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

Surgery to fix lower leg joint fracture, fibula only

CPT 27826the billing code this page is about

Open operation with hardware for a break involving the joint surface of the lower leg, where fixation is placed in the smaller lower leg bone only.

Hospitals typically charge $2,886 cash for this outpatient procedure — the median across 370 hospitals that filed a usable cash price; the average of the middle 60% is $3,957. Most fall between $1,483 and $8,454 (20th–80th percentile).

Hospitals
370
States
45
Filings dated
Jun 2024 – 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 370 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
$1,014$1,651$2,886$7,914$14,565

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,014 vs $14,565).

How the prices are spread

$700 – $965: 19 hospitals$700$965 – $1,330: 24 hospitals$1,330 – $1,834: 60 hospitals$1,330$1,834 – $2,529: 39 hospitals$2,529 – $3,487: 39 hospitals$2,529$3,487 – $4,808: 21 hospitals$4,808 – $6,630: 46 hospitals$4,808$6,630 – $9,142: 43 hospitals$9,142 – $12,606: 19 hospitals$9,142$12,606 – $17,382: 33 hospitals$12,606median $2,886price bands are equal on a log scale
Hospitals per price band (343 of 370 — the bands cover the 5th to 95th percentile)
FromToHospitals
$700$96519
$965$1,33024
$1,330$1,83460
$1,834$2,52939
$2,529$3,48739
$3,487$4,80821
$4,808$6,63046
$6,630$9,14243
$9,142$12,60619
$12,606$17,38233

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,886
Cash as a multiple of Medicare0.39×

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 $2,886.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,576 across 11 hospitalsWA$1,576Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,589 across 15 hospitalsIL$1,589Wisconsin: median $5,173 across 14 hospitalsWI$5,173Michigan: median $2,555 across 13 hospitalsMI$2,555New York: median $8,454 across 29 hospitalsNY$8,454Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,576 across 14 hospitalsOR$1,576Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $2,099 across 19 hospitalsIA$2,099Indiana: median $1,857 across 11 hospitalsIN$1,857Ohio: median $2,886 across 15 hospitalsOH$2,886Pennsylvania: median $1,492 across 22 hospitalsPA$1,492New Jersey: median $7,907 across 30 hospitalsNJ$7,907Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $17,382 across 28 hospitalsCA$17,382Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,792 across 12 hospitalsOK$1,792Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,475 across 23 hospitalsTX$6,475Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,886. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA28$17,382+502%$2,054 – $17,382
New York NY29$8,454+193%$1,652 – $8,518
New Jersey NJ30$7,907+174%$5,110 – $9,533
Texas TX23$6,475+124%$5,887 – $6,911
Wisconsin WI14$5,173+79%$3,685 – $5,173
Ohio OH15$2,8860%$1,448 – $3,836
Michigan MI13$2,555−11%$1,336 – $9,978
Iowa IA19$2,099−27%$1,919 – $2,449
Indiana IN11$1,857−36%$1,295 – $2,391
Oklahoma OK12$1,792−38%$1,792 – $1,792
Illinois IL15$1,589−45%$1,295 – $1,699
Oregon OR14$1,576−45%$1,576 – $2,850
Washington WA11$1,576−45%$854 – $3,054
Pennsylvania PA22$1,492−48%$552 – $11,093
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $2,886.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care289$4,148$1,576 – $9,072
Children’s10fewer than 20 hospitals
Critical access71$2,195$1,388 – $5,173
Ownership
For-profit39$5,167$1,295 – $11,775
Government66$2,263$1,456 – $6,980
Non-profit265$3,224$1,514 – $8,613
System affiliation
Part of a system273$3,932$1,576 – $9,058
Independent97$2,391$1,442 – $6,598

Cash price vs list price

Median list price (chargemaster)$3,213
Median cash price$2,886
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

211 hospitals filed a usable inpatient cash price for this code. The median is $2,391 and the average of the middle 60% is $3,565; most fall between $1,421 and $10,866.

Cash price percentiles, inpatient, across 211 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
$1,224$1,559$2,391$6,588$17,382

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,224 vs $17,382).

Of the 240 hospitals that filed this code inpatient, 211 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

370 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 409 hospitals that filed this code at all gave us
Usable cash price — counted370
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code409

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 Treatment Fracture Distal Tibia Fibula.

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 to fix lower leg joint fracture, fibula only (CPT 27826) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27826-surgery-to-fix-lower-leg-joint-fracture-fibula-only