{"procedure":{"code_type":"CPT","code":"28635","lay_name":"Setting a dislocated toe knuckle joint under anesthesia","blurb":"Realignment by hand of a dislocated joint where a toe meets the foot, done without an incision but requiring anesthesia.","slug":"cpt-28635-setting-a-dislocated-toe-knuckle-joint-under-anesthesia","description":"Cltx Metatarsophlngl Jt Dislc Req Anes","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":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":945,"n_usable":869,"n_not_usable":1,"n_labelled":38,"n_no_cash":37,"n_estimated":0,"n_states":48,"cash_p10":238.92,"cash_p20":362.4,"cash_p25":476.0,"cash_p50":1642.0,"cash_p75":3135.6,"cash_p80":3801.5,"cash_p90":5339.0,"cash_mean_trimmed":1636.79,"gross_p50":2906.0,"cash_to_gross_p50":0.6192,"medicare_rate":1642.82,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9995,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":7,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":13,"p20":3841.2,"p50":6467.0,"p80":6467.0},{"state":"CA","n":83,"p20":1774.5,"p50":3135.6,"p80":4748.8},{"state":"CO","n":10,"p20":324.9,"p50":4181.05,"p80":4181.05},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":31,"p20":4083.2,"p50":5570.8,"p80":16347.39},{"state":"GA","n":19,"p20":1261.6,"p50":5889.0,"p80":8713.38},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":378.0,"p50":436.8,"p80":500.0},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":27,"p20":237.6,"p50":482.98,"p80":1665.0},{"state":"IN","n":10,"p20":219.1,"p50":312.99,"p80":1119.95},{"state":"KS","n":15,"p20":200.0,"p50":404.8,"p80":1364.8},{"state":"KY","n":9,"p20":null,"p50":null,"p80":null},{"state":"LA","n":16,"p20":1071.63,"p50":1420.98,"p80":1728.0},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":10,"p20":173.4,"p50":357.65,"p80":514.8},{"state":"MI","n":43,"p20":266.0,"p50":418.0,"p80":5591.3},{"state":"MN","n":29,"p20":286.8,"p50":708.75,"p80":869.91},{"state":"MO","n":15,"p20":270.3,"p50":467.35,"p80":2423.85},{"state":"MS","n":9,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":9,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":14,"p20":340.11,"p50":587.0,"p80":2110.8},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":31,"p20":1772.97,"p50":3213.34,"p80":5412.8},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":48,"p20":686.88,"p50":1893.86,"p80":3801.5},{"state":"OH","n":15,"p20":318.75,"p50":509.6,"p80":1328.27},{"state":"OK","n":28,"p20":217.7,"p50":1153.85,"p80":1960.42},{"state":"OR","n":23,"p20":278.4,"p50":502.5,"p80":3630.25},{"state":"PA","n":27,"p20":96.46,"p50":1603.2,"p80":3015.83},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":19,"p20":1927.5,"p50":4335.97,"p80":4859.4},{"state":"SD","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":11,"p20":165.88,"p50":308.88,"p80":2317.56},{"state":"TX","n":81,"p20":1459.5,"p50":1964.56,"p80":2383.09},{"state":"UT","n":24,"p20":830.54,"p50":891.05,"p80":990.07},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":33,"p20":529.06,"p50":1584.0,"p80":3234.72},{"state":"WI","n":37,"p20":677.82,"p50":728.0,"p80":2799.06},{"state":"WV","n":18,"p20":137.0,"p50":361.0,"p80":2823.0},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":658,"p20":476.0,"p50":1893.86,"p80":4335.97},{"key":"childrens","n":15,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":196,"p20":280.0,"p50":728.0,"p80":2506.0}],"ownership":[{"key":"for_profit","n":88,"p20":626.0,"p50":2058.0,"p80":6097.01},{"key":"government","n":134,"p20":350.6,"p50":1340.0,"p80":2797.08},{"key":"nonprofit","n":647,"p20":377.11,"p50":1595.0,"p80":3630.