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

Setting a three-part ankle fracture without surgery

CPT 27818the billing code this page is about

Treatment of breaks on the inner and outer ankle plus the back edge of the lower shinbone by manually repositioning the fragments, without opening the skin.

Hospitals typically charge $1,326 cash for this outpatient procedure — the median across 2,305 hospitals that filed a usable cash price; the average of the middle 60% is $1,388. Most fall between $676 and $2,435 (20th–80th percentile).

Hospitals
2,305
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 2,305 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
$440$781$1,326$2,106$3,821

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($440 vs $3,821).

How the prices are spread

$331 – $435: 113 hospitals$331$435 – $572: 134 hospitals$572 – $752: 189 hospitals$572$752 – $990: 251 hospitals$990 – $1,302: 330 hospitals$990$1,302 – $1,713: 352 hospitals$1,713 – $2,253: 299 hospitals$1,713$2,253 – $2,963: 181 hospitals$2,963 – $3,898: 119 hospitals$2,963$3,898 – $5,128: 109 hospitals$3,898median $1,326price bands are equal on a log scale
Hospitals per price band (2,077 of 2,305 — the bands cover the 5th to 95th percentile)
FromToHospitals
$331$435113
$435$572134
$572$752189
$752$990251
$990$1,302330
$1,302$1,713352
$1,713$2,253299
$2,253$2,963181
$2,963$3,898119
$3,898$5,128109

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,326
Cash as a multiple of Medicare0.81×

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 $1,326.

