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

Surgery for three-part ankle fracture, back lip not fixed

CPT 27822the billing code this page is about

Open operation on breaks at the inner and outer ankle plus the back edge of the lower shinbone, with hardware used on the inner and/or outer ankle only, not on the back edge.

Hospitals typically charge $4,642 cash for this outpatient procedure — the median across 1,036 hospitals that filed a usable cash price; the average of the middle 60% is $5,553. Most fall between $1,737 and $13,377 (20th–80th percentile).

Hospitals
1,036
States
50
Filings dated
Mar 2023 – 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 1,036 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
$1,234$2,034$4,642$10,647$21,561

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,234 vs $21,561).

How the prices are spread

$886 – $1,281: 60 hospitals$886$1,281 – $1,852: 127 hospitals$1,852 – $2,678: 129 hospitals$1,852$2,678 – $3,872: 97 hospitals$3,872 – $5,599: 95 hospitals$3,872$5,599 – $8,095: 126 hospitals$8,095 – $11,705: 110 hospitals$8,095$11,705 – $16,924: 81 hospitals$16,924 – $24,470: 66 hospitals$16,924$24,470 – $35,381: 43 hospitals$24,470median $4,642price bands are equal on a log scale
Hospitals per price band (934 of 1,036 — the bands cover the 5th to 95th percentile)
FromToHospitals
$886$1,28160
$1,281$1,852127
$1,852$2,678129
$2,678$3,87297
$3,872$5,59995
$5,599$8,095126
$8,095$11,705110
$11,705$16,92481
$16,924$24,47066
$24,470$35,38143

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,642
Cash as a multiple of Medicare0.63×

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 $4,642.

