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Procedure price report · Other OR therapeutic procedures on joints

Fusion of the shin-to-fibula joint at the knee or ankle

CPT 27871the billing code this page is about

Surgery that permanently joins the shinbone to the outer calf bone at either the upper (near the knee) or lower (near the ankle) connection.

Hospitals typically charge $3,121 cash for this outpatient procedure — the median across 363 hospitals that filed a usable cash price; the average of the middle 60% is $5,602. Most fall between $1,279 and $16,026 (20th–80th percentile).

Hospitals
363
States
41
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 363 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
$825$1,397$3,121$15,226$20,642

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($825 vs $20,642).

How the prices are spread

$601 – $899: 24 hospitals$601$899 – $1,343: 45 hospitals$1,343 – $2,009: 48 hospitals$1,343$2,009 – $3,004: 42 hospitals$3,004 – $4,491: 32 hospitals$3,004$4,491 – $6,716: 15 hospitals$6,716 – $10,042: 21 hospitals$6,716$10,042 – $15,015: 23 hospitals$15,015 – $22,452: 71 hospitals$15,015$22,452 – $33,571: 7 hospitals$22,452median $3,121price bands are equal on a log scale
Hospitals per price band (328 of 363 — the bands cover the 5th to 95th percentile)
FromToHospitals
$601$89924
$899$1,34345
$1,343$2,00948
$2,009$3,00442
$3,004$4,49132
$4,491$6,71615
$6,716$10,04221
$10,042$15,01523
$15,015$22,45271
$22,452$33,5717

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$3,121
Cash as a multiple of Medicare0.24×

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 $3,121.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $10,639 across 10 hospitalsID$10,639Montana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,279 across 13 hospitalsIL$1,279Wisconsin: median $3,121 across 24 hospitalsWI$3,121Michigan: median $2,807 across 31 hospitalsMI$2,807New York: median $15,226 across 24 hospitalsNY$15,226Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 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 $1,698 across 19 hospitalsIA$1,698Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,480 across 16 hospitalsOH$2,480Pennsylvania: median $527 across 18 hospitalsPA$527New Jersey: median $14,062 across 30 hospitalsNJ$14,062Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $20,642 across 27 hospitalsCA$20,642Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: median $785 across 13 hospitalsWV$785Virginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,142 across 13 hospitalsOK$1,142Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 6 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 $8,299 across 23 hospitalsTX$8,299Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,121. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$20,642+561%$1,998 – $20,642
New York NY24$15,226+388%$1,691 – $15,226
New Jersey NJ30$14,062+351%$4,881 – $16,611
Idaho ID10$10,639+241%$5,665 – $19,343
Texas TX23$8,299+166%$2,653 – $10,629
Wisconsin WI24$3,1210%$3,121 – $3,436
Michigan MI31$2,807−10%$1,339 – $3,121
Ohio OH16$2,480−21%$1,417 – $33,571
Iowa IA19$1,698−46%$1,698 – $1,791
Illinois IL13$1,279−59%$530 – $1,698
Oklahoma OK13$1,142−63%$1,142 – $11,972
West Virginia WV13$785−75%$731 – $8,482
Pennsylvania PA18$527−83%$429 – $21,753
Georgia GA8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not 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 $3,121.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care288$3,969$1,280 – $17,636
Children’s8fewer than 20 hospitals
Critical access67$2,476$1,050 – $4,159
Ownership
For-profit43$8,439$1,281 – $22,351
Government59$2,275$1,299 – $15,226
Non-profit261$3,121$1,250 – $16,026
System affiliation
Part of a system286$3,406$1,280 – $17,636
Independent77$2,070$1,250 – $8,402

Cash price vs list price

Median list price (chargemaster)$3,105
Median cash price$3,121
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

184 hospitals filed a usable inpatient cash price for this code. The median is $2,327 and the average of the middle 60% is $4,240; most fall between $1,250 and $15,220.

Cash price percentiles, inpatient, across 184 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
$986$1,280$2,327$10,629$20,642

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($986 vs $20,642).

Of the 203 hospitals that filed this code inpatient, 184 gave a usable cash price; 14 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

363 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 402 hospitals that filed this code at all gave us
Usable cash price — counted363
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 code402

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on joints family.

Hospitals file this code under descriptions such as PR Fusion of Tibiofibular Joint.

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, “Fusion of the shin-to-fibula joint at the knee or ankle (CPT 27871) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27871-fusion-of-the-shin-to-fibula-joint-at-the-knee-or-ankle