Price AtlasInteractive atlas · All states · techysurgeon.comThigh bone (femur shaft) fracture fixation: what insurers pay
A rod down the thigh bone for a femoral shaft fracture. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27506: Thigh Bone (Femur Shaft) Fracture Fixation
762 hospitals in 73 markets. National Medicare rate $7,413, surgery center $4,699.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 6 | $6,332 | $7,276 | $10,903 | $6,112–$24,095 |
| Alaska (statewide) | 4 | — | — | — | $4,830–$25,812 |
| Arizona (statewide) | 6 | $6,260 | $8,114 | $10,846 | $4,667–$15,863 |
| Arkansas (statewide) | 3 | — | — | — | $4,092–$5,411 |
| Atlanta GA | 6 | $7,006 | $7,006 | $10,668 | $7,006–$11,889 |
| Austin TX | 5 | $8,141 | $8,141 | $8,141 | $8,141–$9,169 |
| Boston MA | 7 | $5,426 | $9,620 | $9,789 | $4,435–$13,148 |
| California (statewide) | 25 | $7,120 | $11,852 | $14,504 | $4,935–$26,031 |
| Chicago IL | 7 | $7,318 | $8,167 | $10,607 | $5,081–$15,611 |
| Cleveland OH | 10 | $6,520 | $7,551 | $11,528 | $6,148–$12,191 |
| Colorado (statewide) | 13 | $8,888 | $9,383 | $11,308 | $4,158–$13,580 |
| Connecticut (statewide) | 1 | — | — | — | $6,108–$6,108 |
| Dallas-Fort Worth TX | 9 | $11,624 | $15,630 | $15,630 | $7,711–$15,887 |
| Denver CO | 15 | $9,170 | $9,253 | $9,616 | $8,107–$13,580 |
| Detroit MI | 6 | $5,483 | $5,728 | $7,616 | $3,834–$9,483 |
| Florida (statewide) | 52 | $10,883 | $11,211 | $14,260 | $3,929–$19,466 |
| Georgia (statewide) | 23 | $5,960 | $7,249 | $11,889 | $4,453–$18,463 |
| Houston TX | 19 | $8,330 | $9,759 | $12,880 | $4,000–$13,850 |
| Idaho (statewide) | 10 | $8,533 | $10,964 | $10,964 | $6,106–$18,668 |
| Illinois (statewide) | 16 | $7,006 | $7,718 | $10,607 | $5,080–$10,852 |
| Indiana (statewide) | 19 | $11,756 | $14,851 | $17,111 | $7,677–$25,870 |
| Indianapolis IN | 1 | — | — | — | $11,926–$11,926 |
| Iowa (statewide) | 6 | $6,648 | $7,763 | $10,690 | $4,829–$14,111 |
| Kansas (statewide) | 10 | $5,102 | $6,903 | $9,938 | $3,839–$25,812 |
| Kentucky (statewide) | 7 | $8,890 | $9,997 | $12,056 | $3,917–$13,146 |
| Las Vegas NV | 2 | — | — | — | $4,218–$4,380 |
| Los Angeles CA | 17 | $9,181 | $9,806 | $13,065 | $7,730–$25,486 |
| Louisiana (statewide) | 22 | $5,086 | $6,783 | $7,428 | $3,557–$15,326 |
| Maine (statewide) | 8 | $27,763 | $27,763 | $48,526 | $7,000–$48,526 |
| Maryland (statewide) | 1 | — | — | — | $3,570–$3,570 |
| Massachusetts (statewide) | 1 | — | — | — | $4,916–$4,916 |
| Michigan (statewide) | 16 | $7,230 | $8,570 | $11,446 | $5,256–$13,123 |
| Minneapolis-St. Paul MN | 5 | $7,510 | $7,544 | $7,544 | $7,392–$7,544 |
| Minnesota (statewide) | 10 | $6,232 | $7,544 | $14,698 | $5,171–$17,994 |
| Mississippi (statewide) | 10 | $5,512 | $5,512 | $6,937 | $4,248–$19,790 |
| Missouri (statewide) | 11 | $8,536 | $10,003 | $11,202 | $3,852–$13,550 |
| Montana (statewide) | 2 | — | — | — | $27,026–$28,377 |
| Nashville TN | 5 | $5,748 | $5,748 | $5,748 | $5,748–$6,165 |
| Nebraska (statewide) | 10 | $9,724 | $11,294 | $11,624 | $3,963–$23,542 |
| Nevada (statewide) | 3 | — | — | — | $4,218–$4,218 |
| New Hampshire (statewide) | 5 | $14,703 | $22,622 | $22,684 | $12,034–$32,494 |
| New Jersey (statewide) | 14 | $9,176 | $10,180 | $13,678 | $8,116–$23,079 |
| New Mexico (statewide) | 4 | — | — | — | $13,842–$33,643 |
| New York (statewide) | 20 | $12,050 | $13,587 | $14,833 | $5,396–$21,275 |
| New York City | 8 | $11,697 | $13,587 | $13,587 | $7,302–$14,076 |
| North Carolina (statewide) | 2 | — | — | — | $7,412–$17,486 |
| North Dakota (statewide) | 2 | — | — | — | $8,500–$17,368 |
| Ohio (statewide) | 34 | $9,794 | $14,559 | $18,218 | $4,051–$27,890 |
| Oklahoma (statewide) | 5 | $11,050 | $13,550 | $16,051 | $7,107–$19,373 |
| Oregon (statewide) | 5 | $6,891 | $16,268 | $27,890 | $6,891–$32,796 |
| Pennsylvania (statewide) | 15 | $11,365 | $20,407 | $23,081 | $4,174–$32,089 |
| Philadelphia PA | 9 | $7,065 | $7,206 | $9,751 | $6,660–$12,874 |
