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Procedure price report · Bunionectomy or repair of toe deformities

Surgery for a stiff big toe joint without implant

CPT 28289the billing code this page is about

Reshaping of the big toe joint by removing bone spurs and releasing the joint capsule to improve motion in a stiff, arthritic big toe, with no implant placed.

Hospitals typically charge $2,599 cash for this outpatient procedure — the median across 887 hospitals that filed a usable cash price; the average of the middle 60% is $2,929. Most fall between $1,069 and $6,612 (20th–80th percentile).

Hospitals
887
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 887 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
$803$1,189$2,599$5,060$10,926

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($803 vs $10,926).

How the prices are spread

$562 – $781: 38 hospitals$562$781 – $1,084: 102 hospitals$1,084 – $1,505: 104 hospitals$1,084$1,505 – $2,090: 97 hospitals$2,090 – $2,902: 81 hospitals$2,090$2,902 – $4,030: 104 hospitals$4,030 – $5,597: 114 hospitals$4,030$5,597 – $7,772: 52 hospitals$7,772 – $10,793: 51 hospitals$7,772$10,793 – $14,987: 56 hospitals$10,793median $2,599price bands are equal on a log scale
Hospitals per price band (799 of 887 — the bands cover the 5th to 95th percentile)
FromToHospitals
$562$78138
$781$1,084102
$1,084$1,505104
$1,505$2,09097
$2,090$2,90281
$2,902$4,030104
$4,030$5,597114
$5,597$7,77252
$7,772$10,79351
$10,793$14,98756

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,599
Cash as a multiple of Medicare0.78×

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 $2,599.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $893 across 10 hospitalsME$893Vermont: median $1,152 across 10 hospitalsVT$1,152New Hampshire: median $694 across 10 hospitalsNH$694Washington: median $1,602 across 23 hospitalsWA$1,602Idaho: median $3,947 across 15 hospitalsID$3,947Montana: median $1,274 across 11 hospitalsMT$1,274North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,584 across 41 hospitalsMN$1,584Illinois: median $1,985 across 28 hospitalsIL$1,985Wisconsin: median $3,288 across 40 hospitalsWI$3,288Michigan: median $1,182 across 40 hospitalsMI$1,182New York: median $3,884 across 55 hospitalsNY$3,884Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,614 across 19 hospitalsOR$1,614Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,781 across 40 hospitalsIA$1,781Indiana: median $2,048 across 32 hospitalsIN$2,048Ohio: median $3,553 across 29 hospitalsOH$3,553Pennsylvania: median $3,218 across 34 hospitalsPA$3,218New Jersey: median $4,200 across 35 hospitalsNJ$4,200Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,187 across 56 hospitalsCA$4,187Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,960 across 17 hospitalsCO$1,960Nebraska: median $1,863 across 14 hospitalsNE$1,863Missouri: median $3,261 across 23 hospitalsMO$3,261Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,545 across 20 hospitalsWV$1,545Virginia: median $8,992 across 15 hospitalsVA$8,992Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $7,242 across 13 hospitalsAZ$7,242New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,343 across 21 hospitalsKS$1,343Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,168 across 13 hospitalsTN$2,168North Carolina: median $3,158 across 14 hospitalsNC$3,158South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,019 across 16 hospitalsOK$1,019Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $6,314 across 11 hospitalsMS$6,314Alabama: median $3,400 across 11 hospitalsAL$3,400Georgia: median $6,653 across 16 hospitalsGA$6,653Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,704 across 40 hospitalsTX$4,704Florida: median $4,316 across 14 hospitalsFL$4,316
Cash price by state, most expensive first. National median $2,599. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA15$8,992+246%$309 – $15,457
Arizona AZ13$7,242+179%$2,087 – $15,731
Georgia GA16$6,653+156%$3,265 – $10,469
Mississippi MS11$6,314+143%$1,156 – $9,144
Texas TX40$4,704+81%$2,731 – $7,533
Florida FL14$4,316+66%$2,885 – $15,929
New Jersey NJ35$4,200+62%$3,591 – $5,339
California CA56$4,187+61%$1,472 – $10,926
Idaho ID15$3,947+52%$863 – $6,877
New York NY55$3,884+49%$1,185 – $4,595
Ohio OH29$3,553+37%$1,466 – $12,824
Alabama AL11$3,400+31%$1,320 – $7,794
Wisconsin WI40$3,288+27%$1,939 – $4,082
Missouri MO23$3,261+25%$1,038 – $9,246
Pennsylvania PA34$3,218+24%$200 – $6,637
North Carolina NC14$3,158+22%$1,213 – $5,235
Tennessee TN13$2,168−17%$685 – $5,400
Indiana IN32$2,048−21%$857 – $3,337
Illinois IL28$1,985−24%$803 – $3,484
Colorado CO17$1,960−25%$1,175 – $8,676
Nebraska NE14$1,863−28%$1,153 – $2,580
Iowa IA40$1,781−31%$1,069 – $2,189
Oregon OR19$1,614−38%$858 – $2,298
Washington WA23$1,602−38%$1,038 – $5,662
Minnesota MN41$1,584−39%$1,166 – $2,599
West Virginia WV20$1,545−41%$483 – $4,752
Kansas KS21$1,343−48%$960 – $4,462
Montana MT11$1,274−51%$670 – $2,138
Michigan MI40$1,182−55%$852 – $4,499
Vermont VT10$1,152−56%$561 – $2,834
Oklahoma OK16$1,019−61%$1,019 – $6,615
Maine ME10$893−66%$376 – $1,235
New Hampshire NH10$694−73%$434 – $1,458
Massachusetts MA9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not 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 $2,599.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care611$3,594$1,182 – $8,442
Children’s9fewer than 20 hospitals
Critical access267$1,666$931 – $3,606
Ownership
For-profit115$4,792$2,189 – $11,286
Government169$1,866$980 – $4,316
Non-profit603$2,550$1,038 – $6,140
System affiliation
Part of a system669$3,273$1,176 – $7,066
Independent218$1,927$885 – $4,355

Cash price vs list price

Median list price (chargemaster)$3,111
Median cash price$2,599
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

410 hospitals filed a usable inpatient cash price for this code. The median is $1,731 and the average of the middle 60% is $2,176; most fall between $833 and $5,060.

Cash price percentiles, inpatient, across 410 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
$566$976$1,731$4,159$8,372

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($566 vs $8,372).

Of the 454 hospitals that filed this code inpatient, 410 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 22 a list price only.

How complete is this

887 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 975 hospitals that filed this code at all gave us
Usable cash price — counted887
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) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded28
Hospitals that filed this code975

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 Bunionectomy or repair of toe deformities family.

Hospitals file this code under descriptions such as Hallux Rigidus W/Cheilectomy 1st Mp Jt W/O Implt.

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, “Surgery for a stiff big toe joint without implant (CPT 28289) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28289-surgery-for-a-stiff-big-toe-joint-without-implant