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

Setting a broken talus bone without surgery

CPT 28435the billing code this page is about

Treatment of a fractured talus, the bone between the ankle and heel, in which the fragments are moved back into place by hand without an incision.

Hospitals typically charge $1,413 cash for this outpatient procedure — the median across 1,489 hospitals that filed a usable cash price; the average of the middle 60% is $1,479. Most fall between $555 and $3,017 (20th–80th percentile).

Hospitals
1,489
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 1,489 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
$366$668$1,413$2,526$4,438

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($366 vs $4,438).

How the prices are spread

$284 – $381: 91 hospitals$284$381 – $511: 94 hospitals$511 – $685: 124 hospitals$511$685 – $918: 141 hospitals$918 – $1,231: 160 hospitals$918$1,231 – $1,651: 148 hospitals$1,651 – $2,214: 233 hospitals$1,651$2,214 – $2,969: 129 hospitals$2,969 – $3,981: 110 hospitals$2,969$3,981 – $5,339: 116 hospitals$3,981median $1,413price bands are equal on a log scale
Hospitals per price band (1,346 of 1,489 — the bands cover the 5th to 95th percentile)
FromToHospitals
$284$38191
$381$51194
$511$685124
$685$918141
$918$1,231160
$1,231$1,651148
$1,651$2,214233
$2,214$2,969129
$2,969$3,981110
$3,981$5,339116

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,413
Cash as a multiple of Medicare0.86×