| Phoenix AZ | 8 | $7,446 | $7,920 | $7,935 | $6,024–$7,980 |
| Portland OR | 9 | $16,568 | $16,568 | $25,243 | $16,172–$25,243 |
| Rhode Island (statewide) | 3 | — | — | — | $9,771–$12,428 |
| Richmond VA | 3 | — | — | — | $11,680–$11,680 |
| Rio Grande Valley TX | 3 | — | — | — | $6,706–$8,168 |
| Salt Lake City UT | 9 | $10,484 | $10,842 | $10,842 | $10,484–$10,842 |
| San Antonio TX | 3 | — | — | — | $4,814–$8,758 |
| San Diego CA | 2 | — | — | — | $16,071–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,816–$31,147 |
| Seattle-Tacoma WA | 16 | $17,328 | $17,758 | $21,896 | $14,554–$26,727 |
| South Carolina (statewide) | 17 | $11,398 | $13,342 | $15,681 | $7,235–$17,868 |
| South Dakota (statewide) | 1 | — | — | — | $8,787–$8,787 |
| Tampa FL | 6 | $14,186 | $14,186 | $14,186 | $9,732–$15,638 |
| Tennessee (statewide) | 16 | $5,441 | $5,850 | $6,011 | $3,793–$7,805 |
| Texas (statewide) | 57 | $7,023 | $10,546 | $11,624 | $4,000–$20,580 |
| Utah (statewide) | 6 | $8,230 | $9,896 | $10,484 | $7,871–$10,842 |
| Virginia (statewide) | 16 | $12,804 | $21,018 | $21,811 | $8,366–$24,592 |
| Washington (statewide) | 11 | $15,848 | $18,356 | $23,388 | $5,621–$34,361 |
| Washington DC | 4 | — | — | — | $6,230–$8,942 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$48,308 |
| Wisconsin (statewide) | 33 | $7,301 | $14,011 | $20,120 | $4,722–$21,623 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| St James Parish Hospital | Louisiana (statewide) | $3,557 | 0.5× | 1 | 2026-04-01 |
| Atlantic General Hospital | Maryland (statewide) | $3,570 | 0.5× | 1 | 2026-04-10 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,793 | 0.6× | 1 | 2026-04-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $3,834 | 0.5× | 1 | 2026-01-01 |
| Russell Regional Hospital | Kansas (statewide) | $3,839 | 0.6× | 1 | 2026-06-01 |
| Freeman Health System - Freeman West | Missouri (statewide) | $3,852 | 0.5× | 1 | 2026-09-01 |
| Chi Saint Joseph East | Kentucky (statewide) | $3,917 | 0.6× | 1 | 2026-02-28 |
| Jay Hospital | Florida (statewide) | $3,929 | 0.5× | 2 | 2025-12-23 |
| The Nebraska Medical Center | Nebraska (statewide) | $3,963 | 0.5× | 2 | 2026-08-10 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $4,000 | 0.6× | 3 | 2026-02-28 |
| St Luke'S Patients Medical Center | Texas (statewide) | $4,000 | 0.6× | 3 | 2026-02-28 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $4,000 | 0.6× | 3 | 2026-02-28 |
| Intermountain Health St James Hospital | Montana (statewide) | $28,377 | 3.8× | 3 | 2026-03-22 |
| Stanford Health Care | San Francisco Bay Area CA | $31,147 | 2.9× | 4 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $31,765 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $32,089 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $32,494 | 4.2× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $32,796 | 3.9× | 2 | 2026-04-01 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $33,643 | 4.5× | 1 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $34,361 | 4.1× | 3 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
| Northern Light A R Gould Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Maine Coast Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-02-03 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 481: Hip and Femur Procedures Except Major Joint With Cc
1539 hospitals in 83 markets. National Medicare rate $15,241.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $17,657 | $20,436 | $24,183 | $14,033–$49,402 |
| Alaska (statewide) | 4 | — | — | — | $18,419–$68,606 |
| Arizona (statewide) | 29 | $25,388 | $36,414 | $44,418 | $11,586–$57,492 |
| Arkansas (statewide) | 11 | $18,258 | $19,519 | $21,472 | $15,985–$24,589 |
| Atlanta GA | 10 | $37,444 | $40,081 | $41,379 | $37,444–$61,086 |
| Austin TX | 13 | $13,211 | $21,223 | $23,106 | $9,063–$25,897 |
| Boston MA | 14 | $18,031 | $20,116 | $26,256 | $14,853–$43,455 |
| California (statewide) | 55 | $23,874 | $29,850 | $36,671 | $13,155–$113,230 |
