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

Pinning a broken talus bone through the skin

CPT 28436the billing code this page is about

Repositioning a fractured talus and securing it with pins or screws inserted through small punctures instead of an open incision.

Hospitals typically charge $3,986 cash for this outpatient procedure — the median across 325 hospitals that filed a usable cash price; the average of the middle 60% is $4,424. Most fall between $818 and $9,744 (20th–80th percentile).

Hospitals
325
States
42
Filings dated
Jun 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 325 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
$658$930$3,986$8,454$12,572

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($658 vs $12,572).

How the prices are spread

$525 – $732: 26 hospitals$525$732 – $1,020: 56 hospitals$1,020 – $1,422: 29 hospitals$1,020$1,422 – $1,983: 19 hospitals$1,983 – $2,764: 11 hospitals$1,983$2,764 – $3,854: 7 hospitals$3,854 – $5,372: 20 hospitals$3,854$5,372 – $7,489: 37 hospitals$7,489 – $10,440: 56 hospitals$7,489$10,440 – $14,554: 34 hospitals$10,440median $3,986price bands are equal on a log scale
Hospitals per price band (295 of 325 — the bands cover the 5th to 95th percentile)
FromToHospitals
$525$73226
$732$1,02056
$1,020$1,42229
$1,422$1,98319
$1,983$2,76411
$2,764$3,8547
$3,854$5,37220
$5,372$7,48937
$7,489$10,44056
$10,440$14,55434

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,986
Cash as a multiple of Medicare0.54×

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 $3,986.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $881 across 12 hospitalsIL$881Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $818 across 23 hospitalsMI$818New York: median $8,454 across 21 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $930 across 10 hospitalsOR$930Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,146 across 16 hospitalsIA$1,146Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,274 across 12 hospitalsOH$1,274Pennsylvania: median $10,468 across 10 hospitalsPA$10,468New Jersey: median $6,839 across 23 hospitalsNJ$6,839Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,744 across 34 hospitalsCA$9,744Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $10,699 across 10 hospitalsSC$10,699Oklahoma: median $798 across 13 hospitalsOK$798Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $12,734 across 11 hospitalsGA$12,734Hawaii: no hospital in the corpus filed a usable priceHITexas: median $5,887 across 36 hospitalsTX$5,887Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,986. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$12,734+219%$12,734 – $12,734
South Carolina SC10$10,699+168%$5,416 – $10,699
Pennsylvania PA10$10,468+163%$5,050 – $13,461
California CA34$9,744+144%$8,317 – $12,572
New York NY21$8,454+112%$3,710 – $8,454
New Jersey NJ23$6,839+72%$4,881 – $7,914
Texas TX36$5,887+48%$4,541 – $6,731
Ohio OH12$1,274−68%$876 – $7,861
Iowa IA16$1,146−71%$1,146 – $1,146
Oregon OR10$930−77%$930 – $1,672
Illinois IL12$881−78%$525 – $1,022
Michigan MI23$818−79%$818 – $941
Oklahoma OK13$798−80%$798 – $4,671
Wisconsin WI9not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $3,986.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care278$4,866$818 – $9,744
Children’s9fewer than 20 hospitals
Critical access38$1,672$818 – $11,629
Ownership
For-profit48$6,731$798 – $12,734
Government45$1,444$740 – $8,454
Non-profit232$3,986$818 – $9,744
System affiliation
Part of a system270$4,671$818 – $9,744
Independent55$1,434$723 – $6,741

Cash price vs list price

Median list price (chargemaster)$1,960
Median cash price$3,986
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

197 hospitals filed a usable inpatient cash price for this code. The median is $4,493 and the average of the middle 60% is $4,183; most fall between $798 and $9,744.

Cash price percentiles, inpatient, across 197 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
$527$930$4,493$9,744$12,734

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($527 vs $12,734).

Of the 220 hospitals that filed this code inpatient, 197 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

325 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 356 hospitals that filed this code at all gave us
Usable cash price — counted325
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
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 — excluded7
Hospitals that filed this code356

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 Prq Skeletal Fixation Talus Fracture W/Manj.

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, “Pinning a broken talus bone through the skin (CPT 28436) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28436-pinning-a-broken-talus-bone-through-the-skin