419−11%$245 – $791
Utah UT30$416−12%$333 – $466
Kansas KS27$405−14%$336 – $1,022
New Mexico NM15$397−16%$267 – $596
Michigan MI53$395−17%$305 – $575
Arizona AZ16$394−17%$389 – $436
Arkansas AR12$393−17%$222 – $563
Vermont VT10$390−18%$244 – $679
Alabama AL17$383−19%$241 – $628
Maine ME15$377−20%$229 – $487
Missouri MO25$373−21%$181 – $734
Indiana IN36$367−22%$241 – $747
North Dakota ND11$365−23%$246 – $590
Texas TX100$354−25%$232 – $713
West Virginia WV24$341−28%$284 – $623
Oklahoma OK27$292−38%$132 – $550
Kentucky KY14$288−39%$196 – $469
Virginia VA31$263−44%$229 – $488
New Hampshire NH11$250−47%$167 – $355
Tennessee TN26$229−52%$225 – $409
Louisiana LA21$219−54%$127 – $322
Mississippi MS25$156−67%$77 – $422
Wyoming WY8not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD2not 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 $473.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,105$458$252 – $795
Children’s35$935$295 – $1,170
Critical access389$500$320 – $791
Ownership
For-profit141$525$280 – $1,155
Government254$494$262 – $811
Non-profit1,134$466$262 – $795
System affiliation
Part of a system1,237$471$262 – $800
Independent295$480$270 – $951

Cash price vs list price

Median list price (chargemaster)$791
Median cash price$473
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

1,143 hospitals filed a usable inpatient cash price for this code. The median is $489 and the average of the middle 60% is $511; most fall between $276 and $816.

Cash price percentiles, inpatient, across 1,143 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
$207$300$489$735$1,126

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($207 vs $1,126).

Of the 1,224 hospitals that filed this code inpatient, 1,143 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 49 a list price only.

How complete is this

1,532 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 1,641 hospitals that filed this code at all gave us
Usable cash price — counted1,532
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
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 — excluded55
Hospitals that filed this code1,641

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 PR Closed Rx Trimalleolar Fx.

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 three-part ankle fracture, no resetting (CPT 27816) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27816-nonsurgical-care-of-three-part-ankle-fracture-no-resetting