| Charlotte NC | 8 | $31,592 | $34,214 | $40,945 | $23,496–$40,945 |
| Chicago IL | 10 | $23,367 | $29,837 | $34,326 | $19,707–$38,958 |
| Cleveland OH | 11 | $19,648 | $26,121 | $28,074 | $17,209–$44,379 |
| Colorado (statewide) | 16 | $27,513 | $39,572 | $48,432 | $12,833–$65,853 |
| Columbus OH | 3 | — | — | — | $42,573–$56,126 |
| Connecticut (statewide) | 6 | $24,436 | $32,374 | $42,397 | $16,238–$43,890 |
| Dallas-Fort Worth TX | 15 | $20,926 | $22,263 | $26,840 | $19,738–$48,968 |
| Delaware (statewide) | 1 | — | — | — | $51,333–$51,333 |
| Denver CO | 15 | $23,222 | $27,332 | $41,602 | $17,416–$54,778 |
| Detroit MI | 17 | $28,691 | $29,016 | $41,536 | $22,021–$52,921 |
| Florida (statewide) | 90 | $20,840 | $23,776 | $41,454 | $15,001–$62,912 |
| Georgia (statewide) | 43 | $28,166 | $40,608 | $47,385 | $16,709–$61,086 |
| Hawaii (statewide) | 12 | $42,638 | $48,518 | $52,703 | $22,235–$55,690 |
| Houston TX | 19 | $21,212 | $26,197 | $32,244 | $20,004–$47,538 |
| Idaho (statewide) | 16 | $31,346 | $39,744 | $46,753 | $21,611–$55,717 |
| Illinois (statewide) | 43 | $19,526 | $22,803 | $30,569 | $14,098–$45,304 |
| Indiana (statewide) | 53 | $16,657 | $28,097 | $35,194 | $11,393–$45,785 |
| Indianapolis IN | 6 | $15,001 | $26,671 | $45,195 | $14,482–$47,480 |
| Iowa (statewide) | 23 | $19,920 | $23,156 | $29,560 | $17,577–$35,211 |
| Kansas (statewide) | 23 | $18,686 | $21,225 | $27,272 | $9,385–$68,606 |
| Kentucky (statewide) | 33 | $17,130 | $20,906 | $27,590 | $12,619–$51,028 |
| Las Vegas NV | 2 | — | — | — | $33,988–$40,216 |
| Los Angeles CA | 18 | $33,738 | $37,510 | $39,430 | $28,012–$48,300 |
| Louisiana (statewide) | 24 | $16,201 | $18,948 | $21,044 | $12,618–$27,787 |
| Maine (statewide) | 13 | $42,114 | $56,798 | $63,329 | $22,027–$63,329 |
| Maryland (statewide) | 1 | — | — | — | $18,892–$18,892 |
| Massachusetts (statewide) | 7 | $22,752 | $28,586 | $28,890 | $14,933–$34,716 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $19,342–$28,136 |
| Michigan (statewide) | 38 | $24,872 | $27,592 | $34,748 | $14,071–$46,833 |
| Minneapolis-St. Paul MN | 15 | $31,727 | $35,489 | $35,634 | $22,183–$39,510 |
| Minnesota (statewide) | 22 | $25,741 | $26,727 | $34,880 | $11,499–$43,992 |
| Mississippi (statewide) | 17 | $22,037 | $23,876 | $24,763 | $16,184–$34,700 |
| Missouri (statewide) | 28 | $18,253 | $21,292 | $25,926 | $9,571–$46,118 |
| Montana (statewide) | 7 | $21,356 | $34,608 | $46,052 | $9,905–$71,365 |
| Nashville TN | 8 | $17,967 | $18,492 | $24,085 | $16,671–$39,838 |
| Nebraska (statewide) | 15 | $34,774 | $37,024 | $42,330 | $24,291–$50,023 |
| Nevada (statewide) | 6 | $27,283 | $34,526 | $40,186 | $23,363–$41,598 |
| New Hampshire (statewide) | 8 | $26,287 | $29,346 | $34,863 | $20,726–$49,263 |
| New Jersey (statewide) | 21 | $34,578 | $37,234 | $45,956 | $19,762–$61,442 |
| New Mexico (statewide) | 11 | $16,444 | $20,929 | $33,147 | $9,752–$62,480 |
| New York (statewide) | 48 | $23,508 | $27,320 | $37,935 | $15,196–$66,534 |
| New York City | 9 | $39,222 | $40,343 | $53,950 | $18,492–$64,490 |
| North Carolina (statewide) | 34 | $18,559 | $21,965 | $39,366 | $12,831–$49,658 |
| North Dakota (statewide) | 7 | $23,962 | $26,369 | $27,448 | $16,327–$37,463 |
| Ohio (statewide) | 54 | $21,164 | $31,367 | $38,476 | $13,454–$67,000 |
| Oklahoma (statewide) | 16 | $16,185 | $21,191 | $22,664 | $13,000–$38,532 |
| Oregon (statewide) | 14 | $33,902 | $36,560 | $42,316 | $18,138–$55,607 |
| Pennsylvania (statewide) | 60 | $24,402 | $32,390 | $37,416 | $16,242–$59,580 |
| Philadelphia PA | 11 | $35,880 | $38,421 | $43,510 | $34,700–$61,442 |
| Phoenix AZ | 11 | $34,863 | $34,863 | $39,678 | $33,372–$43,174 |
| Pittsburgh PA | 7 | $25,500 | $29,344 | $33,704 | $22,655–$39,738 |
| Portland OR | 9 | $41,731 | $44,772 | $54,026 | $41,720–$54,026 |
| Research Triangle NC | 9 | $26,212 | $27,596 | $28,623 | $14,642–$31,616 |
| Rhode Island (statewide) | 7 | $24,646 | $33,600 | $42,116 | $21,636–$45,352 |
