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Procedure price report · Amputation of lower extremity

Open below-knee amputation (guillotine)

CPT 27882the billing code this page is about

Removal of the lower leg through the shinbone and calf bone with the wound left open rather than closed, often done as an emergency first stage.

Hospitals typically charge $1,458 cash for this outpatient procedure — the median across 369 hospitals that filed a usable cash price; the average of the middle 60% is $1,655. Most fall between $841 and $3,182 (20th–80th percentile).

Hospitals
369
States
46
Filings dated
Mar 2023 – 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 369 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
$596$925$1,458$2,826$5,110

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($596 vs $5,110).

How the prices are spread

$380 – $501: 13 hospitals$380$501 – $661: 21 hospitals$661 – $871: 32 hospitals$661$871 – $1,148: 47 hospitals$1,148 – $1,513: 72 hospitals$1,148$1,513 – $1,994: 42 hospitals$1,994 – $2,628: 22 hospitals$1,994$2,628 – $3,463: 38 hospitals$3,463 – $4,565: 21 hospitals$3,463$4,565 – $6,016: 25 hospitals$4,565median $1,458price bands are equal on a log scale
Hospitals per price band (333 of 369 — the bands cover the 5th to 95th percentile)
FromToHospitals
$380$50113
$501$66121
$661$87132
$871$1,14847
$1,148$1,51372
$1,513$1,99442
$1,994$2,62822
$2,628$3,46338
$3,463$4,56521
$4,565$6,01625

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,458
Cash as a multiple of Medicare0.44×

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 $1,458.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,062 across 14 hospitalsIL$1,062Wisconsin: median $3,182 across 30 hospitalsWI$3,182Michigan: median $1,471 across 30 hospitalsMI$1,471New York: median $2,384 across 29 hospitalsNY$2,384Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,079 across 11 hospitalsOR$1,079Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,458 across 19 hospitalsIA$1,458Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,407 across 14 hospitalsOH$1,407Pennsylvania: median $915 across 22 hospitalsPA$915New Jersey: median $5,110 across 15 hospitalsNJ$5,110Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,274 across 12 hospitalsCA$1,274Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $970 across 10 hospitalsMO$970Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $664 across 10 hospitalsWV$664Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: median $916 across 11 hospitalsKS$916Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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 $1,237 across 13 hospitalsOK$1,237Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,458. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ15$5,110+250%$3,986 – $5,855
Wisconsin WI30$3,182+118%$2,826 – $5,468
New York NY29$2,384+63%$979 – $4,084
Michigan MI30$1,471+1%$1,205 – $3,182
Iowa IA19$1,4580%$1,458 – $1,574
Ohio OH14$1,407−4%$914 – $2,545
California CA12$1,274−13%$937 – $1,642
Oklahoma OK13$1,237−15%$1,237 – $1,631
Oregon OR11$1,079−26%$1,019 – $1,327
Illinois IL14$1,062−27%$841 – $1,458
Missouri MO10$970−33%$812 – $978
Kansas KS11$916−37%$800 – $1,316
Pennsylvania PA22$915−37%$364 – $4,720
West Virginia WV10$664−55%$649 – $1,491
Indiana IN9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $1,458.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care267$1,458$841 – $3,786
Children’s8fewer than 20 hospitals
Critical access93$1,423$810 – $3,182
Ownership
For-profit29$1,699$841 – $8,273
Government68$1,279$764 – $1,852
Non-profit271$1,458$841 – $3,213
System affiliation
Part of a system264$1,471$841 – $3,343
Independent105$1,251$810 – $2,132

Cash price vs list price

Median list price (chargemaster)$1,881
Median cash price$1,458
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

221 hospitals filed a usable inpatient cash price for this code. The median is $1,345 and the average of the middle 60% is $1,614; most fall between $731 and $3,182.

Cash price percentiles, inpatient, across 221 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
$596$841$1,345$2,384$5,291

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($596 vs $5,291).

Of the 260 hospitals that filed this code inpatient, 221 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 20 a list price only.

How complete is this

369 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 424 hospitals that filed this code at all gave us
Usable cash price — counted369
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
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 — excluded12
Hospitals that filed this code424

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 Amputation of lower extremity family.

Hospitals file this code under descriptions such as Amputation Leg Thru Tibia&Fibula Open Circular.

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 below-knee amputation (guillotine) (CPT 27882) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27882-open-below-knee-amputation-guillotine