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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 with back lip fixed

CPT 27823the billing code this page is about

Open operation on breaks at the inner and outer ankle plus the back edge of the lower shinbone, including hardware placed to hold the back edge fragment.

Hospitals typically charge $4,429 cash for this outpatient procedure — the median across 738 hospitals that filed a usable cash price; the average of the middle 60% is $5,066. Most fall between $1,764 and $12,077 (20th–80th percentile).

Hospitals
738
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 738 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
$1,190$2,013$4,429$9,287$19,858

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,190 vs $19,858).

How the prices are spread

$830 – $1,194: 42 hospitals$830$1,194 – $1,719: 67 hospitals$1,719 – $2,474: 111 hospitals$1,719$2,474 – $3,561: 92 hospitals$3,561 – $5,125: 52 hospitals$3,561$5,125 – $7,377: 77 hospitals$7,377 – $10,618: 99 hospitals$7,377$10,618 – $15,283: 50 hospitals$15,283 – $21,998: 57 hospitals$15,283$21,998 – $31,664: 21 hospitals$21,998median $4,429price bands are equal on a log scale
Hospitals per price band (668 of 738 — the bands cover the 5th to 95th percentile)
FromToHospitals
$830$1,19442
$1,194$1,71967
$1,719$2,474111
$2,474$3,56192
$3,561$5,12552
$5,125$7,37777
$7,377$10,61899
$10,618$15,28350
$15,283$21,99857
$21,998$31,66421

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,429
Cash as a multiple of Medicare0.60×

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 $4,429.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,442 across 10 hospitalsVT$1,442New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,348 across 17 hospitalsWA$2,348Idaho: median $7,510 across 14 hospitalsID$7,510Montana: median $2,992 across 11 hospitalsMT$2,992North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,562 across 29 hospitalsMN$3,562Illinois: median $2,412 across 23 hospitalsIL$2,412Wisconsin: median $5,207 across 36 hospitalsWI$5,207Michigan: median $2,312 across 37 hospitalsMI$2,312New York: median $3,021 across 44 hospitalsNY$3,021Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,096 across 27 hospitalsOR$2,096Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,412 across 34 hospitalsIA$2,412Indiana: median $1,239 across 18 hospitalsIN$1,239Ohio: median $3,676 across 25 hospitalsOH$3,676Pennsylvania: median $5,050 across 29 hospitalsPA$5,050New Jersey: median $7,907 across 33 hospitalsNJ$7,907Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $19,858 across 42 hospitalsCA$19,858Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $7,380 across 13 hospitalsCO$7,380Nebraska: median $3,224 across 15 hospitalsNE$3,224Missouri: median $2,164 across 16 hospitalsMO$2,164Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,449 across 17 hospitalsWV$2,449Virginia: median $25,975 across 11 hospitalsVA$25,975Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,230 across 17 hospitalsKS$2,230Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $5,198 across 13 hospitalsTN$5,198North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,065 across 13 hospitalsOK$2,065Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $6,476 across 10 hospitalsAL$6,476Georgia: median $7,906 across 12 hospitalsGA$7,906Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,546 across 35 hospitalsTX$8,546Florida: median $6,551 across 19 hospitalsFL$6,551
Cash price by state, most expensive first. National median $4,429. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA11$25,975+486%$4,927 – $46,767
California CA42$19,858+348%$2,492 – $19,858
Texas TX35$8,546+93%$3,210 – $9,523
New Jersey NJ33$7,907+79%$4,881 – $11,164
Georgia GA12$7,906+79%$7,906 – $16,500
Idaho ID14$7,510+70%$1,984 – $12,106
Colorado CO13$7,380+67%$2,025 – $19,279
Florida FL19$6,551+48%$6,551 – $36,957
Alabama AL10$6,476+46%$1,764 – $12,972
Wisconsin WI36$5,207+18%$4,688 – $9,287
Tennessee TN13$5,198+17%$1,025 – $10,207
Pennsylvania PA29$5,050+14%$636 – $11,192
Ohio OH25$3,676−17%$2,009 – $34,393
Minnesota MN29$3,562−20%$2,043 – $5,599
Nebraska NE15$3,224−27%$1,976 – $4,066
New York NY44$3,021−32%$1,649 – $9,058
Montana MT11$2,992−32%$1,768 – $5,722
West Virginia WV17$2,449−45%$1,037 – $6,955
Iowa IA34$2,412−46%$1,849 – $3,181
Illinois IL23$2,412−46%$1,239 – $4,475
Washington WA17$2,348−47%$1,739 – $12,481
Michigan MI37$2,312−48%$1,666 – $9,978
Kansas KS17$2,230−50%$1,269 – $9,823
Missouri MO16$2,164−51%$1,532 – $9,455
Oregon OR27$2,096−53%$1,304 – $3,274
Oklahoma OK13$2,065−53%$2,065 – $13,528
Vermont VT10$1,442−67%$504 – $2,887
Indiana IN18$1,239−72%$1,105 – $21,286
Arkansas AR9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $4,429.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care522$6,476$2,006 – $16,430
Children’s11fewer than 20 hospitals
Critical access204$2,421$1,439 – $5,207
Ownership
For-profit81$8,196$2,653 – $16,480
Government136$2,773$1,739 – $8,454
Non-profit520$4,475$1,666 – $11,445
System affiliation
Part of a system553$5,110$1,817 – $13,318
Independent185$2,921$1,641 – $8,848

Cash price vs list price

Median list price (chargemaster)$4,302
Median cash price$4,429
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

352 hospitals filed a usable inpatient cash price for this code. The median is $2,887 and the average of the middle 60% is $3,881; most fall between $1,439 and $8,848.

Cash price percentiles, inpatient, across 352 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
$1,050$1,666$2,887$7,906$18,499

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($1,050 vs $18,499).

Of the 396 hospitals that filed this code inpatient, 352 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 18 a list price only.

How complete is this

738 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 819 hospitals that filed this code at all gave us
Usable cash price — counted738
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) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded23
Hospitals that filed this code819

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/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 with back lip fixed (CPT 27823) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27823-surgery-for-three-part-ankle-fracture-with-back-lip-fixed