| Richmond VA | 7 | $24,785 | $44,914 | $49,042 | $24,208–$52,617 |
| Rio Grande Valley TX | 7 | $22,112 | $23,320 | $25,868 | $18,025–$29,952 |
| Salt Lake City UT | 9 | $39,984 | $39,984 | $39,984 | $39,586–$39,984 |
| San Antonio TX | 3 | — | — | — | $22,390–$43,658 |
| San Diego CA | 7 | $25,350 | $29,970 | $32,362 | $24,025–$34,833 |
| San Francisco Bay Area CA | 2 | — | — | — | $24,802–$30,235 |
| Seattle-Tacoma WA | 16 | $41,516 | $45,613 | $48,294 | $40,218–$58,879 |
| South Carolina (statewide) | 31 | $38,774 | $45,684 | $52,466 | $17,958–$63,998 |
| South Dakota (statewide) | 4 | — | — | — | $23,040–$34,067 |
| St. Louis MO | 7 | $24,854 | $24,854 | $26,120 | $10,703–$40,348 |
| Tampa FL | 11 | $40,900 | $41,941 | $43,238 | $32,381–$46,454 |
| Tennessee (statewide) | 33 | $18,039 | $20,248 | $23,088 | $15,980–$39,838 |
| Texas (statewide) | 90 | $20,282 | $23,781 | $31,248 | $9,063–$53,947 |
| Utah (statewide) | 6 | $35,004 | $47,072 | $55,805 | $15,364–$56,353 |
| Vermont (statewide) | 3 | — | — | — | $25,940–$57,340 |
| Virginia (statewide) | 28 | $30,071 | $39,423 | $43,280 | $20,876–$72,109 |
| Washington (statewide) | 15 | $29,716 | $38,429 | $43,014 | $17,006–$87,171 |
| Washington DC | 11 | $32,293 | $40,680 | $41,934 | $19,437–$44,102 |
| West Virginia (statewide) | 14 | $13,294 | $14,230 | $43,441 | $11,508–$50,448 |
| Wisconsin (statewide) | 52 | $26,620 | $38,688 | $42,896 | $13,088–$50,379 |
| Wyoming (statewide) | 2 | — | — | — | $33,250–$46,104 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,063 | 0.6× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,063 | 0.6× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $9,063 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $9,063 | 0.6× | 1 | 2026-01-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $9,385 | 0.7× | 3 | 2025-12-19 |
| Lafayette Regional Health Center | Missouri (statewide) | $9,571 | 0.6× | 4 | 2026-09-01 |
| Los Alamos Medical Center | New Mexico (statewide) | $9,752 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $9,905 | 0.7× | 1 | 2026-01-01 |
| Memorial Medical Center | Texas (statewide) | $10,054 | 0.7× | 1 | 2026-09-14 |
| Mercy Hospital South | St. Louis MO | $10,703 | 0.7× | 1 | 2026-06-10 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $65,853 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $66,375 | 4.6× | 1 | 2025-12-15 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $66,534 | 3.5× | 10 | 2026-04-01 |
| Lodi Community Hospital | Ohio (statewide) | $67,000 | 4.8× | 1 | 2026-06-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $68,606 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $68,606 | 4.9× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $71,365 | 4.7× | 1 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $72,109 | 5.0× | 1 | 2025-12-15 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $73,108 | 3.7× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $77,325 | 4.0× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $87,171 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $113,230 | 5.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 480: Hip and Femur Procedures Except Major Joint With McC
1510 hospitals in 83 markets. National Medicare rate $21,192.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $24,811 | $28,592 | $33,600 | $19,512–$70,024 |
| Alaska (statewide) | 4 | — | — | — | $25,420–$97,244 |
| Arizona (statewide) | 29 | $34,846 | $51,252 | $60,332 | $15,059–$76,331 |
| Arkansas (statewide) | 11 | $25,430 | $27,140 | $29,856 | $22,657–$34,190 |
| Atlanta GA | 10 | $53,073 | $55,730 | $63,384 | $53,073–$86,584 |
| Austin TX | 11 | $18,720 | $30,873 | $32,495 | $18,247–$41,124 |
| Boston MA | 15 | $25,312 | $28,661 | $31,824 | $20,653–$43,702 |
| California (statewide) | 55 | $33,326 | $40,762 | $51,242 | $18,646–$129,731 |
| Charlotte NC | 8 | $44,779 | $48,496 | $56,933 | $32,670–$56,933 |
| Chicago IL | 11 | $37,234 | $41,051 | $47,158 | $27,933–$54,169 |