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 $1,413.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $807 across 13 hospitalsME$807Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $770 across 12 hospitalsNH$770Washington: median $2,030 across 34 hospitalsWA$2,030Idaho: median $3,644 across 12 hospitalsID$3,644Montana: median $487 across 13 hospitalsMT$487North Dakota: median $2,106 across 10 hospitalsND$2,106Minnesota: median $1,142 across 53 hospitalsMN$1,142Illinois: median $1,455 across 59 hospitalsIL$1,455Wisconsin: median $1,225 across 56 hospitalsWI$1,225Michigan: median $1,156 across 48 hospitalsMI$1,156New York: median $1,894 across 59 hospitalsNY$1,894Massachusetts: median $2,028 across 29 hospitalsMA$2,028Oregon: median $991 across 38 hospitalsOR$991Nevada: median $1,050 across 10 hospitalsNV$1,050Wyoming: median $910 across 10 hospitalsWY$910South Dakota: median $1,243 across 12 hospitalsSD$1,243Iowa: median $911 across 35 hospitalsIA$911Indiana: median $858 across 30 hospitalsIN$858Ohio: median $1,816 across 59 hospitalsOH$1,816Pennsylvania: median $1,900 across 73 hospitalsPA$1,900New Jersey: median $2,099 across 40 hospitalsNJ$2,099Connecticut: median $1,844 across 13 hospitalsCT$1,844Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,173 across 106 hospitalsCA$3,173Utah: median $905 across 28 hospitalsUT$905Colorado: median $1,560 across 34 hospitalsCO$1,560Nebraska: median $1,196 across 23 hospitalsNE$1,196Missouri: median $1,551 across 25 hospitalsMO$1,551Kentucky: median $1,093 across 21 hospitalsKY$1,093West Virginia: median $1,848 across 21 hospitalsWV$1,848Virginia: median $839 across 46 hospitalsVA$839Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,165 across 15 hospitalsNM$1,165Kansas: median $869 across 17 hospitalsKS$869Arkansas: median $719 across 13 hospitalsAR$719Tennessee: median $316 across 24 hospitalsTN$316North Carolina: median $559 across 35 hospitalsNC$559South Carolina: median $4,332 across 31 hospitalsSC$4,332Oklahoma: median $588 across 34 hospitalsOK$588Louisiana: median $555 across 28 hospitalsLA$555Mississippi: median $454 across 27 hospitalsMS$454Alabama: median $956 across 14 hospitalsAL$956Georgia: median $1,119 across 43 hospitalsGA$1,119Hawaii: median $3,821 across 13 hospitalsHI$3,821Texas: median $1,844 across 102 hospitalsTX$1,844Florida: median $803 across 43 hospitalsFL$803
Cash price by state, most expensive first. National median $1,413. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC31$4,332+207%$512 – $4,332
Hawaii HI13$3,821+170%$2,489 – $4,648
Idaho ID12$3,644+158%$659 – $4,436
California CA106$3,173+125%$1,548 – $4,749
North Dakota ND10$2,106+49%$655 – $2,899
New Jersey NJ40$2,099+49%$1,749 – $5,855
Washington WA34$2,030+44%$663 – $3,378
Massachusetts MA29$2,028+43%$412 – $4,198
Pennsylvania PA73$1,900+34%$817 – $2,706
New York NY59$1,894+34%$753 – $4,340
West Virginia WV21$1,848+31%$361 – $2,642
Connecticut CT13$1,844+30%$1,043 – $2,964
Texas TX102$1,844+30%$967 – $2,328
Ohio OH59$1,816+28%$795 – $4,785
Colorado CO34$1,560+10%$826 – $4,181
Missouri MO25$1,551+10%$641 – $2,526
Illinois IL59$1,455+3%$455 – $3,330
South Dakota SD12$1,243−12%$960 – $3,642
Wisconsin WI56$1,225−13%$1,133 – $2,803
Nebraska NE23$1,196−15%$485 – $1,725
New Mexico NM15$1,165−18%$343 – $2,484
Michigan MI48$1,156−18%$353 – $2,211
Minnesota MN53$1,142−19%$744 – $1,660
Georgia GA43$1,119−21%$415 – $4,438
Kentucky KY21$1,093−23%$368 – $2,721
Nevada NV10$1,050−26%$674 – $1,749
Oregon OR38$991−30%$707 – $2,711
Alabama AL14$956−32%$530 – $1,750
Iowa IA35$911−36%$589 – $1,499
Wyoming WY10$910−36%$403 – $1,262
Utah UT28$905−36%$864 – $1,956
Kansas KS17$869−39%$508 – $1,514
Indiana IN30$858−39%$551 – $1,491
Virginia VA46$839−41%$600 – $1,650
Maine ME13$807−43%$527 – $2,771
Florida FL43$803−43%$515 – $5,571
New Hampshire NH12$770−46%$223 – $1,337
Arkansas AR13$719−49%$365 – $983
Oklahoma OK34$588−58%$549 – $1,782
North Carolina NC35$559−60%$366 – $1,271
Louisiana LA28$555−61%$242 – $1,681
Montana MT13$487−66%$227 – $1,127
Mississippi MS27$454−68%$298 – $870
Tennessee TN24$316−78%$284 – $884
Alaska AK8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Delaware DE2not 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 $1,413.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,125$1,660$598 – $3,269
Children’s37$2,015$864 – $6,843
Critical access326$891$461 – $1,884
Ownership
For-profit133$1,776$509 – $4,368
Government250$1,001$471 – $1,919
Non-profit1,105$1,523$608 – $3,162
System affiliation
Part of a system1,232$1,537$589 – $3,185
Independent257$1,081$481 – $2,202

Cash price vs list price

Median list price (chargemaster)$2,374
Median cash price$1,413
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

1,108 hospitals filed a usable inpatient cash price for this code. The median is $1,508 and the average of the middle 60% is $1,584; most fall between $598 and $3,173.

Cash price percentiles, inpatient, across 1,108 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
$384$729$1,508$2,645$4,494

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($384 vs $4,494).

Of the 1,191 hospitals that filed this code inpatient, 1,108 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,489 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,588 hospitals that filed this code at all gave us
Usable cash price — counted1,489
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 — excluded48
Hospitals that filed this code1,588

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 Closed Tx Talus Fracture W/Manipulation.

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, “Setting a broken talus bone without surgery (CPT 28435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28435-setting-a-broken-talus-bone-without-surgery