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Procedure price report · Other OR therapeutic procedures on joints

Opening a toe knuckle joint to drain or remove a fragment

CPT 28022the billing code this page is about

Surgical opening of the joint where a toe meets the foot to explore it, drain it, or remove a loose fragment or foreign object.

Hospitals typically charge $1,419 cash for this outpatient procedure — the median across 563 hospitals that filed a usable cash price; the average of the middle 60% is $1,910. Most fall between $614 and $4,499 (20th–80th percentile).

Hospitals
563
States
48
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 563 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
$478$700$1,419$3,840$7,611

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($478 vs $7,611).

How the prices are spread

$348 – $484: 36 hospitals$348$484 – $674: 68 hospitals$674 – $939: 77 hospitals$674$939 – $1,309: 64 hospitals$1,309 – $1,823: 46 hospitals$1,309$1,823 – $2,540: 38 hospitals$2,540 – $3,538: 44 hospitals$2,540$3,538 – $4,929: 67 hospitals$4,929 – $6,866: 27 hospitals$4,929$6,866 – $9,565: 49 hospitals$6,866median $1,419price bands are equal on a log scale
Hospitals per price band (516 of 563 — the bands cover the 5th to 95th percentile)
FromToHospitals
$348$48436
$484$67468
$674$93977
$939$1,30964
$1,309$1,82346
$1,823$2,54038
$2,540$3,53844
$3,538$4,92967
$4,929$6,86627
$6,866$9,56549

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,419
Cash as a multiple of Medicare0.42×

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 $1,419.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,146 across 10 hospitalsVT$1,146New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,090 across 14 hospitalsWA$1,090Idaho: median $1,346 across 11 hospitalsID$1,346Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,192 across 29 hospitalsMN$1,192Illinois: median $984 across 18 hospitalsIL$984Wisconsin: median $2,148 across 35 hospitalsWI$2,148Michigan: median $484 across 30 hospitalsMI$484New York: median $3,770 across 31 hospitalsNY$3,770Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,351 across 17 hospitalsOR$1,351Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,218 across 26 hospitalsIA$1,218Indiana: median $912 across 15 hospitalsIN$912Ohio: median $1,251 across 15 hospitalsOH$1,251Pennsylvania: median $3,139 across 27 hospitalsPA$3,139New Jersey: median $4,130 across 30 hospitalsNJ$4,130Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $9,565 across 35 hospitalsCA$9,565Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $806 across 11 hospitalsMO$806Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $348 across 12 hospitalsWV$348Virginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $912 across 11 hospitalsKS$912Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $544 across 17 hospitalsOK$544Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,276 across 28 hospitalsTX$3,276Florida: median $9,365 across 10 hospitalsFL$9,365
Cash price by state, most expensive first. National median $1,419. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$9,565+574%$1,061 – $9,565
Florida FL10$9,365+560%$1,251 – $9,365
New Jersey NJ30$4,130+191%$3,591 – $5,339
New York NY31$3,770+166%$806 – $3,840
Texas TX28$3,276+131%$3,127 – $5,317
Pennsylvania PA27$3,139+121%$214 – $4,926
Wisconsin WI35$2,148+51%$1,649 – $2,678
Oregon OR17$1,351−5%$885 – $1,625
Idaho ID11$1,346−5%$986 – $8,372
Ohio OH15$1,251−12%$583 – $1,317
Iowa IA26$1,218−14%$908 – $1,218
Minnesota MN29$1,192−16%$674 – $1,864
Vermont VT10$1,146−19%$754 – $1,300
Washington WA14$1,090−23%$574 – $2,154
Illinois IL18$984−31%$508 – $5,170
Indiana IN15$912−36%$508 – $3,151
Kansas KS11$912−36%$528 – $1,614
Missouri MO11$806−43%$668 – $3,261
Oklahoma OK17$544−62%$544 – $4,879
Michigan MI30$484−66%$478 – $2,148
West Virginia WV12$348−76%$342 – $882
Colorado CO9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $1,419.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care384$2,148$633 – $5,110
Children’s10fewer than 20 hospitals
Critical access169$1,080$583 – $2,148
Ownership
For-profit62$3,139$656 – $7,611
Government113$1,090$645 – $3,840
Non-profit388$1,425$544 – $4,130
System affiliation
Part of a system436$1,649$561 – $4,630
Independent127$1,060$634 – $2,862

Cash price vs list price

Median list price (chargemaster)$1,530
Median cash price$1,419
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

296 hospitals filed a usable inpatient cash price for this code. The median is $1,218 and the average of the middle 60% is $1,536; most fall between $544 and $3,977.

Cash price percentiles, inpatient, across 296 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
$488$622$1,218$3,276$8,372

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($488 vs $8,372).

Of the 320 hospitals that filed this code inpatient, 296 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

563 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 617 hospitals that filed this code at all gave us
Usable cash price — counted563
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded19
Hospitals that filed this code617

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on joints family.

Hospitals file this code under descriptions such as Arthrt W/Expl Drg/Rmvl Loose/FB Mttarphlngl Jt.

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, “Opening a toe knuckle joint to drain or remove a fragment (CPT 28022) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28022-opening-a-toe-knuckle-joint-to-drain-or-remove-a-fragment