| Cleveland OH | 11 | $36,319 | $40,024 | $40,590 | $31,636–$51,644 |
| Colorado (statewide) | 16 | $38,255 | $54,946 | $67,342 | $17,843–$91,566 |
| Columbus OH | 3 | — | — | — | $59,195–$78,041 |
| Connecticut (statewide) | 6 | $26,066 | $42,658 | $61,390 | $17,350–$72,453 |
| Dallas-Fort Worth TX | 15 | $26,928 | $32,950 | $36,635 | $25,774–$71,116 |
| Delaware (statewide) | 2 | — | — | — | $42,719–$73,011 |
| Denver CO | 15 | $32,904 | $38,004 | $57,846 | $24,697–$76,798 |
| Detroit MI | 17 | $39,893 | $40,344 | $61,702 | $35,212–$82,928 |
| Florida (statewide) | 90 | $28,355 | $32,448 | $58,142 | $16,282–$87,477 |
| Georgia (statewide) | 43 | $41,350 | $54,795 | $66,171 | $22,502–$86,584 |
| Hawaii (statewide) | 11 | $49,750 | $50,419 | $63,687 | $43,411–$68,878 |
| Houston TX | 19 | $28,411 | $35,168 | $44,845 | $26,920–$61,706 |
| Idaho (statewide) | 16 | $47,542 | $56,187 | $63,820 | $30,050–$79,929 |
| Illinois (statewide) | 42 | $27,618 | $32,199 | $43,005 | $19,602–$62,993 |
| Indiana (statewide) | 50 | $21,747 | $36,221 | $48,935 | $15,842–$63,662 |
| Indianapolis IN | 6 | $15,419 | $34,602 | $62,842 | $15,260–$66,019 |
| Iowa (statewide) | 22 | $28,743 | $33,056 | $39,040 | $19,896–$49,909 |
| Kansas (statewide) | 21 | $25,665 | $31,336 | $38,099 | $15,914–$63,215 |
| Kentucky (statewide) | 34 | $24,335 | $29,428 | $38,167 | $17,887–$67,834 |
| Las Vegas NV | 2 | — | — | — | $48,175–$55,228 |
| Los Angeles CA | 18 | $46,667 | $53,425 | $56,070 | $38,949–$68,461 |
| Louisiana (statewide) | 23 | $23,316 | $27,284 | $30,118 | $17,408–$38,959 |
| Maine (statewide) | 13 | $59,694 | $78,976 | $88,056 | $25,180–$88,056 |
| Maryland (statewide) | 1 | — | — | — | $32,838–$32,838 |
| Massachusetts (statewide) | 8 | $32,993 | $38,458 | $40,502 | $20,763–$48,035 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $25,922–$48,804 |
| Michigan (statewide) | 37 | $37,024 | $40,789 | $49,257 | $22,949–$73,388 |
| Minneapolis-St. Paul MN | 15 | $44,116 | $49,346 | $50,509 | $23,166–$54,936 |
| Minnesota (statewide) | 22 | $37,132 | $37,163 | $49,210 | $15,989–$62,355 |
| Mississippi (statewide) | 17 | $31,548 | $33,650 | $36,892 | $22,940–$48,248 |
| Missouri (statewide) | 28 | $24,145 | $29,060 | $35,671 | $16,242–$71,116 |
| Montana (statewide) | 7 | $29,695 | $47,819 | $63,740 | $14,039–$100,203 |
| Nashville TN | 8 | $22,706 | $24,254 | $36,426 | $21,608–$56,467 |
| Nebraska (statewide) | 15 | $49,289 | $51,776 | $57,512 | $34,431–$69,554 |
| Nevada (statewide) | 6 | $37,366 | $47,310 | $57,187 | $33,115–$60,146 |
| New Hampshire (statewide) | 8 | $37,090 | $41,430 | $48,730 | $28,819–$68,497 |
| New Jersey (statewide) | 21 | $50,557 | $55,634 | $64,525 | $27,316–$85,506 |
| New Mexico (statewide) | 10 | $25,930 | $34,450 | $47,039 | $20,637–$88,562 |
| New York (statewide) | 48 | $32,920 | $38,270 | $53,200 | $21,129–$94,306 |
| New York City | 9 | $54,536 | $56,095 | $84,832 | $26,210–$128,587 |
| North Carolina (statewide) | 34 | $26,506 | $34,082 | $54,462 | $18,187–$67,758 |
| North Dakota (statewide) | 7 | $32,795 | $37,376 | $38,337 | $29,909–$53,101 |
| Ohio (statewide) | 53 | $36,319 | $43,743 | $53,418 | $18,707–$85,900 |
| Oklahoma (statewide) | 16 | $23,313 | $28,552 | $31,395 | $14,966–$54,616 |
| Oregon (statewide) | 14 | $47,565 | $50,772 | $59,399 | $25,982–$78,352 |
| Pennsylvania (statewide) | 60 | $34,020 | $45,084 | $52,961 | $22,269–$79,952 |
| Philadelphia PA | 11 | $50,931 | $55,058 | $63,260 | $48,248–$85,506 |
| Phoenix AZ | 11 | $48,475 | $48,475 | $54,336 | $46,712–$58,591 |
| Pittsburgh PA | 7 | $38,670 | $41,454 | $47,059 | $31,501–$54,700 |
| Portland OR | 9 | $59,150 | $62,047 | $76,578 | $58,034–$76,578 |
| Research Triangle NC | 9 | $32,096 | $39,115 | $39,265 | $28,972–$43,961 |
| Rhode Island (statewide) | 7 | $33,621 | $47,392 | $58,560 | $26,889–$63,060 |
| Richmond VA | 7 | $28,006 | $62,451 | $68,189 | $27,568–$83,104 |
| Rio Grande Valley TX | 6 | $29,728 | $33,400 | $36,112 | $27,029–$40,099 |