25}],"affiliation":[{"key":"affiliated","n":724,"p20":436.8,"p50":1774.5,"p80":4083.2},{"key":"independent","n":145,"p20":286.0,"p50":819.6,"p80":2137.85}]},"histogram":[{"lo":176.25,"hi":253.0,"n":47},{"lo":253.0,"hi":363.18,"n":84},{"lo":363.18,"hi":521.34,"n":63},{"lo":521.34,"hi":748.38,"n":61},{"lo":748.38,"hi":1074.28,"n":52},{"lo":1074.28,"hi":1542.12,"n":67},{"lo":1542.12,"hi":2213.68,"n":149},{"lo":2213.68,"hi":3177.7,"n":98},{"lo":3177.7,"hi":4561.53,"n":73},{"lo":4561.53,"hi":6548.0,"n":94}],"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":"2023-04-01","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":642,"n_usable":592,"n_not_usable":0,"n_labelled":19,"n_no_cash":31,"n_estimated":0,"n_states":46,"cash_p10":237.6,"cash_p20":418.0,"cash_p25":564.75,"cash_p50":1851.78,"cash_p75":3313.96,"cash_p80":4335.97,"cash_p90":5570.8,"cash_mean_trimmed":1886.04,"gross_p50":3274.27,"cash_to_gross_p50":0.635,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":76,"p20":1894.67,"p50":3135.6,"p80":4748.8},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":23,"p20":4704.96,"p50":5570.8,"p80":16347.39},{"state":"GA","n":10,"p20":8713.38,"p50":8713.38,"p80":8713.38},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":20,"p20":271.99,"p50":436.8,"p80":513.1},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":21,"p20":233.1,"p50":476.0,"p80":2077.0},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":11,"p20":191.52,"p50":840.0,"p80":1364.8},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":10,"p20":960.72,"p50":1326.78,"p80":1728.0},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":23,"p20":260.0,"p50":728.0,"p80":6548.0},{"state":"MN","n":14,"p20":286.8,"p50":369.56,"p80":2069.53},{"state":"MO","n":11,"p20":270.3,"p50":2423.85,"p80":2423.85},{"state":"MS","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":5,"p20":null,"p50":null,"p80":null},{"state":"NM","n":6,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":24,"p20":380.0,"p50":928.9,"p80":5628.0},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":25,"p20":217.7,"p50":217.7,"p80":1960.42},{"state":"OR","n":15,"p20":317.85,"p50":3941.45,"p80":6991.5},{"state":"PA","n":15,"p20":1551.2,"p50":2485.28,"p80":3446.51},{"state":"SC","n":16,"p20":1927.5,"p50":4335.97,"p80":4859.4},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":74,"p20":1459.5,"p50":1964.56,"p80":2383.09},{"state":"UT","n":23,"p20":830.54,"p50":891.05,"p80":990.07},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":27,"p20":697.37,"p50":1923.21,"p80":3234.72},{"state":"WI","n":22,"p20":728.0,"p50":728.0,"p80":2799.06},{"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":466,"p20":482.06,"p50":1960.42,"p80":4748.8},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":116,"p20":297.05,"p50":824.0,"p80":2935.27}],"ownership":[{"key":"for_profit","n":57,"p20":512.7,"p50":1964.56,"p80":6467.0},{"key":"government","n":74,"p20":319.0,"p50":1150.2,"p80":3821.4},{"key":"nonprofit","n":461,"p20":436.8,"p50":1931.5,"p80":4335.97}],"affiliation":[{"key":"affiliated","n":495,"p20":486.0,"p50":1964.56,"p80":4704.96},{"key":"independent","n":97,"p20":256.0,"p50":955.7,"p80":2028.6}]},"histogram":[{"lo":198.6,"hi":283.56,"n":52},{"lo":283.56,"hi":404.85,"n":36},{"lo":404.85,"hi":578.04,"n":33},{"lo":578.04,"hi":825.31,"n":37},{"lo":825.31,"hi":1178.35,"n":42},{"lo":1178.35,"hi":1682.42,"n":48},{"lo":1682.42,"hi":2402.11,"n":100},{"lo":2402.11,"hi":3429.67,"n":71},{"lo":3429.67,"hi":4896.79,"n":67},{"lo":4896.79,"hi":6991.5,"n":50}],"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"}]}