Alaska: median $2,047 across 15 hospitalsAK$2,047Maine: median $869 across 22 hospitalsME$869Vermont: median $1,310 across 10 hospitalsVT$1,310New Hampshire: median $648 across 18 hospitalsNH$648Washington: median $1,744 across 65 hospitalsWA$1,744Idaho: median $1,194 across 20 hospitalsID$1,194Montana: median $906 across 29 hospitalsMT$906North Dakota: median $1,433 across 20 hospitalsND$1,433Minnesota: median $1,326 across 83 hospitalsMN$1,326Illinois: median $1,440 across 100 hospitalsIL$1,440Wisconsin: median $1,250 across 74 hospitalsWI$1,250Michigan: median $1,398 across 67 hospitalsMI$1,398New York: median $1,932 across 95 hospitalsNY$1,932Massachusetts: median $1,701 across 42 hospitalsMA$1,701Oregon: median $1,293 across 50 hospitalsOR$1,293Nevada: median $1,783 across 17 hospitalsNV$1,783Wyoming: median $1,261 across 13 hospitalsWY$1,261South Dakota: median $1,224 across 20 hospitalsSD$1,224Iowa: median $919 across 64 hospitalsIA$919Indiana: median $843 across 46 hospitalsIN$843Ohio: median $1,505 across 88 hospitalsOH$1,505Pennsylvania: median $1,854 across 103 hospitalsPA$1,854New Jersey: median $2,741 across 51 hospitalsNJ$2,741Connecticut: median $1,827 across 17 hospitalsCT$1,827Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,074 across 128 hospitalsCA$2,074Utah: median $891 across 32 hospitalsUT$891Colorado: median $1,150 across 46 hospitalsCO$1,150Nebraska: median $1,148 across 55 hospitalsNE$1,148Missouri: median $1,089 across 43 hospitalsMO$1,089Kentucky: median $899 across 34 hospitalsKY$899West Virginia: median $1,801 across 37 hospitalsWV$1,801Virginia: median $1,167 across 54 hospitalsVA$1,167Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $695 across 24 hospitalsAZ$695New Mexico: median $1,021 across 25 hospitalsNM$1,021Kansas: median $1,028 across 52 hospitalsKS$1,028Arkansas: median $859 across 26 hospitalsAR$859Tennessee: median $505 across 46 hospitalsTN$505North Carolina: median $752 across 41 hospitalsNC$752South Carolina: median $1,209 across 44 hospitalsSC$1,209Oklahoma: median $1,061 across 50 hospitalsOK$1,061Louisiana: median $555 across 37 hospitalsLA$555Mississippi: median $753 across 44 hospitalsMS$753Alabama: median $1,642 across 23 hospitalsAL$1,642Georgia: median $1,088 across 73 hospitalsGA$1,088Hawaii: median $2,193 across 16 hospitalsHI$2,193Texas: median $1,459 across 153 hospitalsTX$1,459Florida: median $2,642 across 78 hospitalsFL$2,642
Cash price by state, most expensive first. National median $1,326. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ51$2,741+107%$1,771 – $5,339
Florida FL78$2,642+99%$1,404 – $8,663
Hawaii HI16$2,193+65%$1,328 – $3,821
California CA128$2,074+56%$1,258 – $3,808
Alaska AK15$2,047+54%$636 – $3,179
New York NY95$1,932+46%$773 – $3,717
Pennsylvania PA103$1,854+40%$775 – $2,540
Connecticut CT17$1,827+38%$1,165 – $3,754
West Virginia WV37$1,801+36%$794 – $2,285
Nevada NV17$1,783+34%$1,257 – $3,220
Washington WA65$1,744+32%$915 – $2,979
Massachusetts MA42$1,701+28%$862 – $2,001
Alabama AL23$1,642+24%$908 – $2,333
Ohio OH88$1,505+14%$909 – $3,566
Texas TX153$1,459+10%$870 – $1,893
Illinois IL100$1,440+9%$587 – $2,146
North Dakota ND20$1,433+8%$1,097 – $2,392
Michigan MI67$1,398+5%$751 – $2,211
Minnesota MN83$1,3260%$771 – $1,759
Vermont VT10$1,310−1%$706 – $1,894
Oregon OR50$1,293−2%$811 – $2,348
Wyoming WY13$1,261−5%$543 – $1,817
Wisconsin WI74$1,250−6%$754 – $2,060
South Dakota SD20$1,224−8%$964 – $1,357
South Carolina SC44$1,209−9%$907 – $2,493
Idaho ID20$1,194−10%$659 – $4,436
Virginia VA54$1,167−12%$571 – $1,897
Colorado CO46$1,150−13%$791 – $1,616
Nebraska NE55$1,148−13%$678 – $1,614
Missouri MO43$1,089−18%$566 – $1,594
Georgia GA73$1,088−18%$633 – $3,152
Oklahoma OK50$1,061−20%$416 – $1,934
Kansas KS52$1,028−22%$496 – $2,427
New Mexico NM25$1,021−23%$425 – $1,751
Iowa IA64$919−31%$441 – $1,428
Montana MT29$906−32%$598 – $1,507
Kentucky KY34$899−32%$364 – $1,180
Utah UT32$891−33%$854 – $1,276
Maine ME22$869−34%$527 – $1,443
Arkansas AR26$859−35%$594 – $1,043
Indiana IN46$843−36%$507 – $1,504
Mississippi MS44$753−43%$440 – $1,832
North Carolina NC41$752−43%$531 – $1,644
Arizona AZ24$695−48%$580 – $2,509
New Hampshire NH18$648−51%$359 – $1,082
Louisiana LA37$555−58%$279 – $1,454
Tennessee TN46$505−62%$337 – $1,129
Rhode Island RI8not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Delaware DE3not 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 $1,326.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,586$1,497$715 – $2,678
Children’s42$2,100$1,363 – $6,765
Critical access672$1,071$589 – $1,818
Ownership
For-profit250$1,566$701 – $3,076
Government442$1,149$595 – $1,967
Non-profit1,608$1,328$694 – $2,461
System affiliation
Part of a system1,837$1,342$695 – $2,493
Independent468$1,235$600 – $2,218

Cash price vs list price

Median list price (chargemaster)$2,160
Median cash price$1,326
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

1,700 hospitals filed a usable inpatient cash price for this code. The median is $1,363 and the average of the middle 60% is $1,432; most fall between $704 and $2,540.

Cash price percentiles, inpatient, across 1,700 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
$482$831$1,363$2,217$4,030

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($482 vs $4,030).

Of the 1,815 hospitals that filed this code inpatient, 1,700 gave a usable cash price; 44 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 71 a list price only.

How complete is this

2,305 of the 3,956 hospitals with a price file in our corpus (58%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,465 hospitals that filed this code at all gave us
Usable cash price — counted2,305
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
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 code2,465

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 July 20, 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 Trimalleolar Ankle Fx W/Manipulation.

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 a three-part ankle fracture without surgery (CPT 27818) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27818-setting-a-three-part-ankle-fracture-without-surgery