| Salt Lake City UT | 9 | $55,459 | $55,459 | $55,459 | $54,908–$55,459 |
| San Antonio TX | 3 | — | — | — | $27,022–$54,112 |
| San Diego CA | 6 | $38,094 | $41,690 | $45,832 | $33,030–$48,053 |
| San Francisco Bay Area CA | 2 | — | — | — | $35,522–$49,053 |
| Seattle-Tacoma WA | 16 | $61,851 | $64,652 | $68,557 | $58,629–$83,457 |
| South Carolina (statewide) | 30 | $54,923 | $61,776 | $73,740 | $25,573–$94,107 |
| South Dakota (statewide) | 4 | — | — | — | $32,035–$47,369 |
| St. Louis MO | 7 | $33,401 | $33,401 | $33,401 | $14,882–$56,588 |
| Tampa FL | 11 | $57,436 | $59,448 | $60,120 | $45,024–$64,592 |
| Tennessee (statewide) | 33 | $24,284 | $28,519 | $31,637 | $20,403–$56,467 |
| Texas (statewide) | 82 | $28,211 | $33,846 | $45,139 | $17,450–$76,466 |
| Utah (statewide) | 6 | $48,978 | $65,291 | $77,404 | $21,363–$78,164 |
| Vermont (statewide) | 3 | — | — | — | $36,768–$81,275 |
| Virginia (statewide) | 25 | $42,506 | $55,879 | $60,034 | $27,516–$124,659 |
| Washington (statewide) | 14 | $45,479 | $55,247 | $61,317 | $24,019–$88,538 |
| Washington DC | 11 | $43,048 | $57,661 | $59,438 | $27,328–$61,321 |
| West Virginia (statewide) | 13 | $17,080 | $18,401 | $62,136 | $14,464–$70,146 |
| Wisconsin (statewide) | 48 | $41,964 | $55,572 | $60,576 | $14,553–$70,050 |
| Wyoming (statewide) | 2 | — | — | — | $46,233–$65,525 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mccone County Health Center | Montana (statewide) | $14,039 | 0.7× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $14,464 | 0.7× | 2 | 2026-07-10 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Mercy Hospital South | St. Louis MO | $14,882 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.8× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $15,059 | 0.7× | 1 | 2026-07-29 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,260 | 0.7× | 10 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $15,261 | 0.7× | 10 | 2026-01-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $15,771 | 0.8× | 10 | 2026-01-01 |
| Putnam County Hospital | Indiana (statewide) | $15,842 | 0.7× | 2 | 2026-06-30 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 0.7× | 11 | 2026-01-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $15,914 | 0.8× | 3 | 2025-12-19 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $92,291 | 4.6× | 1 | 2025-12-15 |
| Albany Medical Center Hospital | New York (statewide) | $92,903 | 3.5× | 3 | 2025-12-31 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $93,956 | 3.5× | 1 | 2026-03-12 |
| Cherokee Medical Center | South Carolina (statewide) | $94,107 | 4.9× | 4 | 2026-04-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $94,306 | 3.6× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $97,244 | 4.2× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $100,203 | 4.7× | 1 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $100,265 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $102,271 | 3.8× | 1 | 2026-03-12 |
| Fauquier Hospital | Virginia (statewide) | $124,659 | 5.8× | 1 | 2026-07-14 |
| Hospital for Special Surgery | New York City | $128,587 | 4.9× | 13 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $129,731 | 4.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 482: Hip and Femur Procedures Except Major Joint Without Cc/McC
1522 hospitals in 83 markets. National Medicare rate $11,868.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $14,080 | $16,390 | $19,101 | $10,928–$37,771 |
| Alaska (statewide) | 4 | — | — | — | $14,451–$52,454 |
| Arizona (statewide) | 29 | $20,506 | $27,962 | $35,786 | $9,805–$48,655 |
| Arkansas (statewide) | 11 | $14,218 | $15,199 | $16,616 | $12,222–$19,148 |
| Atlanta GA | 10 | $28,628 | $31,212 | $32,222 | $28,628–$46,704 |
| Austin TX | 13 | $10,288 | $16,527 | $18,002 | $9,063–$20,166 |
| Boston MA | 15 | $13,260 | $15,087 | $17,744 | $11,566–$35,097 |
| California (statewide) | 54 | $18,488 | $23,244 | $28,932 | $12,930–$104,131 |
| Charlotte NC | 8 | $24,154 | $26,158 | $31,884 | $18,297–$31,884 |
