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

Setting a broken big toe without surgery

CPT 28495the billing code this page is about

Non-surgical treatment of a broken big toe bone in which the bone is manipulated back into position.

Hospitals typically charge $385 cash for this outpatient procedure — the median across 1,850 hospitals that filed a usable cash price; the average of the middle 60% is $413. Most fall between $224 and $715 (20th–80th percentile).

Hospitals
1,850
States
49
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 1,850 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
$166$250$385$614$1,099

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($166 vs $1,099).

How the prices are spread

$119 – $152: 47 hospitals$119$152 – $195: 107 hospitals$195 – $250: 223 hospitals$195$250 – $321: 277 hospitals$321 – $412: 241 hospitals$321$412 – $529: 218 hospitals$529 – $679: 254 hospitals$529$679 – $871: 131 hospitals$871 – $1,118: 84 hospitals$871$1,118 – $1,434: 85 hospitals$1,118median $385price bands are equal on a log scale
Hospitals per price band (1,667 of 1,850 — the bands cover the 5th to 95th percentile)
FromToHospitals
$119$15247
$152$195107
$195$250223
$250$321277
$321$412241
$412$529218
$529$679254
$679$871131
$871$1,11884
$1,118$1,43485

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$385
Cash as a multiple of Medicare1.53×

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 $385.

Alaska: median $422 across 11 hospitalsAK$422Maine: median $314 across 17 hospitalsME$314Vermont: median $405 across 10 hospitalsVT$405New Hampshire: median $251 across 13 hospitalsNH$251Washington: median $402 across 59 hospitalsWA$402Idaho: median $670 across 15 hospitalsID$670Montana: median $211 across 14 hospitalsMT$211North Dakota: median $308 across 14 hospitalsND$308Minnesota: median $423 across 69 hospitalsMN$423Illinois: median $348 across 73 hospitalsIL$348Wisconsin: median $488 across 69 hospitalsWI$488Michigan: median $308 across 61 hospitalsMI$308New York: median $451 across 77 hospitalsNY$451Massachusetts: median $453 across 35 hospitalsMA$453Oregon: median $591 across 39 hospitalsOR$591Nevada: median $488 across 13 hospitalsNV$488Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $482 across 17 hospitalsSD$482Iowa: median $303 across 42 hospitalsIA$303Indiana: median $551 across 38 hospitalsIN$551Ohio: median $581 across 67 hospitalsOH$581Pennsylvania: median $478 across 90 hospitalsPA$478New Jersey: median $655 across 40 hospitalsNJ$655Connecticut: median $598 across 17 hospitalsCT$598Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $591 across 120 hospitalsCA$591Utah: median $413 across 31 hospitalsUT$413Colorado: median $443 across 38 hospitalsCO$443Nebraska: median $374 across 34 hospitalsNE$374Missouri: median $336 across 35 hospitalsMO$336Kentucky: median $263 across 26 hospitalsKY$263West Virginia: median $228 across 27 hospitalsWV$228Virginia: median $361 across 46 hospitalsVA$361Maryland: no hospital in the corpus filed a usable priceMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $213 across 16 hospitalsAZ$213New Mexico: median $319 across 16 hospitalsNM$319Kansas: median $330 across 35 hospitalsKS$330Arkansas: median $287 across 18 hospitalsAR$287Tennessee: median $163 across 34 hospitalsTN$163North Carolina: median $274 across 39 hospitalsNC$274South Carolina: median $379 across 40 hospitalsSC$379Oklahoma: median $267 across 43 hospitalsOK$267Louisiana: median $202 across 32 hospitalsLA$202Mississippi: median $143 across 31 hospitalsMS$143Alabama: median $264 across 17 hospitalsAL$264Georgia: median $437 across 43 hospitalsGA$437Hawaii: median $577 across 12 hospitalsHI$577Texas: median $551 across 130 hospitalsTX$551Florida: median $652 across 68 hospitalsFL$652
Cash price by state, most expensive first. National median $385. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID15$670+74%$284 – $715
New Jersey NJ40$655+70%$283 – $4,627
Florida FL68$652+69%$420 – $1,598
Connecticut CT17$598+55%$306 – $825
California CA120$591+54%$328 – $1,282
Oregon OR39$591+54%$329 – $660
Ohio OH67$581+51%$267 – $717
Hawaii HI12$577+50%$547 – $937
Indiana IN38$551+43%$223 – $1,307
Texas TX130$551+43%$212 – $779
Wisconsin WI69$488+27%$282 – $574
Nevada NV13$488+27%$268 – $803
South Dakota SD17$482+25%$374 – $628
Pennsylvania PA90$478+24%$252 – $1,536
Massachusetts MA35$453+18%$301 – $884
New York NY77$451+17%$253 – $722
Colorado CO38$443+15%$290 – $1,088
Georgia GA43$437+14%$201 – $901
Minnesota MN69$423+10%$233 – $520
Alaska AK11$422+10%$254 – $1,200
Utah UT31$413+7%$307 – $442
Vermont VT10$405+5%$280 – $460
Washington WA59$402+4%$244 – $669
South Carolina SC40$379−2%$339 – $599
Nebraska NE34$374−3%$289 – $413
Virginia VA46$361−6%$173 – $446
Illinois IL73$348−10%$247 – $653
Missouri MO35$336−13%$245 – $480
Kansas KS35$330−14%$208 – $745
New Mexico NM16$319−17%$216 – $461
Maine ME17$314−18%$225 – $408
Michigan MI61$308−20%$200 – $574
North Dakota ND14$308−20%$256 – $514
Iowa IA42$303−21%$212 – $442
Arkansas AR18$287−25%$206 – $563
North Carolina NC39$274−29%$189 – $415
Oklahoma OK43$267−31%$165 – $531
Alabama AL17$264−32%$183 – $473
Kentucky KY26$263−32%$216 – $356
New Hampshire NH13$251−35%$106 – $356
West Virginia WV27$228−41%$166 – $369
Arizona AZ16$213−45%$213 – $381
Montana MT14$211−45%$138 – $450
Louisiana LA32$202−48%$127 – $287
Tennessee TN34$163−58%$80 – $303
Mississippi MS31$143−63%$112 – $231
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Delaware DE4not 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 $385.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,327$389$223 – $735
Children’s42$849$386 – $1,191
Critical access479$369$223 – $577
Ownership
For-profit178$421$215 – $983
Government324$326$202 – $573
Non-profit1,346$400$232 – $706
System affiliation
Part of a system1,506$406$231 – $717
Independent344$315$207 – $626

Cash price vs list price

Median list price (chargemaster)$641
Median cash price$385
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

1,397 hospitals filed a usable inpatient cash price for this code. The median is $413 and the average of the middle 60% is $428; most fall between $223 and $722.

Cash price percentiles, inpatient, across 1,397 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
$173$251$413$626$1,054

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($173 vs $1,054).

Of the 1,486 hospitals that filed this code inpatient, 1,397 gave a usable cash price; 37 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,850 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,974 hospitals that filed this code at all gave us
Usable cash price — counted1,850
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
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 — excluded60
Hospitals that filed this code1,974

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 Cltx Fx Grt Toe Phlx/Phlg 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, “Setting a broken big toe without surgery (CPT 28495) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28495-setting-a-broken-big-toe-without-surgery