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Procedure price report · Other OR therapeutic procedures on bone

Surgical cutting and realignment of multiple foot bones

CPT 28309the billing code this page is about

Surgery that cuts several metatarsal bones of the forefoot and fixes each one in a corrected position, such as for a flattened or deformed forefoot.

Hospitals typically charge $4,081 cash for this outpatient procedure — the median across 415 hospitals that filed a usable cash price; the average of the middle 60% is $4,403. Most fall between $1,525 and $9,058 (20th–80th percentile).

Hospitals
415
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 415 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
$1,079$1,674$4,081$8,413$14,842

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,079 vs $14,842).

How the prices are spread

$893 – $1,191: 29 hospitals$893$1,191 – $1,589: 39 hospitals$1,589 – $2,119: 48 hospitals$1,589$2,119 – $2,827: 36 hospitals$2,827 – $3,772: 27 hospitals$2,827$3,772 – $5,033: 53 hospitals$5,033 – $6,714: 28 hospitals$5,033$6,714 – $8,957: 50 hospitals$8,957 – $11,950: 26 hospitals$8,957$11,950 – $15,943: 42 hospitals$11,950median $4,081price bands are equal on a log scale
Hospitals per price band (378 of 415 — the bands cover the 5th to 95th percentile)
FromToHospitals
$893$1,19129
$1,191$1,58939
$1,589$2,11948
$2,119$2,82736
$2,827$3,77227
$3,772$5,03353
$5,033$6,71428
$6,714$8,95750
$8,957$11,95026
$11,950$15,94342

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,081
Cash as a multiple of Medicare0.55×

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 $4,081.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals 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: median $1,694 across 11 hospitalsWA$1,694Idaho: median $7,735 across 11 hospitalsID$7,735Montana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,479 across 18 hospitalsMN$3,479Illinois: median $1,726 across 15 hospitalsIL$1,726Wisconsin: median $4,943 across 22 hospitalsWI$4,943Michigan: median $1,987 across 31 hospitalsMI$1,987New York: median $8,454 across 27 hospitalsNY$8,454Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,674 across 10 hospitalsOR$1,674Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,206 across 19 hospitalsIA$2,206Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,682 across 14 hospitalsOH$3,682Pennsylvania: median $6,943 across 19 hospitalsPA$6,943New Jersey: median $7,807 across 32 hospitalsNJ$7,807Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $15,943 across 29 hospitalsCA$15,943Utah: no hospital in the corpus filed a usable priceUTColorado: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,499 across 14 hospitalsOK$1,499Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,896 across 23 hospitalsTX$4,896Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,081. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$15,943+291%$2,605 – $15,943
New York NY27$8,454+107%$1,459 – $8,454
New Jersey NJ32$7,807+91%$4,881 – $8,415
Idaho ID11$7,735+90%$5,930 – $14,738
Pennsylvania PA19$6,943+70%$563 – $12,077
Wisconsin WI22$4,943+21%$4,476 – $4,943
Texas TX23$4,896+20%$2,816 – $5,887
Ohio OH14$3,682−10%$1,766 – $7,861
Minnesota MN18$3,479−15%$1,848 – $4,081
Iowa IA19$2,206−46%$1,891 – $3,380
Michigan MI31$1,987−51%$1,987 – $9,978
Illinois IL15$1,726−58%$952 – $2,206
Washington WA11$1,694−58%$1,617 – $3,828
Oregon OR10$1,674−59%$1,674 – $3,084
Oklahoma OK14$1,499−63%$1,499 – $13,715
Indiana IN9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not 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 $4,081.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care321$4,896$1,514 – $9,388
Children’s11fewer than 20 hospitals
Critical access83$2,953$1,617 – $4,943
Ownership
For-profit55$6,943$1,499 – $11,920
Government57$2,297$1,596 – $8,454
Non-profit303$3,986$1,514 – $8,613
System affiliation
Part of a system327$4,533$1,499 – $9,978
Independent88$2,297$1,617 – $7,171

Cash price vs list price

Median list price (chargemaster)$4,032
Median cash price$4,081
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

222 hospitals filed a usable inpatient cash price for this code. The median is $3,265 and the average of the middle 60% is $3,635; most fall between $1,459 and $8,971.

Cash price percentiles, inpatient, across 222 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
$952$1,499$3,265$6,980$15,943

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($952 vs $15,943).

Of the 248 hospitals that filed this code inpatient, 222 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

415 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 453 hospitals that filed this code at all gave us
Usable cash price — counted415
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded10
Hospitals that filed this code453

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 OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt.

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, “Surgical cutting and realignment of multiple foot bones (CPT 28309) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28309-surgical-cutting-and-realignment-of-multiple-foot-bones