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

Treatment of a broken big toe without realignment

CPT 28490the billing code this page is about

Non-surgical care of a fracture of a big toe bone without moving the bone back into place, such as protective splinting or taping.

Hospitals typically charge $312 cash for this outpatient procedure — the median across 1,762 hospitals that filed a usable cash price; the average of the middle 60% is $330. Most fall between $193 and $568 (20th–80th percentile).

Hospitals
1,762
States
50
Filings dated
Aug 2022 – 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 1,762 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
$130$212$312$483$768

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($130 vs $768).

How the prices are spread

$92 – $118: 61 hospitals$92$118 – $152: 85 hospitals$152 – $196: 148 hospitals$152$196 – $252: 246 hospitals$252 – $324: 307 hospitals$252$324 – $416: 247 hospitals$416 – $535: 196 hospitals$416$535 – $688: 122 hospitals$688 – $885: 113 hospitals$688$885 – $1,138: 62 hospitals$885median $312price bands are equal on a log scale
Hospitals per price band (1,587 of 1,762 — the bands cover the 5th to 95th percentile)
FromToHospitals
$92$11861
$118$15285
$152$196148
$196$252246
$252$324307
$324$416247
$416$535196
$535$688122
$688$885113
$885$1,13862

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$312
Cash as a multiple of Medicare1.24×

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 $312.

Alaska: median $406 across 12 hospitalsAK$406Maine: median $276 across 17 hospitalsME$276Vermont: median $212 across 10 hospitalsVT$212New Hampshire: median $142 across 13 hospitalsNH$142Washington: median $338 across 55 hospitalsWA$338Idaho: median $399 across 16 hospitalsID$399Montana: median $292 across 23 hospitalsMT$292North Dakota: median $326 across 17 hospitalsND$326Minnesota: median $289 across 61 hospitalsMN$289Illinois: median $336 across 69 hospitalsIL$336Wisconsin: median $398 across 67 hospitalsWI$398Michigan: median $267 across 60 hospitalsMI$267New York: median $321 across 79 hospitalsNY$321Massachusetts: median $454 across 38 hospitalsMA$454Oregon: median $297 across 41 hospitalsOR$297Nevada: median $270 across 12 hospitalsNV$270Wyoming: median $372 across 11 hospitalsWY$372South Dakota: median $421 across 26 hospitalsSD$421Iowa: median $262 across 62 hospitalsIA$262Indiana: median $295 across 42 hospitalsIN$295Ohio: median $323 across 63 hospitalsOH$323Pennsylvania: median $336 across 85 hospitalsPA$336New Jersey: median $616 across 36 hospitalsNJ$616Connecticut: median $695 across 18 hospitalsCT$695Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $452 across 106 hospitalsCA$452Utah: median $413 across 29 hospitalsUT$413Colorado: median $336 across 32 hospitalsCO$336Nebraska: median $331 across 44 hospitalsNE$331Missouri: median $235 across 33 hospitalsMO$235Kentucky: median $149 across 16 hospitalsKY$149West Virginia: median $270 across 28 hospitalsWV$270Virginia: median $264 across 30 hospitalsVA$264Maryland: 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 $168 across 19 hospitalsAZ$168New Mexico: median $232 across 17 hospitalsNM$232Kansas: median $262 across 42 hospitalsKS$262Arkansas: median $243 across 16 hospitalsAR$243Tennessee: median $67 across 20 hospitalsTN$67North Carolina: median $251 across 35 hospitalsNC$251South Carolina: median $305 across 27 hospitalsSC$305Oklahoma: median $236 across 37 hospitalsOK$236Louisiana: median $196 across 32 hospitalsLA$196Mississippi: median $198 across 20 hospitalsMS$198Alabama: median $247 across 19 hospitalsAL$247Georgia: median $316 across 36 hospitalsGA$316Hawaii: median $486 across 10 hospitalsHI$486Texas: median $373 across 116 hospitalsTX$373Florida: median $463 across 57 hospitalsFL$463
Cash price by state, most expensive first. National median $312. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT18$695+123%$213 – $769
New Jersey NJ36$616+97%$283 – $4,881
Hawaii HI10$486+56%$264 – $573
Florida FL57$463+48%$294 – $1,598
Massachusetts MA38$454+46%$247 – $836
California CA106$452+45%$277 – $1,126
South Dakota SD26$421+35%$248 – $609
Utah UT29$413+32%$314 – $442
Alaska AK12$406+30%$231 – $879
Idaho ID16$399+28%$265 – $670
Wisconsin WI67$398+28%$223 – $640
Texas TX116$373+20%$210 – $593
Wyoming WY11$372+19%$187 – $404
Washington WA55$338+8%$221 – $679
Illinois IL69$336+8%$164 – $501
Pennsylvania PA85$336+8%$162 – $491
Colorado CO32$336+8%$197 – $743
Nebraska NE44$331+6%$230 – $483
North Dakota ND17$326+4%$246 – $456
Ohio OH63$323+3%$205 – $717
New York NY79$321+3%$211 – $738
Georgia GA36$316+1%$129 – $901
South Carolina SC27$305−2%$223 – $540
Oregon OR41$297−5%$224 – $547
Indiana IN42$295−5%$196 – $394
Montana MT23$292−6%$95 – $448
Minnesota MN61$289−7%$174 – $415
Maine ME17$276−11%$202 – $325
West Virginia WV28$270−13%$141 – $369
Nevada NV12$270−13%$186 – $568
Michigan MI60$267−14%$106 – $363
Virginia VA30$264−15%$67 – $369
Kansas KS42$262−16%$191 – $434
Iowa IA62$262−16%$179 – $360
North Carolina NC35$251−20%$176 – $393
Alabama AL19$247−21%$159 – $375
Arkansas AR16$243−22%$220 – $393
Oklahoma OK37$236−24%$130 – $437
Missouri MO33$235−25%$162 – $319
New Mexico NM17$232−26%$193 – $294
Vermont VT10$212−32%$102 – $343
Mississippi MS20$198−36%$93 – $228
Louisiana LA32$196−37%$121 – $266
Arizona AZ19$168−46%$168 – $571
Kentucky KY16$149−52%$114 – $290
New Hampshire NH13$142−55%$74 – $250
Tennessee TN20$67−79%$67 – $246
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 $312.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,167$323$194 – $600
Children’s44$430$237 – $987
Critical access550$287$174 – $446
Ownership
For-profit145$341$194 – $756
Government351$284$176 – $412
Non-profit1,265$320$194 – $574
System affiliation
Part of a system1,389$321$194 – $587
Independent373$277$181 – $511

Cash price vs list price

Median list price (chargemaster)$492
Median cash price$312
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

1,273 hospitals filed a usable inpatient cash price for this code. The median is $340 and the average of the middle 60% is $354; most fall between $197 and $600.

Cash price percentiles, inpatient, across 1,273 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
$140$223$340$517$777

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($140 vs $777).

Of the 1,359 hospitals that filed this code inpatient, 1,273 gave a usable cash price; 36 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

1,762 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,893 hospitals that filed this code at all gave us
Usable cash price — counted1,762
Cash price carrying a plausibility flag — shown on the compare tool, excluded here72
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded57
Hospitals that filed this code1,893

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 HC 28490 Closed Tx,Fx Gr Toe;No Manip.

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, “Treatment of a broken big toe without realignment (CPT 28490) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28490-treatment-of-a-broken-big-toe-without-realignment