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Procedure price report · Partial excision bone

Removal of all metatarsal heads except the big toe

CPT 28114the billing code this page is about

Surgery that removes the rounded ends of the second through fifth long foot bones along with part of the toe bone bases; the big toe bone is not included.

Hospitals typically charge $3,160 cash for this outpatient procedure — the median across 371 hospitals that filed a usable cash price; the average of the middle 60% is $3,231. Most fall between $1,479 and $5,339 (20th–80th percentile).

Hospitals
371
States
45
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 371 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
$975$1,774$3,160$5,041$7,213

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($975 vs $7,213).

How the prices are spread

$756 – $984: 28 hospitals$756$984 – $1,280: 18 hospitals$1,280 – $1,666: 25 hospitals$1,280$1,666 – $2,168: 29 hospitals$2,168 – $2,822: 46 hospitals$2,168$2,822 – $3,672: 51 hospitals$3,672 – $4,779: 59 hospitals$3,672$4,779 – $6,220: 36 hospitals$6,220 – $8,094: 31 hospitals$6,220$8,094 – $10,534: 14 hospitals$8,094median $3,160price bands are equal on a log scale
Hospitals per price band (337 of 371 — the bands cover the 5th to 95th percentile)
FromToHospitals
$756$98428
$984$1,28018
$1,280$1,66625
$1,666$2,16829
$2,168$2,82246
$2,822$3,67251
$3,672$4,77959
$4,779$6,22036
$6,220$8,09431
$8,094$10,53414

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$3,160
Cash as a multiple of Medicare0.95×

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 $3,160.

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: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $6,877 across 11 hospitalsID$6,877Montana: 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 $3,729 across 15 hospitalsMN$3,729Illinois: median $1,532 across 13 hospitalsIL$1,532Wisconsin: median $5,041 across 26 hospitalsWI$5,041Michigan: median $1,597 across 16 hospitalsMI$1,597New York: median $3,840 across 24 hospitalsNY$3,840Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,277 across 13 hospitalsOR$3,277Nevada: 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 $2,634 across 18 hospitalsIA$2,634Indiana: median $1,080 across 11 hospitalsIN$1,080Ohio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,382 across 21 hospitalsPA$2,382New Jersey: median $4,627 across 30 hospitalsNJ$4,627Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,213 across 22 hospitalsCA$7,213Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 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 $1,383 across 12 hospitalsOK$1,383Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $2,903 across 26 hospitalsTX$2,903Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,160. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$7,213+128%$7,213 – $7,213
Idaho ID11$6,877+118%$4,900 – $8,372
Wisconsin WI26$5,041+60%$2,224 – $6,665
New Jersey NJ30$4,627+46%$3,591 – $8,534
New York NY24$3,840+22%$2,455 – $3,884
Minnesota MN15$3,729+18%$1,392 – $3,729
Oregon OR13$3,277+4%$1,957 – $3,552
Texas TX26$2,903−8%$2,727 – $3,160
Iowa IA18$2,634−17%$2,634 – $3,156
Pennsylvania PA21$2,382−25%$546 – $5,486
Michigan MI16$1,597−49%$1,069 – $4,499
Illinois IL13$1,532−52%$975 – $2,634
Oklahoma OK12$1,383−56%$1,383 – $1,383
Indiana IN11$1,080−66%$975 – $2,947
Ohio OH9not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not 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
Georgia GA2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not 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 $3,160.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care290$3,160$1,392 – $5,582
Children’s8fewer than 20 hospitals
Critical access73$3,160$1,506 – $5,041
Ownership
For-profit51$3,160$1,252 – $8,287
Government58$2,947$1,479 – $4,582
Non-profit262$3,160$1,574 – $5,419
System affiliation
Part of a system296$3,546$1,597 – $5,855
Independent75$2,441$1,211 – $4,498

Cash price vs list price

Median list price (chargemaster)$3,600
Median cash price$3,160
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

205 hospitals filed a usable inpatient cash price for this code. The median is $2,634 and the average of the middle 60% is $2,970; most fall between $1,383 and $6,005.

Cash price percentiles, inpatient, across 205 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
$975$1,479$2,634$5,041$7,213

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($975 vs $7,213).

Of the 229 hospitals that filed this code inpatient, 205 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

371 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 411 hospitals that filed this code at all gave us
Usable cash price — counted371
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code411

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 Ostc Compl All Metar Heads W/Prtl Prox Phalangc.

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, “Removal of all metatarsal heads except the big toe (CPT 28114) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28114-removal-of-all-metatarsal-heads-except-the-big-toe