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Procedure price report · Division of joint capsule, ligament or cartilage

Release of a toe knuckle joint, each joint

CPT 28270the billing code this page is about

Open surgery that cuts the capsule of a joint where a toe meets the foot, with or without tendon repair; billed separately for each joint treated.

Hospitals typically charge $2,007 cash for this outpatient procedure — the median across 835 hospitals that filed a usable cash price; the average of the middle 60% is $2,343. Most fall between $788 and $4,871 (20th–80th percentile).

Hospitals
835
States
50
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 835 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
$545$872$2,007$4,595$9,701

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($545 vs $9,701).

How the prices are spread

$401 – $584: 54 hospitals$401$584 – $850: 108 hospitals$850 – $1,237: 99 hospitals$850$1,237 – $1,801: 89 hospitals$1,801 – $2,622: 84 hospitals$1,801$2,622 – $3,817: 90 hospitals$3,817 – $5,557: 121 hospitals$3,817$5,557 – $8,091: 36 hospitals$8,091 – $11,780: 44 hospitals$8,091$11,780 – $17,151: 28 hospitals$11,780median $2,007price bands are equal on a log scale
Hospitals per price band (753 of 835 — the bands cover the 5th to 95th percentile)
FromToHospitals
$401$58454
$584$850108
$850$1,23799
$1,237$1,80189
$1,801$2,62284
$2,622$3,81790
$3,817$5,557121
$5,557$8,09136
$8,091$11,78044
$11,780$17,15128

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,007
Cash as a multiple of Medicare0.60×

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 $2,007.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 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 $955 across 18 hospitalsWA$955Idaho: median $3,348 across 13 hospitalsID$3,348Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,592 across 45 hospitalsMN$1,592Illinois: median $881 across 27 hospitalsIL$881Wisconsin: median $1,886 across 41 hospitalsWI$1,886Michigan: median $661 across 38 hospitalsMI$661New York: median $3,840 across 54 hospitalsNY$3,840Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,013 across 21 hospitalsOR$1,013Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $1,204 across 35 hospitalsIA$1,204Indiana: median $1,029 across 18 hospitalsIN$1,029Ohio: median $9,701 across 41 hospitalsOH$9,701Pennsylvania: median $2,143 across 34 hospitalsPA$2,143New Jersey: median $4,233 across 32 hospitalsNJ$4,233Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,556 across 52 hospitalsCA$1,556Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,237 across 18 hospitalsNE$1,237Missouri: median $1,429 across 18 hospitalsMO$1,429Kentucky: median $2,835 across 14 hospitalsKY$2,835West Virginia: median $882 across 17 hospitalsWV$882Virginia: median $4,034 across 27 hospitalsVA$4,034Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $9,695 across 12 hospitalsAZ$9,695New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $896 across 15 hospitalsKS$896Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,059 across 14 hospitalsTN$2,059North Carolina: median $916 across 12 hospitalsNC$916South Carolina: median $4,601 across 11 hospitalsSC$4,601Oklahoma: median $788 across 15 hospitalsOK$788Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $3,170 across 13 hospitalsAL$3,170Georgia: median $6,653 across 12 hospitalsGA$6,653Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,794 across 44 hospitalsTX$2,794Florida: median $10,895 across 11 hospitalsFL$10,895
Cash price by state, most expensive first. National median $2,007. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$10,895+443%$1,282 – $13,462
Ohio OH41$9,701+383%$1,282 – $19,900
Arizona AZ12$9,695+383%$1,379 – $17,547
Georgia GA12$6,653+232%$3,572 – $8,722
South Carolina SC11$4,601+129%$1,817 – $13,230
New Jersey NJ32$4,233+111%$3,594 – $5,339
Virginia VA27$4,034+101%$1,857 – $4,197
New York NY54$3,840+91%$819 – $4,595
Idaho ID13$3,348+67%$987 – $8,372
Alabama AL13$3,170+58%$1,412 – $8,716
Kentucky KY14$2,835+41%$480 – $13,028
Texas TX44$2,794+39%$1,070 – $5,317
Pennsylvania PA34$2,143+7%$129 – $6,678
Tennessee TN14$2,059+3%$453 – $6,270
Wisconsin WI41$1,886−6%$1,689 – $2,623
Minnesota MN45$1,592−21%$816 – $2,346
California CA52$1,556−22%$994 – $4,777
Missouri MO18$1,429−29%$670 – $13,816
Nebraska NE18$1,237−38%$970 – $2,464
Iowa IA35$1,204−40%$726 – $1,232
Indiana IN18$1,029−49%$433 – $14,474
Oregon OR21$1,013−50%$872 – $1,623
Washington WA18$955−52%$701 – $3,576
North Carolina NC12$916−54%$774 – $4,951
Kansas KS15$896−55%$479 – $5,576
West Virginia WV17$882−56%$348 – $4,176
Illinois IL27$881−56%$433 – $2,633
Oklahoma OK15$788−61%$788 – $4,503
Michigan MI38$661−67%$654 – $4,499
Colorado CO8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arkansas AR7not 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
Maine ME5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Utah UT2not 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 $2,007.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care600$2,908$824 – $6,637
Children’s12fewer than 20 hospitals
Critical access223$1,179$661 – $2,346
Ownership
For-profit98$3,907$910 – $13,131
Government142$1,287$742 – $3,840
Non-profit595$1,922$788 – $4,777
System affiliation
Part of a system657$2,346$818 – $5,428
Independent178$1,145$683 – $3,348

Cash price vs list price

Median list price (chargemaster)$2,363
Median cash price$2,007
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

433 hospitals filed a usable inpatient cash price for this code. The median is $1,524 and the average of the middle 60% is $1,774; most fall between $670 and $4,197.

Cash price percentiles, inpatient, across 433 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
$438$788$1,524$3,170$5,814

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($438 vs $5,814).

Of the 482 hospitals that filed this code inpatient, 433 gave a usable cash price; 22 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

835 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 923 hospitals that filed this code at all gave us
Usable cash price — counted835
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded29
Hospitals that filed this code923

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 Division of joint capsule, ligament or cartilage family.

Hospitals file this code under descriptions such as Capsul Mttarphlngl Jt W/WO Tenorrhaphy Ea Jt Spx.

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, “Release of a toe knuckle joint, each joint (CPT 28270) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28270-release-of-a-toe-knuckle-joint-each-joint