| Chicago IL | 10 | $19,886 | $22,812 | $26,358 | $15,067–$30,337 |
| Cleveland OH | 11 | $19,648 | $20,340 | $21,862 | $15,409–$32,544 |
| Colorado (statewide) | 16 | $21,424 | $30,538 | $37,714 | $9,993–$51,280 |
| Columbus OH | 3 | — | — | — | $33,152–$43,706 |
| Connecticut (statewide) | 6 | $22,818 | $27,956 | $32,696 | $16,238–$34,492 |
| Dallas-Fort Worth TX | 15 | $16,902 | $17,363 | $21,288 | $15,624–$35,260 |
| Delaware (statewide) | 2 | — | — | — | $22,396–$37,222 |
| Denver CO | 15 | $18,139 | $21,284 | $32,396 | $13,623–$42,326 |
| Detroit MI | 17 | $22,342 | $22,374 | $32,072 | $17,229–$40,565 |
| Florida (statewide) | 90 | $16,583 | $18,992 | $31,836 | $11,842–$48,990 |
| Georgia (statewide) | 43 | $21,834 | $31,622 | $37,058 | $13,228–$46,704 |
| Hawaii (statewide) | 11 | $33,403 | $34,960 | $39,793 | $28,135–$42,004 |
| Houston TX | 19 | $17,400 | $20,688 | $24,993 | $15,470–$39,509 |
| Idaho (statewide) | 16 | $24,346 | $29,063 | $39,304 | $12,434–$40,000 |
| Illinois (statewide) | 43 | $15,677 | $17,964 | $23,836 | $10,978–$35,279 |
| Indiana (statewide) | 52 | $14,732 | $21,132 | $27,406 | $8,480–$35,654 |
| Indianapolis IN | 6 | $14,799 | $22,428 | $35,194 | $13,700–$36,973 |
| Iowa (statewide) | 21 | $15,631 | $18,245 | $22,637 | $13,462–$26,921 |
| Kansas (statewide) | 23 | $14,691 | $16,903 | $20,906 | $9,553–$52,454 |
| Kentucky (statewide) | 33 | $13,426 | $16,173 | $21,048 | $9,648–$42,446 |
| Las Vegas NV | 2 | — | — | — | $25,986–$31,709 |
| Los Angeles CA | 18 | $27,463 | $29,704 | $31,488 | $21,813–$36,928 |
| Louisiana (statewide) | 24 | $12,439 | $14,660 | $16,090 | $9,916–$21,473 |
| Maine (statewide) | 13 | $32,199 | $44,230 | $49,315 | $12,575–$49,315 |
| Maryland (statewide) | 1 | — | — | — | $15,612–$15,612 |
| Massachusetts (statewide) | 8 | $18,509 | $21,250 | $22,504 | $11,628–$27,167 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $16,851–$27,819 |
| Michigan (statewide) | 38 | $19,145 | $21,509 | $26,932 | $10,630–$35,898 |
| Minneapolis-St. Paul MN | 15 | $24,393 | $27,245 | $27,440 | $12,740–$30,766 |
| Minnesota (statewide) | 21 | $20,386 | $20,813 | $26,886 | $8,954–$33,925 |
| Mississippi (statewide) | 17 | $16,894 | $17,615 | $19,098 | $12,374–$27,021 |
| Missouri (statewide) | 28 | $16,006 | $18,318 | $21,116 | $11,660–$36,815 |
| Montana (statewide) | 7 | $16,630 | $27,120 | $36,026 | $7,573–$55,612 |
| Nashville TN | 8 | $14,432 | $14,952 | $19,595 | $13,882–$30,459 |
| Nebraska (statewide) | 15 | $26,620 | $28,308 | $32,844 | $18,572–$38,953 |
| Nevada (statewide) | 6 | $21,569 | $25,493 | $30,769 | $17,862–$32,393 |
| New Hampshire (statewide) | 8 | $20,187 | $21,828 | $27,015 | $16,140–$38,361 |
| New Jersey (statewide) | 21 | $27,557 | $28,994 | $33,978 | $15,426–$48,068 |
| New Mexico (statewide) | 10 | $16,236 | $19,336 | $24,958 | $11,132–$47,770 |
| New York (statewide) | 48 | $18,214 | $21,192 | $29,540 | $11,833–$50,870 |
| New York City | 9 | $30,542 | $31,416 | $43,444 | $14,138–$49,828 |
| North Carolina (statewide) | 33 | $13,894 | $16,008 | $31,884 | $9,810–$41,063 |
| North Dakota (statewide) | 7 | $19,794 | $20,161 | $21,284 | $14,654–$28,643 |
| Ohio (statewide) | 53 | $19,648 | $24,498 | $29,939 | $10,477–$47,500 |
| Oklahoma (statewide) | 16 | $12,894 | $16,827 | $18,064 | $8,300–$30,001 |
| Oregon (statewide) | 13 | $26,080 | $28,262 | $32,742 | $14,551–$42,760 |
| Pennsylvania (statewide) | 60 | $18,831 | $24,692 | $29,806 | $12,479–$46,014 |
| Philadelphia PA | 11 | $28,222 | $30,270 | $34,800 | $27,021–$48,068 |
| Phoenix AZ | 11 | $27,148 | $28,242 | $31,466 | $27,148–$34,819 |
| Pittsburgh PA | 7 | $21,394 | $22,652 | $28,478 | $17,642–$29,867 |
| Portland OR | 9 | $33,088 | $35,305 | $41,307 | $31,906–$41,307 |
| Research Triangle NC | 9 | $20,431 | $22,289 | $24,251 | $12,605–$24,838 |
| Rhode Island (statewide) | 7 | $19,814 | $25,946 | $32,796 | $16,465–$35,316 |
| Richmond VA | 7 | $20,156 | $34,975 | $38,185 | $18,788–$39,243 |