Alaska: median $6,728 across 12 hospitalsAK$6,728Maine: median $1,403 across 10 hospitalsME$1,403Vermont: median $1,272 across 10 hospitalsVT$1,272New Hampshire: median $1,073 across 12 hospitalsNH$1,073Washington: median $5,165 across 36 hospitalsWA$5,165Idaho: median $7,510 across 17 hospitalsID$7,510Montana: median $1,772 across 13 hospitalsMT$1,772North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,597 across 43 hospitalsMN$2,597Illinois: median $2,625 across 32 hospitalsIL$2,625Wisconsin: median $4,642 across 42 hospitalsWI$4,642Michigan: median $2,128 across 44 hospitalsMI$2,128New York: median $8,454 across 59 hospitalsNY$8,454Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,914 across 38 hospitalsOR$2,914Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,134 across 46 hospitalsIA$2,134Indiana: median $2,597 across 28 hospitalsIN$2,597Ohio: median $22,909 across 37 hospitalsOH$22,909Pennsylvania: median $6,943 across 32 hospitalsPA$6,943New Jersey: median $7,907 across 34 hospitalsNJ$7,907Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,022 across 77 hospitalsCA$6,022Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,690 across 17 hospitalsCO$3,690Nebraska: median $2,694 across 16 hospitalsNE$2,694Missouri: median $6,800 across 23 hospitalsMO$6,800Kentucky: median $1,931 across 13 hospitalsKY$1,931West Virginia: median $6,301 across 21 hospitalsWV$6,301Virginia: median $7,258 across 16 hospitalsVA$7,258Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $7,090 across 14 hospitalsAZ$7,090New Mexico: median $1,415 across 14 hospitalsNM$1,415Kansas: median $2,009 across 23 hospitalsKS$2,009Arkansas: median $2,177 across 13 hospitalsAR$2,177Tennessee: median $7,134 across 17 hospitalsTN$7,134North Carolina: median $4,163 across 12 hospitalsNC$4,163South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,832 across 15 hospitalsOK$1,832Louisiana: median $6,987 across 13 hospitalsLA$6,987Mississippi: median $2,493 across 15 hospitalsMS$2,493Alabama: median $6,980 across 17 hospitalsAL$6,980Georgia: median $7,906 across 13 hospitalsGA$7,906Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,663 across 60 hospitalsTX$6,663Florida: median $19,711 across 18 hospitalsFL$19,711
Cash price by state, most expensive first. National median $4,642. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH37$22,909+394%$2,486 – $37,618
Florida FL18$19,711+325%$2,915 – $26,747
New York NY59$8,454+82%$2,110 – $35,827
New Jersey NJ34$7,907+70%$4,881 – $9,532
Georgia GA13$7,906+70%$7,242 – $23,258
Idaho ID17$7,510+62%$2,034 – $12,106
Virginia VA16$7,258+56%$5,869 – $35,003
Tennessee TN17$7,134+54%$902 – $11,366
Arizona AZ14$7,090+53%$1,362 – $30,833
Louisiana LA13$6,987+51%$4,320 – $11,775
Alabama AL17$6,980+50%$2,421 – $10,945
Pennsylvania PA32$6,943+50%$589 – $14,613
Missouri MO23$6,800+46%$1,314 – $27,877
Alaska AK12$6,728+45%$3,822 – $14,834
Texas TX60$6,663+44%$6,663 – $9,613
West Virginia WV21$6,301+36%$1,931 – $11,558
California CA77$6,022+30%$3,255 – $19,858
Washington WA36$5,165+11%$1,746 – $12,734
Wisconsin WI42$4,6420%$3,048 – $9,288
North Carolina NC12$4,163−10%$1,969 – $7,896
Colorado CO17$3,690−20%$1,760 – $19,279
Oregon OR38$2,914−37%$1,613 – $14,276
Nebraska NE16$2,694−42%$2,088 – $9,050
Illinois IL32$2,625−43%$1,130 – $6,221
Minnesota MN43$2,597−44%$1,611 – $5,151
Indiana IN28$2,597−44%$1,130 – $20,215
Mississippi MS15$2,493−46%$1,320 – $12,595
Arkansas AR13$2,177−53%$1,773 – $5,139
Iowa IA46$2,134−54%$1,815 – $3,196
Michigan MI44$2,128−54%$1,632 – $9,978
Kansas KS23$2,009−57%$615 – $7,848
Kentucky KY13$1,931−58%$1,130 – $18,431
Oklahoma OK15$1,832−61%$1,832 – $13,715
Montana MT13$1,772−62%$983 – $4,299
New Mexico NM14$1,415−70%$1,415 – $10,366
Maine ME10$1,403−70%$681 – $2,878
Vermont VT10$1,272−73%$448 – $2,629
New Hampshire NH12$1,073−77%$707 – $2,351
South Carolina SC9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Rhode Island RI2not 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 $4,642.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care725$6,831$2,128 – $17,358
Children’s13fewer than 20 hospitals
Critical access296$2,375$1,404 – $5,837
Ownership
For-profit125$8,680$3,476 – $23,258
Government184$2,517$1,601 – $8,454
Non-profit725$4,642$1,723 – $13,017
System affiliation
Part of a system789$5,701$1,857 – $14,772
Independent247$2,833$1,556 – $8,739

Cash price vs list price

Median list price (chargemaster)$6,260
Median cash price$4,642
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

509 hospitals filed a usable inpatient cash price for this code. The median is $3,506 and the average of the middle 60% is $4,173; most fall between $1,415 and $10,468.

Cash price percentiles, inpatient, across 509 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
$1,052$1,632$3,506$7,906$15,310

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,052 vs $15,310).

Of the 564 hospitals that filed this code inpatient, 509 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,036 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,145 hospitals that filed this code at all gave us
Usable cash price — counted1,036
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded37
Hospitals that filed this code1,145

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 Open Tx Trimalleolar Ankle Fx W/O Fixj Pst Lip.

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, “Surgery for three-part ankle fracture, back lip not fixed (CPT 27822) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27822-surgery-for-three-part-ankle-fracture-back-lip-not-fixed