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Procedure price report · Other therapeutic procedures on muscles and tendons

Inner ankle tendon repair with extra foot bone removal

CPT 28238the billing code this page is about

Surgery that tightens and reattaches the posterior tibial tendon on the inner ankle and removes an extra bone next to the navicular bone of the foot.

Hospitals typically charge $3,030 cash for this outpatient procedure — the median across 682 hospitals that filed a usable cash price; the average of the middle 60% is $4,014. Most fall between $1,110 and $9,532 (20th–80th percentile).

Hospitals
682
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 682 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
$737$1,221$3,030$8,454$13,461

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($737 vs $13,461).

How the prices are spread

$563 – $801: 42 hospitals$563$801 – $1,138: 73 hospitals$1,138 – $1,618: 85 hospitals$1,138$1,618 – $2,300: 66 hospitals$2,300 – $3,269: 71 hospitals$2,300$3,269 – $4,647: 28 hospitals$4,647 – $6,605: 46 hospitals$4,647$6,605 – $9,389: 98 hospitals$9,389 – $13,346: 70 hospitals$9,389$13,346 – $18,970: 35 hospitals$13,346median $3,030price bands are equal on a log scale
Hospitals per price band (614 of 682 — the bands cover the 5th to 95th percentile)
FromToHospitals
$563$80142
$801$1,13873
$1,138$1,61885
$1,618$2,30066
$2,300$3,26971
$3,269$4,64728
$4,647$6,60546
$6,605$9,38998
$9,389$13,34670
$13,346$18,97035

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,030
Cash as a multiple of Medicare0.41×

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 $3,030.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,495 across 17 hospitalsWA$1,495Idaho: median $8,132 across 13 hospitalsID$8,132Montana: 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 $1,692 across 32 hospitalsMN$1,692Illinois: median $890 across 19 hospitalsIL$890Wisconsin: median $3,030 across 37 hospitalsWI$3,030Michigan: median $1,323 across 35 hospitalsMI$1,323New York: median $8,206 across 36 hospitalsNY$8,206Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,212 across 13 hospitalsOR$1,212Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,669 across 32 hospitalsIA$1,669Indiana: median $1,107 across 18 hospitalsIN$1,107Ohio: median $2,199 across 26 hospitalsOH$2,199Pennsylvania: median $7,418 across 28 hospitalsPA$7,418New Jersey: median $7,907 across 34 hospitalsNJ$7,907Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,743 across 48 hospitalsCA$11,743Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,905 across 13 hospitalsCO$1,905Nebraska: median $1,771 across 14 hospitalsNE$1,771Missouri: median $5,175 across 19 hospitalsMO$5,175Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $516 across 14 hospitalsWV$516Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,304 across 13 hospitalsKS$1,304Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,998 across 12 hospitalsTN$2,998North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $814 across 15 hospitalsOK$814Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,175 across 13 hospitalsAL$5,175Georgia: median $7,906 across 10 hospitalsGA$7,906Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,728 across 35 hospitalsTX$6,728Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,030. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA48$11,743+288%$3,255 – $12,348
New York NY36$8,206+171%$998 – $8,613
Idaho ID13$8,132+168%$1,675 – $14,738
New Jersey NJ34$7,907+161%$4,881 – $9,532
Georgia GA10$7,906+161%$7,906 – $7,938
Pennsylvania PA28$7,418+145%$316 – $13,461
Texas TX35$6,728+122%$4,421 – $13,201
Alabama AL13$5,175+71%$1,922 – $7,617
Missouri MO19$5,175+71%$1,098 – $12,577
Wisconsin WI37$3,0300%$2,434 – $5,089
Tennessee TN12$2,998−1%$630 – $9,072
Ohio OH26$2,199−27%$1,331 – $24,540
Colorado CO13$1,905−37%$1,273 – $6,438
Nebraska NE14$1,771−42%$1,156 – $10,451
Minnesota MN32$1,692−44%$1,021 – $2,791
Iowa IA32$1,669−45%$1,280 – $1,721
Washington WA17$1,495−51%$1,127 – $8,429
Michigan MI35$1,323−56%$1,023 – $9,978
Kansas KS13$1,304−57%$737 – $6,836
Oregon OR13$1,212−60%$1,033 – $2,830
Indiana IN18$1,107−63%$712 – $12,483
Illinois IL19$890−71%$712 – $1,987
Oklahoma OK15$814−73%$814 – $12,289
West Virginia WV14$516−83%$506 – $2,875
Virginia VA9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Delaware DE1not 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 $3,030.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care487$4,463$1,169 – $11,197
Children’s17fewer than 20 hospitals
Critical access178$1,590$1,021 – $5,089
Ownership
For-profit92$7,232$1,707 – $14,586
Government117$1,590$1,074 – $8,366
Non-profit473$2,867$1,055 – $9,083
System affiliation
Part of a system517$3,255$1,169 – $10,066
Independent165$1,783$999 – $7,938

Cash price vs list price

Median list price (chargemaster)$3,172
Median cash price$3,030
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

332 hospitals filed a usable inpatient cash price for this code. The median is $1,700 and the average of the middle 60% is $2,658; most fall between $814 and $7,906.

Cash price percentiles, inpatient, across 332 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
$630$962$1,700$5,887$12,348

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($630 vs $12,348).

Of the 374 hospitals that filed this code inpatient, 332 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

682 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 751 hospitals that filed this code at all gave us
Usable cash price — counted682
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded23
Hospitals that filed this code751

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 therapeutic procedures on muscles and tendons family.

Hospitals file this code under descriptions such as Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr.

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, “Inner ankle tendon repair with extra foot bone removal (CPT 28238) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28238-inner-ankle-tendon-repair-with-extra-foot-bone-removal