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Procedure price report · Treatment, fracture or dislocation of lower extremity (other than hip or femur)

Nonsurgical treatment of a broken ankle bone (talus)

CPT 28430the billing code this page is about

Treatment of a fracture of the talus, the bone between the ankle and heel, without surgery and without repositioning the fragments.

Hospitals typically charge $414 cash for this outpatient procedure — the median across 1,337 hospitals that filed a usable cash price; the average of the middle 60% is $427. Most fall between $244 and $725 (20th–80th percentile).

Hospitals
1,337
States
50
Filings dated
Jan 2024 – 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 1,337 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
$184$267$414$640$993

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($184 vs $993).

How the prices are spread

$132 – $166: 38 hospitals$132$166 – $210: 72 hospitals$210 – $265: 149 hospitals$210$265 – $334: 190 hospitals$334 – $421: 180 hospitals$334$421 – $531: 204 hospitals$531 – $670: 120 hospitals$531$670 – $844: 115 hospitals$844 – $1,065: 76 hospitals$844$1,065 – $1,343: 61 hospitals$1,065median $414price bands are equal on a log scale
Hospitals per price band (1,205 of 1,337 — the bands cover the 5th to 95th percentile)
FromToHospitals
$132$16638
$166$21072
$210$265149
$265$334190
$334$421180
$421$531204
$531$670120
$670$844115
$844$1,06576
$1,065$1,34361

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$414
Cash as a multiple of Medicare1.64×

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 $414.

Alaska: median $422 across 10 hospitalsAK$422Maine: median $371 across 12 hospitalsME$371Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $199 across 11 hospitalsNH$199Washington: median $478 across 38 hospitalsWA$478Idaho: median $639 across 16 hospitalsID$639Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $462 across 14 hospitalsND$462Minnesota: median $436 across 43 hospitalsMN$436Illinois: median $480 across 53 hospitalsIL$480Wisconsin: median $513 across 46 hospitalsWI$513Michigan: median $339 across 56 hospitalsMI$339New York: median $530 across 72 hospitalsNY$530Massachusetts: median $713 across 37 hospitalsMA$713Oregon: median $457 across 32 hospitalsOR$457Nevada: 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: median $450 across 19 hospitalsSD$450Iowa: median $412 across 45 hospitalsIA$412Indiana: median $437 across 25 hospitalsIN$437Ohio: median $443 across 53 hospitalsOH$443Pennsylvania: median $328 across 61 hospitalsPA$328New Jersey: median $1,288 across 39 hospitalsNJ$1,288Connecticut: median $381 across 12 hospitalsCT$381Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $518 across 98 hospitalsCA$518Utah: median $416 across 27 hospitalsUT$416Colorado: median $570 across 27 hospitalsCO$570Nebraska: median $394 across 31 hospitalsNE$394Missouri: median $408 across 29 hospitalsMO$408Kentucky: median $239 across 12 hospitalsKY$239West Virginia: median $284 across 26 hospitalsWV$284Virginia: median $299 across 24 hospitalsVA$299Maryland: 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 $284 across 13 hospitalsAZ$284New Mexico: median $380 across 13 hospitalsNM$380Kansas: median $410 across 28 hospitalsKS$410Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $366 across 26 hospitalsNC$366South Carolina: median $483 across 18 hospitalsSC$483Oklahoma: median $212 across 24 hospitalsOK$212Louisiana: median $217 across 23 hospitalsLA$217Mississippi: median $171 across 15 hospitalsMS$171Alabama: median $296 across 16 hospitalsAL$296Georgia: median $366 across 35 hospitalsGA$366Hawaii: median $545 across 10 hospitalsHI$545Texas: median $257 across 54 hospitalsTX$257Florida: median $504 across 38 hospitalsFL$504
Cash price by state, most expensive first. National median $414. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$1,288+211%$283 – $6,311
Massachusetts MA37$713+72%$437 – $1,395
Idaho ID16$639+54%$440 – $1,195
Colorado CO27$570+38%$318 – $804
Hawaii HI10$545+32%$360 – $561
New York NY72$530+28%$284 – $851
California CA98$518+25%$318 – $935
Wisconsin WI46$513+24%$415 – $1,082
Florida FL38$504+22%$332 – $777
South Carolina SC18$483+17%$305 – $621
Illinois IL53$480+16%$229 – $720
Washington WA38$478+16%$323 – $706
North Dakota ND14$462+12%$246 – $556
Oregon OR32$457+10%$252 – $833
South Dakota SD19$450+9%$358 – $693
Ohio OH53$443+7%$272 – $785
Indiana IN25$437+6%$278 – $756
Minnesota MN43$436+5%$291 – $511
Alaska AK10$422+2%$231 – $840
Utah UT27$4160%$363 – $451
Iowa IA45$4120%$196 – $588
Kansas KS28$410−1%$312 – $691
Missouri MO29$408−1%$204 – $562
Nebraska NE31$394−5%$315 – $503
Connecticut CT12$381−8%$224 – $896
New Mexico NM13$380−8%$248 – $425
Maine ME12$371−10%$243 – $535
Georgia GA35$366−12%$156 – $806
North Carolina NC26$366−12%$176 – $366
Michigan MI56$339−18%$238 – $546
Pennsylvania PA61$328−21%$185 – $640
Virginia VA24$299−28%$107 – $450
Alabama AL16$296−28%$175 – $622
Arizona AZ13$284−31%$284 – $436
West Virginia WV26$284−31%$221 – $481
Texas TX54$257−38%$229 – $760
Kentucky KY12$239−42%$206 – $347
Louisiana LA23$217−48%$127 – $385
Oklahoma OK24$212−49%$154 – $399
New Hampshire NH11$199−52%$140 – $368
Mississippi MS15$171−59%$125 – $313
Arkansas AR9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD2not 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 $414.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care938$399$244 – $738
Children’s38$700$292 – $1,137
Critical access361$414$246 – $640
Ownership
For-profit117$380$256 – $998
Government244$391$211 – $655
Non-profit976$416$248 – $731
System affiliation
Part of a system1,056$416$248 – $735
Independent281$382$227 – $710

Cash price vs list price

Median list price (chargemaster)$666
Median cash price$414
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

964 hospitals filed a usable inpatient cash price for this code. The median is $431 and the average of the middle 60% is $449; most fall between $257 and $741.

Cash price percentiles, inpatient, across 964 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
$196$284$431$670$993

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($196 vs $993).

Of the 1,045 hospitals that filed this code inpatient, 964 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,337 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,461 hospitals that filed this code at all gave us
Usable cash price — counted1,337
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded60
Hospitals that filed this code1,461

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 Treatment, fracture or dislocation of lower extremity (other than hip or femur) family.

Hospitals file this code under descriptions such as PR Closed Rx Talus Fx.

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, “Nonsurgical treatment of a broken ankle bone (talus) (CPT 28430) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28430-nonsurgical-treatment-of-a-broken-ankle-bone-talus