| Rio Grande Valley TX | 7 | $18,620 | $19,980 | $22,566 | $17,180–$45,179 |
| Salt Lake City UT | 9 | $26,336 | $26,336 | $26,336 | $26,075–$26,336 |
| San Antonio TX | 3 | — | — | — | $18,988–$37,762 |
| San Diego CA | 7 | $19,900 | $23,338 | $25,506 | $18,922–$27,340 |
| San Francisco Bay Area CA | 2 | — | — | — | $20,099–$28,355 |
| Seattle-Tacoma WA | 16 | $33,469 | $34,874 | $36,980 | $31,884–$45,017 |
| South Carolina (statewide) | 30 | $29,496 | $35,574 | $42,266 | $13,128–$49,428 |
| South Dakota (statewide) | 4 | — | — | — | $17,941–$26,528 |
| St. Louis MO | 7 | $18,605 | $22,404 | $22,404 | $8,334–$31,957 |
| Tampa FL | 11 | $31,553 | $32,067 | $33,669 | $25,216–$36,174 |
| Tennessee (statewide) | 33 | $13,884 | $16,286 | $18,666 | $12,218–$30,459 |
| Texas (statewide) | 88 | $15,786 | $19,007 | $26,273 | $7,644–$42,446 |
| Utah (statewide) | 6 | $26,072 | $31,006 | $36,758 | $11,964–$37,119 |
| Vermont (statewide) | 3 | — | — | — | $19,833–$43,840 |
| Virginia (statewide) | 25 | $25,492 | $30,142 | $33,608 | $16,357–$56,152 |
| Washington (statewide) | 15 | $24,242 | $29,382 | $33,195 | $13,051–$66,678 |
| Washington DC | 11 | $26,895 | $31,103 | $32,062 | $21,405–$34,342 |
| West Virginia (statewide) | 13 | $9,831 | $10,591 | $32,230 | $8,326–$39,284 |
| Wisconsin (statewide) | 49 | $22,988 | $29,976 | $33,925 | $13,088–$39,230 |
| Wyoming (statewide) | 2 | — | — | — | $25,892–$35,294 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mccone County Health Center | Montana (statewide) | $7,573 | 0.6× | 1 | 2026-01-01 |
| Ascension Providence | Texas (statewide) | $7,644 | 0.7× | 4 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $8,300 | 0.7× | 4 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $8,326 | 0.8× | 2 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $8,334 | 0.7× | 1 | 2026-06-10 |
| Schneck Medical Center | Indiana (statewide) | $8,480 | 0.7× | 3 | 2024-01-24 |
| Baylor Scott And White Medical Center Frisco At Pg | Texas (statewide) | $8,560 | 0.7× | 2 | 2025-01-31 |
| Putnam County Hospital | Indiana (statewide) | $8,872 | 0.7× | 2 | 2026-06-30 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $8,954 | 0.8× | 1 | 2026-01-28 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $49,828 | 3.4× | 9 | 2026-01-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $50,870 | 3.5× | 10 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $51,280 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $51,686 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $52,454 | 4.0× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $52,454 | 4.8× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $55,612 | 4.7× | 1 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $56,152 | 5.0× | 1 | 2025-12-15 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $61,560 | 4.0× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $63,496 | 4.2× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $66,678 | 5.1× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $104,131 | 6.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for thigh bone (femur shaft) fracture fixation?
Across 762 hospitals in 73 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27506, hospital outpatient is $10,806, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,235 to $14,632. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for thigh bone (femur shaft) fracture fixation?
Medicare's national hospital outpatient rate for CPT 27506 is $7,413 and its surgery-center rate is $4,699, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for thigh bone (femur shaft) fracture fixation?
Lowest medians: St James Parish Hospital ($3,557), Atlantic General Hospital ($3,570), Livingston Regional Hospital ($3,793). Highest: Northern Light Eastern Maine Medical Center ($48,526), Northern Light Maine Coast Hospital ($48,526), Northern Light A R Gould Hospital ($48,526). Coverage: every hospital whose price file we could read.