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

Pinning a broken midfoot bone through the skin

CPT 28456the billing code this page is about

The bone is moved back into place and held with pins or screws inserted through the skin rather than through an open incision, for a midfoot bone other than the talus or heel; billed per bone.

Hospitals typically charge $1,667 cash for this outpatient procedure — the median across 328 hospitals that filed a usable cash price; the average of the middle 60% is $3,238. Most fall between $593 and $8,613 (20th–80th percentile).

Hospitals
328
States
45
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 328 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
$449$696$1,667$8,317$11,609

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($449 vs $11,609).

How the prices are spread

$369 – $533: 38 hospitals$369$533 – $769: 49 hospitals$769 – $1,111: 37 hospitals$769$1,111 – $1,603: 21 hospitals$1,603 – $2,315: 20 hospitals$1,603$2,315 – $3,343: 3 hospitals$3,343 – $4,827: 21 hospitals$3,343$4,827 – $6,970: 29 hospitals$6,970 – $10,064: 60 hospitals$6,970$10,064 – $14,531: 21 hospitals$10,064median $1,667price bands are equal on a log scale
Hospitals per price band (299 of 328 — the bands cover the 5th to 95th percentile)
FromToHospitals
$369$53338
$533$76949
$769$1,11137
$1,111$1,60321
$1,603$2,31520
$2,315$3,3433
$3,343$4,82721
$4,827$6,97029
$6,970$10,06460
$10,064$14,53121

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$1,667
Cash as a multiple of Medicare0.22×

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 $1,667.

Alaska: 2 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 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: median $1,667 across 12 hospitalsMN$1,667Illinois: median $482 across 14 hospitalsIL$482Wisconsin: median $1,889 across 11 hospitalsWI$1,889Michigan: median $500 across 13 hospitalsMI$500New York: median $8,454 across 24 hospitalsNY$8,454Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $822 across 13 hospitalsOR$822Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $830 across 15 hospitalsIA$830Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $744 across 11 hospitalsOH$744Pennsylvania: median $10,468 across 11 hospitalsPA$10,468New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: 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 36 hospitalsCA$9,744Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 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: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $11,609 across 10 hospitalsSC$11,609Oklahoma: median $593 across 12 hospitalsOK$593Louisiana: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,541 across 21 hospitalsTX$4,541Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,667. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC10$11,609+597%$5,416 – $11,609
Pennsylvania PA11$10,468+528%$6,943 – $13,461
California CA36$9,744+485%$1,225 – $9,744
New York NY24$8,454+407%$734 – $8,454
New Jersey NJ22$6,311+279%$4,881 – $7,914
Texas TX21$4,541+172%$1,252 – $5,887
Wisconsin WI11$1,889+13%$1,453 – $1,889
Minnesota MN12$1,6670%$1,355 – $1,667
Iowa IA15$830−50%$830 – $830
Oregon OR13$822−51%$696 – $1,256
Ohio OH11$744−55%$557 – $1,349
Oklahoma OK12$593−64%$593 – $593
Michigan MI13$500−70%$382 – $9,978
Illinois IL14$482−71%$369 – $720
Florida FL9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Virginia VA1not 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 $1,667.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care270$3,558$593 – $9,072
Children’s9fewer than 20 hospitals
Critical access49$1,256$474 – $4,541
Ownership
For-profit47$5,416$593 – $12,676
Government47$1,004$545 – $7,171
Non-profit234$1,667$593 – $9,058
System affiliation
Part of a system261$1,998$593 – $9,744
Independent67$937$492 – $5,439

Cash price vs list price

Median list price (chargemaster)$1,356
Median cash price$1,667
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

194 hospitals filed a usable inpatient cash price for this code. The median is $894 and the average of the middle 60% is $3,460; most fall between $473 and $9,744.

Cash price percentiles, inpatient, across 194 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
$369$546$894$8,317$11,609

The most expensive tenth of hospitals charges at least 31× what the cheapest tenth charges ($369 vs $11,609).

Of the 210 hospitals that filed this code inpatient, 194 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

328 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 373 hospitals that filed this code at all gave us
Usable cash price — counted328
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
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 — excluded8
Hospitals that filed this code373

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 Skel Fixj Tarsl Fx Xcp Talus&Calcns 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 midfoot bone through the skin (CPT 28456) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28456-pinning-a-broken-midfoot-bone-through-the-skin