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Procedure price report · Other OR therapeutic procedures on bone

Removal of a small sesamoid bone under the big toe

CPT 28315the billing code this page is about

Surgery to take out one of the tiny sesamoid bones beneath the big toe joint when performed as a procedure on its own.

Hospitals typically charge $1,713 cash for this outpatient procedure — the median across 730 hospitals that filed a usable cash price; the average of the middle 60% is $2,341. Most fall between $742 and $5,807 (20th–80th percentile).

Hospitals
730
States
49
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 730 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
$519$872$1,713$4,627$8,786

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($519 vs $8,786).

How the prices are spread

$403 – $571: 61 hospitals$403$571 – $810: 62 hospitals$810 – $1,148: 93 hospitals$810$1,148 – $1,629: 93 hospitals$1,629 – $2,310: 60 hospitals$1,629$2,310 – $3,276: 55 hospitals$3,276 – $4,646: 88 hospitals$3,276$4,646 – $6,588: 52 hospitals$6,588 – $9,344: 69 hospitals$6,588$9,344 – $13,251: 25 hospitals$9,344median $1,713price bands are equal on a log scale
Hospitals per price band (658 of 730 — the bands cover the 5th to 95th percentile)
FromToHospitals
$403$57161
$571$81062
$810$1,14893
$1,148$1,62993
$1,629$2,31060
$2,310$3,27655
$3,276$4,64688
$4,646$6,58852
$6,588$9,34469
$9,344$13,25125

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,713
Cash as a multiple of Medicare0.51×

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 $1,713.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $848 across 10 hospitalsVT$848New Hampshire: median $446 across 10 hospitalsNH$446Washington: median $1,255 across 13 hospitalsWA$1,255Idaho: median $3,378 across 13 hospitalsID$3,378Montana: median $820 across 11 hospitalsMT$820North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,349 across 41 hospitalsMN$1,349Illinois: median $976 across 26 hospitalsIL$976Wisconsin: median $2,150 across 38 hospitalsWI$2,150Michigan: median $1,060 across 35 hospitalsMI$1,060New York: median $3,840 across 38 hospitalsNY$3,840Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,602 across 14 hospitalsOR$1,602Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,206 across 37 hospitalsIA$1,206Indiana: median $1,005 across 18 hospitalsIN$1,005Ohio: median $2,933 across 28 hospitalsOH$2,933Pennsylvania: median $3,423 across 28 hospitalsPA$3,423New Jersey: median $4,233 across 35 hospitalsNJ$4,233Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,544 across 53 hospitalsCA$1,544Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $4,744 across 17 hospitalsCO$4,744Nebraska: median $1,334 across 17 hospitalsNE$1,334Missouri: median $739 across 16 hospitalsMO$739Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,183 across 16 hospitalsWV$1,183Virginia: median $1,857 across 10 hospitalsVA$1,857Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,047 across 14 hospitalsKS$1,047Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $821 across 10 hospitalsTN$821North Carolina: median $2,420 across 12 hospitalsNC$2,420South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $542 across 14 hospitalsOK$542Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $1,381 across 10 hospitalsAL$1,381Georgia: median $8,241 across 11 hospitalsGA$8,241Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,133 across 35 hospitalsTX$3,133Florida: median $13,867 across 10 hospitalsFL$13,867
Cash price by state, most expensive first. National median $1,713. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$13,867+710%$3,257 – $13,867
Georgia GA11$8,241+381%$8,241 – $11,105
Colorado CO17$4,744+177%$1,028 – $8,676
New Jersey NJ35$4,233+147%$3,591 – $5,339
New York NY38$3,840+124%$723 – $4,084
Pennsylvania PA28$3,423+100%$120 – $5,486
Idaho ID13$3,378+97%$1,207 – $8,372
Texas TX35$3,133+83%$1,546 – $5,317
Ohio OH28$2,933+71%$1,001 – $11,885
North Carolina NC12$2,420+41%$904 – $5,889
Wisconsin WI38$2,150+26%$1,283 – $3,055
Virginia VA10$1,857+8%$221 – $7,118
Oregon OR14$1,602−6%$872 – $1,719
California CA53$1,544−10%$1,472 – $8,786
Alabama AL10$1,381−19%$582 – $3,400
Minnesota MN41$1,349−21%$795 – $1,904
Nebraska NE17$1,334−22%$816 – $2,837
Washington WA13$1,255−27%$871 – $5,825
Iowa IA37$1,206−30%$860 – $1,248
West Virginia WV16$1,183−31%$354 – $1,759
Michigan MI35$1,060−38%$898 – $6,825
Kansas KS14$1,047−39%$627 – $4,720
Indiana IN18$1,005−41%$489 – $3,655
Illinois IL26$976−43%$489 – $2,789
Vermont VT10$848−50%$699 – $1,350
Tennessee TN10$821−52%$441 – $7,011
Montana MT11$820−52%$455 – $1,425
Missouri MO16$739−57%$665 – $6,091
Oklahoma OK14$542−68%$542 – $6,615
New Hampshire NH10$446−74%$315 – $742
Arizona AZ9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $1,713.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care517$2,897$872 – $6,940
Children’s10fewer than 20 hospitals
Critical access203$1,080$671 – $2,837
Ownership
For-profit83$4,187$1,304 – $8,659
Government129$1,255$690 – $4,029
Non-profit518$1,662$746 – $5,535
System affiliation
Part of a system569$1,831$804 – $6,114
Independent161$1,458$686 – $5,303

Cash price vs list price

Median list price (chargemaster)$2,002
Median cash price$1,713
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

400 hospitals filed a usable inpatient cash price for this code. The median is $1,381 and the average of the middle 60% is $1,632; most fall between $542 and $4,349.

Cash price percentiles, inpatient, across 400 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
$455$665$1,381$3,423$8,241

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($455 vs $8,241).

Of the 443 hospitals that filed this code inpatient, 400 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

730 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 825 hospitals that filed this code at all gave us
Usable cash price — counted730
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded29
Hospitals that filed this code825

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 PR Remov Sesamoid Bone,1st Toe.

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, “Removal of a small sesamoid bone under the big toe (CPT 28315) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28315-removal-of-a-small-sesamoid-bone-under-the-big-toe