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

Surgery to repair separated lower leg bones at the ankle

CPT 27829the billing code this page is about

Open operation to repair a separation of the joint between the two lower leg bones just above the ankle, including screws or other fixation if used.

Hospitals typically charge $3,763 cash for this outpatient procedure — the median across 1,034 hospitals that filed a usable cash price; the average of the middle 60% is $4,760. Most fall between $1,339 and $13,017 (20th–80th percentile).

Hospitals
1,034
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 1,034 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
$962$1,533$3,763$9,954$22,685

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($962 vs $22,685).

How the prices are spread

$677 – $1,001: 62 hospitals$677$1,001 – $1,481: 128 hospitals$1,481 – $2,192: 151 hospitals$1,481$2,192 – $3,244: 76 hospitals$3,244 – $4,800: 122 hospitals$3,244$4,800 – $7,103: 86 hospitals$7,103 – $10,511: 109 hospitals$7,103$10,511 – $15,554: 105 hospitals$15,554 – $23,017: 43 hospitals$15,554$23,017 – $34,060: 50 hospitals$23,017median $3,763price bands are equal on a log scale
Hospitals per price band (932 of 1,034 — the bands cover the 5th to 95th percentile)
FromToHospitals
$677$1,00162
$1,001$1,481128
$1,481$2,192151
$2,192$3,24476
$3,244$4,800122
$4,800$7,10386
$7,103$10,511109
$10,511$15,554105
$15,554$23,01743
$23,017$34,06050

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,763
Cash as a multiple of Medicare0.51×

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 $3,763.

Alaska: median $4,980 across 10 hospitalsAK$4,980Maine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $987 across 10 hospitalsVT$987New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,362 across 36 hospitalsWA$3,362Idaho: median $6,731 across 19 hospitalsID$6,731Montana: median $2,068 across 13 hospitalsMT$2,068North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,380 across 42 hospitalsMN$2,380Illinois: median $1,726 across 33 hospitalsIL$1,726Wisconsin: median $3,763 across 40 hospitalsWI$3,763Michigan: median $1,897 across 43 hospitalsMI$1,897New York: median $8,454 across 62 hospitalsNY$8,454Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,321 across 39 hospitalsOR$2,321Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,726 across 45 hospitalsIA$1,726Indiana: median $2,227 across 32 hospitalsIN$2,227Ohio: median $13,159 across 42 hospitalsOH$13,159Pennsylvania: median $5,427 across 34 hospitalsPA$5,427New Jersey: median $7,907 across 37 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 $4,268 across 79 hospitalsCA$4,268Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,033 across 22 hospitalsCO$3,033Nebraska: median $2,013 across 19 hospitalsNE$2,013Missouri: median $3,949 across 22 hospitalsMO$3,949Kentucky: median $1,208 across 16 hospitalsKY$1,208West Virginia: median $1,905 across 22 hospitalsWV$1,905Virginia: median $9,236 across 19 hospitalsVA$9,236Maryland: 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 $4,593 across 11 hospitalsAZ$4,593New Mexico: median $9,530 across 10 hospitalsNM$9,530Kansas: median $1,663 across 20 hospitalsKS$1,663Arkansas: median $1,942 across 13 hospitalsAR$1,942Tennessee: median $6,417 across 20 hospitalsTN$6,417North Carolina: median $2,862 across 12 hospitalsNC$2,862South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,482 across 15 hospitalsOK$1,482Louisiana: median $7,160 across 13 hospitalsLA$7,160Mississippi: median $2,698 across 14 hospitalsMS$2,698Alabama: median $6,476 across 16 hospitalsAL$6,476Georgia: median $6,905 across 13 hospitalsGA$6,905Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 46 hospitalsTX$5,887Florida: median $15,848 across 16 hospitalsFL$15,848
Cash price by state, most expensive first. National median $3,763. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL16$15,848+321%$2,288 – $33,641
Ohio OH42$13,159+250%$1,642 – $39,351
New Mexico NM10$9,530+153%$1,253 – $17,544
Virginia VA19$9,236+145%$4,017 – $39,125
New York NY62$8,454+125%$1,187 – $24,318
New Jersey NJ37$7,907+110%$5,110 – $9,532
Louisiana LA13$7,160+90%$6,050 – $13,530
Georgia GA13$6,905+84%$6,905 – $15,900
Idaho ID19$6,731+79%$1,641 – $12,751
Alabama AL16$6,476+72%$1,960 – $14,748
Tennessee TN20$6,417+71%$720 – $11,886
Texas TX46$5,887+56%$3,806 – $11,467
Pennsylvania PA34$5,427+44%$477 – $13,461
Alaska AK10$4,980+32%$2,433 – $14,834
Arizona AZ11$4,593+22%$1,103 – $22,695
California CA79$4,268+13%$2,455 – $13,759
Missouri MO22$3,949+5%$1,016 – $19,566
Wisconsin WI40$3,7630%$2,512 – $4,361
Washington WA36$3,362−11%$1,360 – $13,820
Colorado CO22$3,033−19%$1,494 – $19,279
North Carolina NC12$2,862−24%$1,348 – $5,935
Mississippi MS14$2,698−28%$1,374 – $14,804
Minnesota MN42$2,380−37%$1,370 – $3,729
Oregon OR39$2,321−38%$1,307 – $14,276
Indiana IN32$2,227−41%$835 – $19,101
Montana MT13$2,068−45%$795 – $8,172
Nebraska NE19$2,013−47%$554 – $4,526
Arkansas AR13$1,942−48%$1,304 – $5,820
West Virginia WV22$1,905−49%$768 – $2,898
Michigan MI43$1,897−50%$1,339 – $9,978
Iowa IA45$1,726−54%$1,338 – $2,610
Illinois IL33$1,726−54%$835 – $4,590
Kansas KS20$1,663−56%$1,016 – $7,848
Oklahoma OK15$1,482−61%$1,482 – $11,727
Kentucky KY16$1,208−68%$835 – $6,575
Vermont VT10$987−74%$364 – $1,782
Maine ME9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
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 HI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not 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 $3,763.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care735$5,652$1,586 – $14,919
Children’s19fewer than 20 hospitals
Critical access278$1,725$1,073 – $3,763
Ownership
For-profit135$8,415$2,653 – $21,300
Government184$1,960$1,217 – $8,454
Non-profit713$3,690$1,331 – $13,461
System affiliation
Part of a system785$3,983$1,446 – $13,759
Independent249$2,227$1,163 – $7,861

Cash price vs list price

Median list price (chargemaster)$4,253
Median cash price$3,763
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

493 hospitals filed a usable inpatient cash price for this code. The median is $2,320 and the average of the middle 60% is $3,107; most fall between $1,061 and $9,385.

Cash price percentiles, inpatient, across 493 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
$720$1,184$2,320$6,564$13,820

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($720 vs $13,820).

Of the 552 hospitals that filed this code inpatient, 493 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,034 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 1,144 hospitals that filed this code at all gave us
Usable cash price — counted1,034
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded34
Hospitals that filed this code1,144

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 Distal Tibiofibular Joint Disruption.

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 repair separated lower leg bones at the ankle (CPT 27829) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27829-surgery-to-repair-separated-lower-leg-bones-at-the-ankle