{"procedure":{"code_type":"CPT","code":"28436","lay_name":"Pinning a broken talus bone through the skin","blurb":"Repositioning a fractured talus and securing it with pins or screws inserted through small punctures instead of an open incision.","slug":"cpt-28436-pinning-a-broken-talus-bone-through-the-skin","description":"Prq Skeletal Fixation Talus Fracture W/Manj","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"147","label":"Treatment, fracture or dislocation of lower extremity (other than hip or femur)","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":356,"n_usable":325,"n_not_usable":1,"n_labelled":23,"n_no_cash":7,"n_estimated":0,"n_states":42,"cash_p10":658.0,"cash_p20":818.4,"cash_p25":930.15,"cash_p50":3986.0,"cash_p75":8453.6,"cash_p80":9744.0,"cash_p90":12571.65,"cash_mean_trimmed":4423.84,"gross_p50":1960.0,"cash_to_gross_p50":0.6,"medicare_rate":7413.38,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5377,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":34,"p20":8317.0,"p50":9744.0,"p80":12571.65},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":7,"p20":null,"p50":null,"p80":null},{"state":"GA","n":11,"p20":12733.89,"p50":12733.89,"p80":12733.89},{"state":"IA","n":16,"p20":1146.4,"p50":1146.4,"p80":1146.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":525.0,"p50":881.1,"p80":1022.03},{"state":"IN","n":7,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":23,"p20":818.4,"p50":818.4,"p80":940.8},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":4881.0,"p50":6839.0,"p80":7913.97},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":21,"p20":3710.0,"p50":8453.6,"p80":8453.6},{"state":"OH","n":12,"p20":876.0,"p50":1274.0,"p80":7860.6},{"state":"OK","n":13,"p20":798.0,"p50":798.0,"p80":4671.15},{"state":"OR","n":10,"p20":930.15,"p50":930.15,"p80":1672.0},{"state":"PA","n":10,"p20":5049.62,"p50":10468.22,"p80":13461.22},{"state":"SC","n":10,"p20":5415.64,"p50":10699.0,"p80":10699.0},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":36,"p20":4540.66,"p50":5886.74,"p80":6731.17},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":9,"p20":null,"p50":null,"p80":null},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":278,"p20":818.4,"p50":4866.0,"p80":9744.0},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":38,"p20":818.4,"p50":1672.0,"p80":11628.8}],"ownership":[{"key":"for_profit","n":48,"p20":798.0,"p50":6731.17,"p80":12733.89},{"key":"government","n":45,"p20":740.0,"p50":1444.0,"p80":8453.6},{"key":"nonprofit","n":232,"p20":818.4,"p50":3986.0,"p80":9744.0}],"affiliation":[{"key":"affiliated","n":270,"p20":818.4,"p50":4671.15,"p80":9744.0},{"key":"independent","n":55,"p20":723.2,"p50":1433.76,"p80":6741.49}]},"histogram":[{"lo":525.0,"hi":731.88,"n":26},{"lo":731.88,"hi":1020.29,"n":56},{"lo":1020.29,"hi":1422.35,"n":29},{"lo":1422.35,"hi":1982.85,"n":19},{"lo":1982.85,"hi":2764.22,"n":11},{"lo":2764.22,"hi":3853.5,"n":7},{"lo":3853.5,"hi":5372.03,"n":20},{"lo":5372.03,"hi":7488.96,"n":37},{"lo":7488.96,"hi":10440.09,"n":56},{"lo":10440.09,"hi":14554.15,"n":34}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-09","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":220,"n_usable":197,"n_not_usable":0,"n_labelled":17,"n_no_cash":6,"n_estimated":0,"n_states":38,"cash_p10":527.1,"cash_p20":798.0,"cash_p25":930.15,"cash_p50":4493.4,"cash_p75":9744.0,"cash_p80":9744.0,"cash_p90":12733.89,"cash_mean_trimmed":4183.25,"gross_p50":2374.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":30,"p20":9744.0,"p50":9744.0,"p80":9744.0},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":1146.4,"p50":1146.4,"p80":1146.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":798.0,"p50":798.0,"p80":798.0},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":7,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":34,"p20":4540.66,"p50":5886.74,"p80":6731.17},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":175,"p20":855.0,"p50":4540.66,"p80":9744.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":18,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":35,"p20":798.0,"p50":6731.17,"p80":12676.0},{"key":"government","n":21,"p20":881.1,"p50":1299.2,"p80":6707.35},{"key":"nonprofit","n":141,"p20":798.0,"p50":4540.66,"p80":9744.0}],"affiliation":[{"key":"affiliated","n":165,"p20":798.0,"p50":5102.6,"p80":10699.0},{"key":"independent","n":32,"p20":740.0,"p50":957.29,"p80":4866.0}]},"histogram":[{"lo":525.0,"hi":732.8,"n":20},{"lo":732.8,"hi":1022.86,"n":33},{"lo":1022.86,"hi":1427.72,"n":23},{"lo":1427.72,"hi":1992.83,"n":7},{"lo":1992.83,"hi":2781.63,"n":1},{"lo":2781.63,"hi":3882.64,"n":3},{"lo":3882.64,"hi":5419.44,"n":14},{"lo":5419.44,"hi":7564.54,"n":25},{"lo":7564.54,"hi":10558.7,"n":25},{"lo":10558.7,"hi":14738.0,"n":32}],"previous":null}},"related":[{"code_type":"CPT","code":"27560","lay_name":"Resetting a dislocated kneecap without anesthesia","slug":"cpt-27560-resetting-a-dislocated-kneecap-without-anesthesia"},{"code_type":"CPT","code":"27818","lay_name":"Setting a three-part ankle fracture without surgery","slug":"cpt-27818-setting-a-three-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"28515","lay_name":"Setting a broken toe without surgery","slug":"cpt-28515-setting-a-broken-toe-without-surgery"},{"code_type":"CPT","code":"27810","lay_name":"Setting a two-part ankle fracture without surgery","slug":"cpt-27810-setting-a-two-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"27788","lay_name":"Setting an outer ankle bone fracture without surgery","slug":"cpt-27788-setting-an-outer-ankle-bone-fracture-without-surgery"},{"code_type":"CPT","code":"27840","lay_name":"Resetting a dislocated ankle without anesthesia","slug":"cpt-27840-resetting-a-dislocated-ankle-without-anesthesia"},{"code_type":"CPT","code":"28660","lay_name":"Setting a dislocated toe joint without anesthesia","slug":"cpt-28660-setting-a-dislocated-toe-joint-without-anesthesia"},{"code_type":"CPT","code":"27786","lay_name":"Nonsurgical care of outer ankle bone fracture, no resetting","slug":"cpt-27786-nonsurgical-care-of-outer-ankle-bone-fracture-no-resetting"},{"code_type":"CPT","code":"28630","lay_name":"Setting a dislocated toe knuckle joint without anesthesia","slug":"cpt-28630-setting-a-dislocated-toe-knuckle-joint-without-anesthesia"},{"code_type":"CPT","code":"27550","lay_name":"Putting a dislocated knee back in place without anesthesia","slug":"cpt-27550-putting-a-dislocated-knee-back-in-place-without-anesthesia"},{"code_type":"CPT","code":"28470","lay_name":"Treatment of a broken foot bone without realignment","slug":"cpt-28470-treatment-of-a-broken-foot-bone-without-realignment"},{"code_type":"CPT","code":"28495","lay_name":"Setting a broken big toe without surgery","slug":"cpt-28495-setting-a-broken-big-toe-without-surgery"}]}