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

Open surgery for a broken big toe

CPT 28505the billing code this page is about

Surgical incision to realign a fracture of a big toe bone, with or without pins or screws to hold the bone in place.

Hospitals typically charge $2,946 cash for this outpatient procedure — the median across 846 hospitals that filed a usable cash price; the average of the middle 60% is $2,892. Most fall between $976 and $5,341 (20th–80th percentile).

Hospitals
846
States
48
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 846 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
$684$1,153$2,946$4,881$7,289

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($684 vs $7,289).

How the prices are spread

$544 – $730: 60 hospitals$544$730 – $979: 68 hospitals$979 – $1,313: 82 hospitals$979$1,313 – $1,761: 63 hospitals$1,761 – $2,362: 72 hospitals$1,761$2,362 – $3,168: 62 hospitals$3,168 – $4,248: 118 hospitals$3,168$4,248 – $5,697: 126 hospitals$5,697 – $7,641: 73 hospitals$5,697$7,641 – $10,247: 38 hospitals$7,641median $2,946price bands are equal on a log scale
Hospitals per price band (762 of 846 — the bands cover the 5th to 95th percentile)
FromToHospitals
$544$73060
$730$97968
$979$1,31382
$1,313$1,76163
$1,761$2,36272
$2,362$3,16862
$3,168$4,248118
$4,248$5,697126
$5,697$7,64173
$7,641$10,24738

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,946
Cash as a multiple of Medicare0.88×

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 $2,946.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,123 across 11 hospitalsME$1,123Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,773 across 31 hospitalsWA$4,773Idaho: median $3,504 across 16 hospitalsID$3,504Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,922 across 30 hospitalsMN$1,922Illinois: median $1,918 across 30 hospitalsIL$1,918Wisconsin: median $2,992 across 42 hospitalsWI$2,992Michigan: median $976 across 36 hospitalsMI$976New York: median $3,840 across 38 hospitalsNY$3,840Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,178 across 27 hospitalsOR$2,178Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 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 $1,534 across 33 hospitalsIA$1,534Indiana: median $1,611 across 21 hospitalsIN$1,611Ohio: median $1,934 across 17 hospitalsOH$1,934Pennsylvania: median $4,720 across 43 hospitalsPA$4,720New Jersey: median $4,330 across 33 hospitalsNJ$4,330Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,486 across 71 hospitalsCA$4,486Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,631 across 13 hospitalsCO$1,631Nebraska: median $2,159 across 18 hospitalsNE$2,159Missouri: median $1,128 across 17 hospitalsMO$1,128Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,344 across 18 hospitalsWV$1,344Virginia: median $4,359 across 12 hospitalsVA$4,359Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,017 across 21 hospitalsKS$1,017Arkansas: median $1,933 across 12 hospitalsAR$1,933Tennessee: median $1,969 across 11 hospitalsTN$1,969North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $825 across 17 hospitalsOK$825Louisiana: median $2,088 across 16 hospitalsLA$2,088Mississippi: median $823 across 11 hospitalsMS$823Alabama: median $2,920 across 13 hospitalsAL$2,920Georgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,579 across 67 hospitalsTX$4,579Florida: median $3,257 across 12 hospitalsFL$3,257
Cash price by state, most expensive first. National median $2,946. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Washington WA31$4,773+62%$1,210 – $7,386
Pennsylvania PA43$4,720+60%$380 – $6,650
Texas TX67$4,579+55%$3,478 – $10,247
California CA71$4,486+52%$2,447 – $4,914
Virginia VA12$4,359+48%$2,073 – $4,943
New Jersey NJ33$4,330+47%$3,594 – $5,419
New York NY38$3,840+30%$1,097 – $4,084
Idaho ID16$3,504+19%$1,323 – $6,877
Florida FL12$3,257+11%$1,453 – $6,128
Wisconsin WI42$2,992+2%$1,799 – $4,026
Alabama AL13$2,920−1%$1,665 – $6,164
Oregon OR27$2,178−26%$1,188 – $7,382
Nebraska NE18$2,159−27%$1,161 – $2,946
Louisiana LA16$2,088−29%$1,197 – $4,825
Tennessee TN11$1,969−33%$624 – $5,341
Ohio OH17$1,934−34%$938 – $3,553
Arkansas AR12$1,933−34%$1,117 – $3,896
Minnesota MN30$1,922−35%$980 – $2,504
Illinois IL30$1,918−35%$684 – $7,008
Colorado CO13$1,631−45%$1,241 – $4,536
Indiana IN21$1,611−45%$684 – $4,393
Iowa IA33$1,534−48%$1,115 – $1,654
West Virginia WV18$1,344−54%$525 – $4,943
Missouri MO17$1,128−62%$925 – $3,923
Maine ME11$1,123−62%$444 – $1,844
Kansas KS21$1,017−65%$712 – $2,395
Michigan MI36$976−67%$609 – $4,499
Oklahoma OK17$825−72%$825 – $6,615
Mississippi MS11$823−72%$728 – $3,683
Arizona AZ9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Maryland MD1not 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 $2,946.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care591$3,563$1,153 – $6,026
Children’s20$3,923$1,672 – $5,513
Critical access233$1,453$758 – $3,539
Ownership
For-profit93$4,187$1,153 – $8,372
Government151$1,634$897 – $4,017
Non-profit600$2,992$999 – $5,032
System affiliation
Part of a system653$3,478$1,115 – $5,805
Independent193$1,631$858 – $4,090

Cash price vs list price

Median list price (chargemaster)$3,997
Median cash price$2,946
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

500 hospitals filed a usable inpatient cash price for this code. The median is $2,992 and the average of the middle 60% is $2,970; most fall between $922 and $5,317.

Cash price percentiles, inpatient, across 500 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
$671$1,153$2,992$4,914$7,102

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($671 vs $7,102).

Of the 552 hospitals that filed this code inpatient, 500 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

846 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 939 hospitals that filed this code at all gave us
Usable cash price — counted846
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded42
Hospitals that filed this code939

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 Open Tx Fracture Great Toe/Phalanx/Phalanges.

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, “Open surgery for a broken big toe (CPT 28505) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28505-open-surgery-for-a-broken-big-toe