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Procedure price report · Partial excision bone

Complete removal of the big toe's foot bone head

CPT 28111the billing code this page is about

Surgery to remove the entire head of the first long foot bone, at the base of the big toe.

Hospitals typically charge $1,860 cash for this outpatient procedure — the median across 549 hospitals that filed a usable cash price; the average of the middle 60% is $2,229. Most fall between $717 and $4,720 (20th–80th percentile).

Hospitals
549
States
48
Filings dated
Mar 2023 – 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 549 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
$524$858$1,860$4,233$6,825

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($524 vs $6,825).

How the prices are spread

$338 – $469: 13 hospitals$338$469 – $653: 56 hospitals$653 – $908: 62 hospitals$653$908 – $1,263: 66 hospitals$1,263 – $1,756: 43 hospitals$1,263$1,756 – $2,443: 48 hospitals$2,443 – $3,398: 37 hospitals$2,443$3,398 – $4,726: 88 hospitals$4,726 – $6,573: 47 hospitals$4,726$6,573 – $9,141: 35 hospitals$6,573median $1,860price bands are equal on a log scale
Hospitals per price band (495 of 549 — the bands cover the 5th to 95th percentile)
FromToHospitals
$338$46913
$469$65356
$653$90862
$908$1,26366
$1,263$1,75643
$1,756$2,44348
$2,443$3,39837
$3,398$4,72688
$4,726$6,57347
$6,573$9,14135

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,860
Cash as a multiple of Medicare0.56×

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 $1,860.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $2,790 across 10 hospitalsID$2,790Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,662 across 20 hospitalsMN$1,662Illinois: median $904 across 20 hospitalsIL$904Wisconsin: median $2,263 across 30 hospitalsWI$2,263Michigan: median $1,084 across 28 hospitalsMI$1,084New York: median $3,840 across 33 hospitalsNY$3,840Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $861 across 17 hospitalsOR$861Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,221 across 23 hospitalsIA$1,221Indiana: median $524 across 11 hospitalsIN$524Ohio: median $1,339 across 17 hospitalsOH$1,339Pennsylvania: median $3,759 across 28 hospitalsPA$3,759New Jersey: median $4,330 across 31 hospitalsNJ$4,330Connecticut: 2 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 $2,811 across 48 hospitalsCA$2,811Utah: no hospital in the corpus filed a usable priceUTColorado: median $2,140 across 16 hospitalsCO$2,140Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $717 across 13 hospitalsMO$717Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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 $531 across 13 hospitalsOK$531Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,571 across 29 hospitalsTX$4,571Florida: median $6,318 across 11 hospitalsFL$6,318
Cash price by state, most expensive first. National median $1,860. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$6,318+240%$3,257 – $12,863
Texas TX29$4,571+146%$3,127 – $6,982
New Jersey NJ31$4,330+133%$3,594 – $5,741
New York NY33$3,840+106%$593 – $4,084
Pennsylvania PA28$3,759+102%$208 – $5,222
California CA48$2,811+51%$1,431 – $4,914
Idaho ID10$2,790+50%$1,620 – $8,372
Wisconsin WI30$2,263+22%$1,613 – $3,555
Colorado CO16$2,140+15%$1,040 – $8,676
Minnesota MN20$1,662−11%$755 – $2,182
Ohio OH17$1,339−28%$689 – $3,553
Iowa IA23$1,221−34%$969 – $1,245
Michigan MI28$1,084−42%$1,084 – $4,499
Illinois IL20$904−51%$524 – $1,642
Oregon OR17$861−54%$802 – $1,592
Missouri MO13$717−61%$581 – $5,357
Oklahoma OK13$531−71%$531 – $531
Indiana IN11$524−72%$524 – $1,070
Kansas KS9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,860.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care417$2,511$771 – $4,914
Children’s9fewer than 20 hospitals
Critical access122$1,259$675 – $2,379
Ownership
For-profit62$3,794$860 – $8,554
Government91$1,070$660 – $3,840
Non-profit395$1,975$717 – $4,499
System affiliation
Part of a system432$2,228$771 – $4,914
Independent117$1,121$652 – $3,660

Cash price vs list price

Median list price (chargemaster)$2,009
Median cash price$1,860
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

310 hospitals filed a usable inpatient cash price for this code. The median is $1,800 and the average of the middle 60% is $1,975; most fall between $542 and $4,720.

Cash price percentiles, inpatient, across 310 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$717$1,800$3,759$7,558

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($488 vs $7,558).

Of the 350 hospitals that filed this code inpatient, 310 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

549 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 611 hospitals that filed this code at all gave us
Usable cash price — counted549
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded22
Hospitals that filed this code611

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 Partial excision bone family.

Hospitals file this code under descriptions such as PR Full Excis 1st Metatarsal Head.

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, “Complete removal of the big toe's foot bone head (CPT 28111) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28111-complete-removal-of-the-big-toe-s-foot-bone-head