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

Pinning a broken foot bone through the skin

CPT 28476the billing code this page is about

The broken forefoot bone (metatarsal) is realigned and held with pins or screws placed through the skin instead of an open incision; billed once for each bone treated.

Hospitals typically charge $1,752 cash for this outpatient procedure — the median across 580 hospitals that filed a usable cash price; the average of the middle 60% is $2,132. Most fall between $627 and $5,038 (20th–80th percentile).

Hospitals
580
States
49
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 580 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$687$1,752$4,116$9,565

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($455 vs $9,565).

How the prices are spread

$359 – $512: 41 hospitals$359$512 – $732: 95 hospitals$732 – $1,045: 79 hospitals$732$1,045 – $1,493: 35 hospitals$1,493 – $2,133: 49 hospitals$1,493$2,133 – $3,046: 26 hospitals$3,046 – $4,351: 94 hospitals$3,046$4,351 – $6,214: 42 hospitals$6,214 – $8,875: 26 hospitals$6,214$8,875 – $12,676: 38 hospitals$8,875median $1,752price bands are equal on a log scale
Hospitals per price band (525 of 580 — the bands cover the 5th to 95th percentile)
FromToHospitals
$359$51241
$512$73295
$732$1,04579
$1,045$1,49335
$1,493$2,13349
$2,133$3,04626
$3,046$4,35194
$4,351$6,21442
$6,214$8,87526
$8,875$12,67638

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,752
Cash as a multiple of Medicare0.52×

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 $1,752.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $749 across 10 hospitalsVT$749New Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $767 across 15 hospitalsWA$767Idaho: median $3,193 across 13 hospitalsID$3,193Montana: median $842 across 10 hospitalsMT$842North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,797 across 26 hospitalsMN$1,797Illinois: median $717 across 22 hospitalsIL$717Wisconsin: median $2,000 across 29 hospitalsWI$2,000Michigan: median $613 across 30 hospitalsMI$613New York: median $3,840 across 31 hospitalsNY$3,840Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $953 across 15 hospitalsOR$953Nevada: 4 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 $906 across 22 hospitalsIA$906Indiana: median $837 across 11 hospitalsIN$837Ohio: median $936 across 17 hospitalsOH$936Pennsylvania: median $3,218 across 25 hospitalsPA$3,218New Jersey: median $4,330 across 32 hospitalsNJ$4,330Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $9,565 across 43 hospitalsCA$9,565Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $778 across 10 hospitalsCO$778Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $3,925 across 13 hospitalsMO$3,925Kentucky: median $575 across 10 hospitalsKY$575West Virginia: median $665 across 15 hospitalsWV$665Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $576 across 11 hospitalsKS$576Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $392 across 11 hospitalsTN$392North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $627 across 13 hospitalsOK$627Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $14,239 across 13 hospitalsGA$14,239Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,835 across 28 hospitalsTX$3,835Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,752. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA13$14,239+713%$14,239 – $14,239
California CA43$9,565+446%$942 – $9,565
New Jersey NJ32$4,330+147%$3,594 – $5,419
Missouri MO13$3,925+124%$541 – $9,626
New York NY31$3,840+119%$687 – $3,884
Texas TX28$3,835+119%$1,317 – $3,835
Pennsylvania PA25$3,218+84%$254 – $4,720
Idaho ID13$3,193+82%$793 – $8,372
Wisconsin WI29$2,000+14%$1,981 – $3,020
Minnesota MN26$1,797+3%$984 – $2,411
Oregon OR15$953−46%$732 – $1,314
Ohio OH17$936−47%$555 – $1,752
Iowa IA22$906−48%$876 – $1,020
Montana MT10$842−52%$434 – $1,832
Indiana IN11$837−52%$393 – $3,169
Colorado CO10$778−56%$723 – $6,130
Washington WA15$767−56%$580 – $3,611
Vermont VT10$749−57%$520 – $971
Illinois IL22$717−59%$393 – $1,372
West Virginia WV15$665−62%$401 – $5,465
Oklahoma OK13$627−64%$627 – $6,615
Michigan MI30$613−65%$613 – $2,000
Kansas KS11$576−67%$444 – $2,243
Kentucky KY10$575−67%$386 – $3,806
Tennessee TN11$392−78%$323 – $4,091
Alabama AL9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,752.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care426$2,704$627 – $6,106
Children’s13fewer than 20 hospitals
Critical access141$1,058$627 – $2,000
Ownership
For-profit75$3,835$848 – $12,572
Government101$1,020$683 – $3,840
Non-profit404$1,742$613 – $4,493
System affiliation
Part of a system443$2,000$627 – $5,419
Independent137$1,101$601 – $3,917

Cash price vs list price

Median list price (chargemaster)$1,528
Median cash price$1,752
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

287 hospitals filed a usable inpatient cash price for this code. The median is $992 and the average of the middle 60% is $1,750; most fall between $566 and $5,530.

Cash price percentiles, inpatient, across 287 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
$393$627$992$3,835$9,565

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($393 vs $9,565).

Of the 320 hospitals that filed this code inpatient, 287 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

580 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 637 hospitals that filed this code at all gave us
Usable cash price — counted580
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
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 — excluded17
Hospitals that filed this code637

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 Percut Rx Metatarsal 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, “Pinning a broken foot bone through the skin (CPT 28476) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28476-pinning-a-broken-foot-bone-through-the-skin