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

Surgery to fix lower shinbone joint fracture only

CPT 27827the billing code this page is about

Open operation with internal or external hardware for a break involving the joint surface of the lower leg, where fixation is placed in the shinbone only.

Hospitals typically charge $5,855 cash for this outpatient procedure — the median across 809 hospitals that filed a usable cash price; the average of the middle 60% is $6,904. Most fall between $2,018 and $15,750 (20th–80th percentile).

Hospitals
809
States
49
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 809 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
$1,350$2,256$5,855$14,331$24,769

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($1,350 vs $24,769).

How the prices are spread

$945 – $1,334: 39 hospitals$945$1,334 – $1,882: 63 hospitals$1,882 – $2,656: 99 hospitals$1,882$2,656 – $3,748: 94 hospitals$3,748 – $5,289: 47 hospitals$3,748$5,289 – $7,463: 87 hospitals$7,463 – $10,532: 52 hospitals$7,463$10,532 – $14,863: 101 hospitals$14,863 – $20,975: 83 hospitals$14,863$20,975 – $29,599: 64 hospitals$20,975median $5,855price bands are equal on a log scale
Hospitals per price band (729 of 809 — the bands cover the 5th to 95th percentile)
FromToHospitals
$945$1,33439
$1,334$1,88263
$1,882$2,65699
$2,656$3,74894
$3,748$5,28947
$5,289$7,46387
$7,463$10,53252
$10,532$14,863101
$14,863$20,97583
$20,975$29,59964

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$5,855
Cash as a multiple of Medicare0.45×

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 $5,855.

Alaska: median $8,581 across 10 hospitalsAK$8,581Maine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,626 across 10 hospitalsVT$1,626New Hampshire: median $1,471 across 10 hospitalsNH$1,471Washington: median $6,455 across 30 hospitalsWA$6,455Idaho: median $13,560 across 15 hospitalsID$13,560Montana: median $3,287 across 10 hospitalsMT$3,287North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,628 across 29 hospitalsMN$4,628Illinois: median $2,114 across 23 hospitalsIL$2,114Wisconsin: median $5,911 across 37 hospitalsWI$5,911Michigan: median $3,594 across 39 hospitalsMI$3,594New York: median $3,441 across 40 hospitalsNY$3,441Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,722 across 29 hospitalsOR$3,722Nevada: 5 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 $2,733 across 33 hospitalsIA$2,733Indiana: median $2,154 across 16 hospitalsIN$2,154Ohio: median $5,046 across 27 hospitalsOH$5,046Pennsylvania: median $5,153 across 27 hospitalsPA$5,153New Jersey: median $14,062 across 32 hospitalsNJ$14,062Connecticut: 5 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 $14,331 across 74 hospitalsCA$14,331Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $11,985 across 15 hospitalsCO$11,985Nebraska: median $3,466 across 14 hospitalsNE$3,466Missouri: median $6,719 across 19 hospitalsMO$6,719Kentucky: median $1,671 across 10 hospitalsKY$1,671West Virginia: median $3,046 across 22 hospitalsWV$3,046Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,280 across 17 hospitalsKS$2,280Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,158 across 12 hospitalsTN$2,158North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,348 across 13 hospitalsOK$2,348Louisiana: median $12,284 across 13 hospitalsLA$12,284Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $10,509 across 14 hospitalsAL$10,509Georgia: median $7,906 across 11 hospitalsGA$7,906Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $12,833 across 53 hospitalsTX$12,833Florida: median $12,915 across 12 hospitalsFL$12,915
Cash price by state, most expensive first. National median $5,855. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA74$14,331+145%$3,312 – $24,769
New Jersey NJ32$14,062+140%$5,110 – $16,611
Idaho ID15$13,560+132%$2,053 – $15,889
Florida FL12$12,915+121%$3,845 – $13,723
Texas TX53$12,833+119%$7,343 – $14,455
Louisiana LA13$12,284+110%$4,722 – $20,899
Colorado CO15$11,985+105%$2,255 – $38,030
Alabama AL14$10,509+79%$3,107 – $16,260
Alaska AK10$8,581+47%$3,004 – $29,260
Georgia GA11$7,906+35%$7,906 – $12,814
Missouri MO19$6,719+15%$1,646 – $23,940
Washington WA30$6,455+10%$2,301 – $27,260
Wisconsin WI37$5,911+1%$5,564 – $8,858
Pennsylvania PA27$5,153−12%$725 – $21,753
Ohio OH27$5,046−14%$2,099 – $31,067
Minnesota MN29$4,628−21%$2,423 – $6,509
Oregon OR29$3,722−36%$1,973 – $29,451
Michigan MI39$3,594−39%$2,030 – $17,654
Nebraska NE14$3,466−41%$1,643 – $13,027
New York NY40$3,441−41%$1,411 – $15,226
Montana MT10$3,287−44%$660 – $5,722
West Virginia WV22$3,046−48%$1,178 – $8,157
Iowa IA33$2,733−53%$2,286 – $3,562
Oklahoma OK13$2,348−60%$2,348 – $12,299
Kansas KS17$2,280−61%$1,125 – $12,095
Tennessee TN12$2,158−63%$1,159 – $10,728
Indiana IN16$2,154−63%$1,429 – $8,233
Illinois IL23$2,114−64%$1,429 – $5,733
Kentucky KY10$1,671−71%$1,129 – $5,306
Vermont VT10$1,626−72%$573 – $3,163
New Hampshire NH10$1,471−75%$932 – $2,523
Arizona AZ9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Maryland MD1not 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 $5,855.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care574$7,906$2,233 – $18,522
Children’s23$7,610$2,679 – $12,771
Critical access211$2,718$1,576 – $5,911
Ownership
For-profit89$12,796$3,045 – $20,425
Government144$3,107$2,005 – $13,723
Non-profit575$5,911$1,973 – $16,026
System affiliation
Part of a system619$6,659$2,071 – $16,539
Independent190$3,164$1,735 – $12,022

Cash price vs list price

Median list price (chargemaster)$6,118
Median cash price$5,855
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

419 hospitals filed a usable inpatient cash price for this code. The median is $5,733 and the average of the middle 60% is $6,318; most fall between $1,719 and $15,750.

Cash price percentiles, inpatient, across 419 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
$1,262$2,018$5,733$13,009$24,769

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($1,262 vs $24,769).

Of the 466 hospitals that filed this code inpatient, 419 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

809 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 894 hospitals that filed this code at all gave us
Usable cash price — counted809
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
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 — excluded28
Hospitals that filed this code894

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 Only.

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 shinbone joint fracture only (CPT 27827) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27827-surgery-to-fix-lower-shinbone-joint-fracture-only