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Procedure price report · Amputation of lower extremity

Below-knee amputation with immediate fitting and first cast

CPT 27881the billing code this page is about

Removal of the lower leg through the shinbone and calf bone, including immediate prosthetic fitting technique and application of the first cast.

Hospitals typically charge $2,042 cash for this outpatient procedure — the median across 191 hospitals that filed a usable cash price; the average of the middle 60% is $2,363. Most fall between $1,253 and $4,233 (20th–80th percentile).

Hospitals
191
States
39
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 191 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
$975$1,380$2,042$4,084$6,311

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($975 vs $6,311).

How the prices are spread

$557 – $735: 4 hospitals$557$735 – $971: 6 hospitals$971 – $1,282: 20 hospitals$971$1,282 – $1,693: 33 hospitals$1,693 – $2,236: 33 hospitals$1,693$2,236 – $2,952: 16 hospitals$2,952 – $3,899: 19 hospitals$2,952$3,899 – $5,149: 26 hospitals$5,149 – $6,799: 7 hospitals$5,149$6,799 – $8,979: 10 hospitals$6,799median $2,042price bands are equal on a log scale
Hospitals per price band (174 of 191 — the bands cover the 5th to 95th percentile)
FromToHospitals
$557$7354
$735$9716
$971$1,28220
$1,282$1,69333
$1,693$2,23633
$2,236$2,95216
$2,952$3,89919
$3,899$5,14926
$5,149$6,7997
$6,799$8,97910

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,042
Cash as a multiple of Medicare0.61×

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 $2,042.

Alaska: 2 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,671 across 12 hospitalsIL$1,671Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,738 across 18 hospitalsMI$1,738New York: median $3,343 across 13 hospitalsNY$3,343Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,206 across 12 hospitalsOH$2,206Pennsylvania: median $603 across 16 hospitalsPA$603New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,380 across 12 hospitalsOK$1,380Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,042. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+150%$4,233 – $5,855
New York NY13$3,343+64%$2,185 – $3,884
Ohio OH12$2,206+8%$1,568 – $3,502
Michigan MI18$1,738−15%$1,738 – $4,499
Illinois IL12$1,671−18%$1,206 – $2,244
Oklahoma OK12$1,380−32%$1,380 – $1,380
Pennsylvania PA16$603−70%$510 – $12,525
Oregon OR8not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,042.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care145$1,764$1,253 – $4,499
Children’s10fewer than 20 hospitals
Critical access36$2,244$1,662 – $4,115
Ownership
For-profit18fewer than 20 hospitals
Government28$2,079$1,571 – $3,343
Non-profit145$2,042$1,210 – $4,115
System affiliation
Part of a system147$2,121$1,215 – $4,446
Independent44$1,764$1,313 – $3,173

Cash price vs list price

Median list price (chargemaster)$2,785
Median cash price$2,042
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

107 hospitals filed a usable inpatient cash price for this code. The median is $1,676 and the average of the middle 60% is $2,055; most fall between $1,206 and $7,448.

Cash price percentiles, inpatient, across 107 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
$953$1,215$1,676$4,446$14,650

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($953 vs $14,650).

Of the 134 hospitals that filed this code inpatient, 107 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 13 a list price only.

How complete is this

191 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 222 hospitals that filed this code at all gave us
Usable cash price — counted191
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded4
Hospitals that filed this code222

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 5, 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 Amputation of lower extremity family.

Hospitals file this code under descriptions such as Amp Leg Thru Tibfib W/Immt Fitg Tq W/1st Cst.

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, “Below-knee amputation with immediate fitting and first cast (CPT 27881) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27881-below-knee-amputation-with-immediate-fitting-and-first-cast