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Procedure price report · Bunionectomy or repair of toe deformities

Bunion surgery with midfoot joint fusion

CPT 28297the billing code this page is about

Correction of a big toe bunion by realigning the first long foot bone and fusing it to the bone behind it at the midfoot joint.

Hospitals typically charge $4,330 cash for this outpatient procedure — the median across 806 hospitals that filed a usable cash price; the average of the middle 60% is $6,134. Most fall between $1,517 and $15,226 (20th–80th percentile).

Hospitals
806
States
50
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 806 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
$1,108$1,770$4,330$13,784$26,233

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($1,108 vs $26,233).

How the prices are spread

$830 – $1,224: 76 hospitals$830$1,224 – $1,803: 91 hospitals$1,803 – $2,658: 107 hospitals$1,803$2,658 – $3,917: 53 hospitals$3,917 – $5,772: 76 hospitals$3,917$5,772 – $8,507: 64 hospitals$8,507 – $12,538: 72 hospitals$8,507$12,538 – $18,478: 102 hospitals$18,478 – $27,233: 47 hospitals$18,478$27,233 – $40,136: 38 hospitals$27,233median $4,330price bands are equal on a log scale
Hospitals per price band (726 of 806 — the bands cover the 5th to 95th percentile)
FromToHospitals
$830$1,22476
$1,224$1,80391
$1,803$2,658107
$2,658$3,91753
$3,917$5,77276
$5,772$8,50764
$8,507$12,53872
$12,538$18,478102
$18,478$27,23347
$27,233$40,13638

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$4,330
Cash as a multiple of Medicare0.33×

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 $4,330.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,936 across 18 hospitalsWA$1,936Idaho: median $4,120 across 16 hospitalsID$4,120Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,065 across 37 hospitalsMN$3,065Illinois: median $1,770 across 27 hospitalsIL$1,770Wisconsin: median $4,204 across 38 hospitalsWI$4,204Michigan: median $1,947 across 38 hospitalsMI$1,947New York: median $13,784 across 54 hospitalsNY$13,784Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,527 across 23 hospitalsOR$2,527Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $2,614 across 40 hospitalsIA$2,614Indiana: median $2,593 across 23 hospitalsIN$2,593Ohio: median $29,377 across 29 hospitalsOH$29,377Pennsylvania: median $18,522 across 26 hospitalsPA$18,522New Jersey: median $14,242 across 33 hospitalsNJ$14,242Connecticut: 5 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 $5,481 across 53 hospitalsCA$5,481Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $7,122 across 18 hospitalsCO$7,122Nebraska: median $2,150 across 17 hospitalsNE$2,150Missouri: median $7,239 across 20 hospitalsMO$7,239Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,703 across 20 hospitalsWV$1,703Virginia: median $7,312 across 13 hospitalsVA$7,312Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,499 across 13 hospitalsKS$1,499Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,310 across 12 hospitalsTN$2,310North Carolina: median $4,726 across 15 hospitalsNC$4,726South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,210 across 15 hospitalsOK$1,210Louisiana: median $8,335 across 10 hospitalsLA$8,335Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $7,022 across 11 hospitalsAL$7,022Georgia: median $6,653 across 13 hospitalsGA$6,653Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,728 across 38 hospitalsTX$6,728Florida: median $20,041 across 12 hospitalsFL$20,041
Cash price by state, most expensive first. National median $4,330. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH29$29,377+578%$1,618 – $49,878
Florida FL12$20,041+363%$2,415 – $23,038
Pennsylvania PA26$18,522+328%$6,943 – $26,320
New Jersey NJ33$14,242+229%$5,110 – $16,611
New York NY54$13,784+218%$1,732 – $15,226
Louisiana LA10$8,335+92%$2,472 – $12,328
Virginia VA13$7,312+69%$406 – $65,050
Missouri MO20$7,239+67%$1,332 – $13,946
Colorado CO18$7,122+64%$1,927 – $19,279
Alabama AL11$7,022+62%$2,979 – $17,815
Texas TX38$6,728+55%$5,857 – $17,553
Georgia GA13$6,653+54%$6,653 – $34,739
California CA53$5,481+27%$3,103 – $10,646
North Carolina NC15$4,726+9%$1,543 – $11,206
Wisconsin WI38$4,204−3%$2,742 – $5,456
Idaho ID16$4,120−5%$1,876 – $15,889
Minnesota MN37$3,065−29%$1,411 – $4,177
Iowa IA40$2,614−40%$1,700 – $4,202
Indiana IN23$2,593−40%$1,019 – $21,962
Oregon OR23$2,527−42%$1,108 – $3,437
Tennessee TN12$2,310−47%$767 – $11,884
Nebraska NE17$2,150−50%$1,505 – $4,230
Michigan MI38$1,947−55%$1,630 – $17,654
Washington WA18$1,936−55%$1,108 – $8,844
Illinois IL27$1,770−59%$1,019 – $3,065
West Virginia WV20$1,703−61%$632 – $8,918
Kansas KS13$1,499−65%$1,217 – $12,095
Oklahoma OK15$1,210−72%$1,210 – $15,157
Kentucky KY9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Maryland MD1not 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 $4,330.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care583$6,653$1,808 – $18,522
Children’s10fewer than 20 hospitals
Critical access213$2,052$1,245 – $5,501
Ownership
For-profit106$11,739$2,310 – $24,576
Government137$2,369$1,435 – $12,646
Non-profit563$4,265$1,453 – $15,085
System affiliation
Part of a system616$5,481$1,654 – $16,052
Independent190$2,472$1,245 – $11,458

Cash price vs list price

Median list price (chargemaster)$4,478
Median cash price$4,330
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

363 hospitals filed a usable inpatient cash price for this code. The median is $2,614 and the average of the middle 60% is $3,291; most fall between $1,167 and $9,389.

Cash price percentiles, inpatient, across 363 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
$938$1,305$2,614$6,653$15,808

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($938 vs $15,808).

Of the 416 hospitals that filed this code inpatient, 363 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

806 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 891 hospitals that filed this code at all gave us
Usable cash price — counted806
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded29
Hospitals that filed this code891

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 Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis.

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, “Bunion surgery with midfoot joint fusion (CPT 28297) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28297-bunion-surgery-with-midfoot-joint-fusion