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

Pinning a broken big toe through the skin

CPT 28496the billing code this page is about

The broken big toe bone is realigned and held in place with a pin or screw inserted through the skin rather than through an open incision.

Hospitals typically charge $2,151 cash for this outpatient procedure — the median across 563 hospitals that filed a usable cash price; the average of the middle 60% is $2,462. Most fall between $581 and $5,805 (20th–80th percentile).

Hospitals
563
States
46
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 563 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
$396$676$2,151$4,792$8,670

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($396 vs $8,670).

How the prices are spread

$331 – $466: 60 hospitals$331$466 – $657: 49 hospitals$657 – $926: 48 hospitals$657$926 – $1,304: 50 hospitals$1,304 – $1,837: 34 hospitals$1,304$1,837 – $2,587: 46 hospitals$2,587 – $3,644: 38 hospitals$2,587$3,644 – $5,134: 76 hospitals$5,134 – $7,231: 50 hospitals$5,134$7,231 – $10,187: 56 hospitals$7,231median $2,151price bands are equal on a log scale
Hospitals per price band (507 of 563 — the bands cover the 5th to 95th percentile)
FromToHospitals
$331$46660
$466$65749
$657$92648
$926$1,30450
$1,304$1,83734
$1,837$2,58746
$2,587$3,64438
$3,644$5,13476
$5,134$7,23150
$7,231$10,18756

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,151
Cash as a multiple of Medicare0.64×

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 $2,151.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,977 across 22 hospitalsWA$3,977Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,306 across 20 hospitalsMN$1,306Illinois: median $984 across 21 hospitalsIL$984Wisconsin: median $2,388 across 33 hospitalsWI$2,388Michigan: median $396 across 30 hospitalsMI$396New York: median $3,840 across 24 hospitalsNY$3,840Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,526 across 24 hospitalsOR$1,526Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,111 across 20 hospitalsIA$1,111Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $645 across 13 hospitalsOH$645Pennsylvania: median $2,382 across 21 hospitalsPA$2,382New Jersey: median $4,233 across 23 hospitalsNJ$4,233Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,740 across 53 hospitalsCA$6,740Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,590 across 11 hospitalsNE$1,590Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $303 across 12 hospitalsWV$303Virginia: 7 hospitals 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: 5 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 $527 across 14 hospitalsKS$527Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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 $7,890 across 12 hospitalsSC$7,890Oklahoma: median $452 across 13 hospitalsOK$452Louisiana: median $1,605 across 10 hospitalsLA$1,605Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $14,239 across 17 hospitalsGA$14,239Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,600 across 28 hospitalsTX$3,600Florida: median $4,399 across 14 hospitalsFL$4,399
Cash price by state, most expensive first. National median $2,151. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA17$14,239+562%$5,507 – $14,239
South Carolina SC12$7,890+267%$5,416 – $7,890
California CA53$6,740+213%$2,427 – $9,565
Florida FL14$4,399+105%$3,257 – $7,272
New Jersey NJ23$4,233+97%$3,591 – $5,741
Washington WA22$3,977+85%$956 – $8,670
New York NY24$3,840+79%$1,530 – $3,884
Texas TX28$3,600+67%$2,853 – $3,969
Wisconsin WI33$2,388+11%$1,256 – $2,449
Pennsylvania PA21$2,382+11%$152 – $5,038
Louisiana LA10$1,605−25%$1,140 – $4,792
Nebraska NE11$1,590−26%$1,020 – $1,936
Oregon OR24$1,526−29%$923 – $8,870
Minnesota MN20$1,306−39%$682 – $1,532
Iowa IA20$1,111−48%$896 – $1,111
Illinois IL21$984−54%$354 – $5,615
Ohio OH13$645−70%$581 – $1,244
Kansas KS14$527−76%$389 – $2,213
Oklahoma OK13$452−79%$452 – $6,615
Michigan MI30$396−82%$396 – $2,388
West Virginia WV12$303−86%$286 – $667
Idaho ID9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not 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 $2,151.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care411$3,138$640 – $6,700
Children’s15fewer than 20 hospitals
Critical access136$1,089$530 – $2,449
Ownership
For-profit58$3,600$656 – $10,187
Government93$1,152$625 – $3,902
Non-profit411$2,388$534 – $5,855
System affiliation
Part of a system450$2,449$640 – $6,342
Independent113$956$500 – $3,553

Cash price vs list price

Median list price (chargemaster)$1,824
Median cash price$2,151
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

346 hospitals filed a usable inpatient cash price for this code. The median is $2,388 and the average of the middle 60% is $2,683; most fall between $509 and $6,987.

Cash price percentiles, inpatient, across 346 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
$354$640$2,388$5,638$8,870

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($354 vs $8,870).

Of the 374 hospitals that filed this code inpatient, 346 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 10 a list price only.

How complete is this

563 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 617 hospitals that filed this code at all gave us
Usable cash price — counted563
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 — excluded1
A list price only, no cash figure — excluded13
Hospitals that filed this code617

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 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, “Pinning a broken big toe through the skin (CPT 28496) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28496-pinning-a-broken-big-toe-through-the-skin