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

Open surgery for dislocated ankle without internal fixation

CPT 27846the billing code this page is about

Surgery through an incision to put a dislocated ankle back in place, with or without pins through the skin, but without ligament repair or internal hardware.

Hospitals typically charge $3,458 cash for this outpatient procedure — the median across 423 hospitals that filed a usable cash price; the average of the middle 60% is $4,048. Most fall between $1,292 and $9,530 (20th–80th percentile).

Hospitals
423
States
42
Filings dated
Jan 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 423 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
$857$1,498$3,458$8,454$12,046

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($857 vs $12,046).

How the prices are spread

$679 – $924: 29 hospitals$679$924 – $1,257: 33 hospitals$1,257 – $1,710: 44 hospitals$1,257$1,710 – $2,326: 45 hospitals$2,326 – $3,164: 31 hospitals$2,326$3,164 – $4,304: 48 hospitals$4,304 – $5,855: 23 hospitals$4,304$5,855 – $7,965: 33 hospitals$7,965 – $10,834: 48 hospitals$7,965$10,834 – $14,738: 49 hospitals$10,834median $3,458price bands are equal on a log scale
Hospitals per price band (383 of 423 — the bands cover the 5th to 95th percentile)
FromToHospitals
$679$92429
$924$1,25733
$1,257$1,71044
$1,710$2,32645
$2,326$3,16431
$3,164$4,30448
$4,304$5,85523
$5,855$7,96533
$7,965$10,83448
$10,834$14,73849

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,458
Cash as a multiple of Medicare0.47×

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 $3,458.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 7 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 $8,429 across 19 hospitalsWA$8,429Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,947 across 17 hospitalsMN$2,947Illinois: median $1,333 across 16 hospitalsIL$1,333Wisconsin: median $3,808 across 27 hospitalsWI$3,808Michigan: median $1,672 across 27 hospitalsMI$1,672New York: median $8,454 across 24 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,782 across 17 hospitalsOR$2,782Nevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $1,766 across 18 hospitalsIA$1,766Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,673 across 15 hospitalsOH$2,673Pennsylvania: median $554 across 18 hospitalsPA$554New Jersey: median $7,807 across 30 hospitalsNJ$7,807Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,046 across 44 hospitalsCA$12,046Utah: 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: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,203 across 12 hospitalsOK$1,203Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 26 hospitalsTX$5,887Florida: median $4,304 across 10 hospitalsFL$4,304
Cash price by state, most expensive first. National median $3,458. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA44$12,046+248%$3,703 – $12,046
New York NY24$8,454+144%$1,726 – $8,613
Washington WA19$8,429+144%$1,391 – $14,415
New Jersey NJ30$7,807+126%$4,881 – $9,388
Texas TX26$5,887+70%$5,887 – $8,797
Florida FL10$4,304+24%$2,673 – $42,724
Wisconsin WI27$3,808+10%$3,577 – $4,842
Minnesota MN17$2,947−15%$1,771 – $3,458
Oregon OR17$2,782−20%$1,345 – $14,931
Ohio OH15$2,673−23%$1,146 – $2,784
Iowa IA18$1,766−49%$1,766 – $2,022
Michigan MI27$1,672−52%$1,672 – $3,808
Illinois IL16$1,333−61%$857 – $2,018
Oklahoma OK12$1,203−65%$1,203 – $1,203
Pennsylvania PA18$554−84%$451 – $12,077
Tennessee TN8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not 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 $3,458.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care318$3,808$1,235 – $9,532
Children’s10fewer than 20 hospitals
Critical access95$3,035$1,515 – $5,887
Ownership
For-profit30$3,808$857 – $10,468
Government68$2,179$1,235 – $8,454
Non-profit325$3,577$1,345 – $9,532
System affiliation
Part of a system346$3,808$1,373 – $9,585
Independent77$1,893$1,162 – $4,633

Cash price vs list price

Median list price (chargemaster)$3,345
Median cash price$3,458
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

241 hospitals filed a usable inpatient cash price for this code. The median is $3,808 and the average of the middle 60% is $4,901; most fall between $1,203 and $12,046.

Cash price percentiles, inpatient, across 241 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
$857$1,345$3,808$9,585$13,820

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($857 vs $13,820).

Of the 261 hospitals that filed this code inpatient, 241 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

423 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 465 hospitals that filed this code at all gave us
Usable cash price — counted423
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded7
Hospitals that filed this code465

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 Optx Ankle Dislocation W/O Repair/Internal Fixj.

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, “Open surgery for dislocated ankle without internal fixation (CPT 27846) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27846-open-surgery-for-dislocated-ankle-without-internal-fixation