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

Setting a broken sesamoid bone in the foot without surgery

CPT 28530the billing code this page is about

Treatment of a fracture of one of the small sesamoid bones in the foot by external manipulation and support, without making an incision.

Hospitals typically charge $315 cash for this outpatient procedure — the median across 846 hospitals that filed a usable cash price; the average of the middle 60% is $349. Most fall between $178 and $621 (20th–80th percentile).

Hospitals
846
States
48
Filings dated
Jun 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 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
$134$204$315$526$935

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($134 vs $935).

How the prices are spread

$108 – $137: 47 hospitals$108$137 – $173: 75 hospitals$173 – $219: 69 hospitals$173$219 – $277: 120 hospitals$277 – $350: 110 hospitals$277$350 – $444: 76 hospitals$444 – $561: 116 hospitals$444$561 – $710: 59 hospitals$710 – $899: 38 hospitals$710$899 – $1,137: 53 hospitals$899median $315price bands are equal on a log scale
Hospitals per price band (763 of 846 — the bands cover the 5th to 95th percentile)
FromToHospitals
$108$13747
$137$17375
$173$21969
$219$277120
$277$350110
$350$44476
$444$561116
$561$71059
$710$89938
$899$1,13753

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$315
Cash as a multiple of Medicare1.25×

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 $315.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $416 across 25 hospitalsWA$416Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $255 across 12 hospitalsMN$255Illinois: median $294 across 36 hospitalsIL$294Wisconsin: median $517 across 25 hospitalsWI$517Michigan: median $186 across 31 hospitalsMI$186New York: median $284 across 52 hospitalsNY$284Massachusetts: median $409 across 14 hospitalsMA$409Oregon: median $393 across 23 hospitalsOR$393Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $286 across 22 hospitalsIA$286Indiana: median $172 across 12 hospitalsIN$172Ohio: median $526 across 40 hospitalsOH$526Pennsylvania: median $310 across 40 hospitalsPA$310New Jersey: median $407 across 28 hospitalsNJ$407Connecticut: median $425 across 11 hospitalsCT$425Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $518 across 80 hospitalsCA$518Utah: median $437 across 25 hospitalsUT$437Colorado: median $743 across 11 hospitalsCO$743Nebraska: median $302 across 13 hospitalsNE$302Missouri: median $175 across 10 hospitalsMO$175Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $181 across 18 hospitalsWV$181Virginia: median $446 across 14 hospitalsVA$446Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $168 across 11 hospitalsAZ$168New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $385 across 11 hospitalsKS$385Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $137 across 21 hospitalsNC$137South Carolina: median $473 across 15 hospitalsSC$473Oklahoma: median $171 across 19 hospitalsOK$171Louisiana: median $180 across 16 hospitalsLA$180Mississippi: median $129 across 12 hospitalsMS$129Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $901 across 21 hospitalsGA$901Hawaii: median $543 across 10 hospitalsHI$543Texas: median $292 across 50 hospitalsTX$292Florida: median $500 across 24 hospitalsFL$500
Cash price by state, most expensive first. National median $315. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA21$901+186%$134 – $901
Colorado CO11$743+136%$296 – $1,242
Hawaii HI10$543+72%$215 – $561
Ohio OH40$526+67%$253 – $717
California CA80$518+64%$350 – $935
Wisconsin WI25$517+64%$196 – $550
Florida FL24$500+59%$306 – $863
South Carolina SC15$473+50%$305 – $483
Virginia VA14$446+41%$417 – $446
Utah UT25$437+39%$363 – $451
Connecticut CT11$425+35%$362 – $581
Washington WA25$416+32%$215 – $706
Massachusetts MA14$409+30%$163 – $1,156
New Jersey NJ28$407+29%$266 – $5,339
Oregon OR23$393+25%$225 – $617
Kansas KS11$385+22%$170 – $443
Pennsylvania PA40$310−2%$72 – $759
Nebraska NE13$302−4%$182 – $394
Illinois IL36$294−7%$173 – $571
Texas TX50$292−7%$246 – $345
Iowa IA22$286−9%$225 – $355
New York NY52$284−10%$219 – $615
Minnesota MN12$255−19%$204 – $682
Michigan MI31$186−41%$186 – $263
West Virginia WV18$181−43%$111 – $284
Louisiana LA16$180−43%$100 – $227
Missouri MO10$175−45%$139 – $241
Indiana IN12$172−46%$158 – $270
Oklahoma OK19$171−46%$154 – $171
Arizona AZ11$168−47%$168 – $303
North Carolina NC21$137−57%$131 – $262
Mississippi MS12$129−59%$100 – $208
Kentucky KY9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not 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 $315.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care630$324$180 – $668
Children’s32$526$212 – $1,091
Critical access184$267$158 – $486
Ownership
For-profit79$315$171 – $901
Government123$241$146 – $412
Non-profit644$345$186 – $626
System affiliation
Part of a system691$345$186 – $630
Independent155$275$158 – $518

Cash price vs list price

Median list price (chargemaster)$545
Median cash price$315
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

597 hospitals filed a usable inpatient cash price for this code. The median is $363 and the average of the middle 60% is $385; most fall between $193 and $670.

Cash price percentiles, inpatient, across 597 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
$150$221$363$571$935

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($150 vs $935).

Of the 651 hospitals that filed this code inpatient, 597 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 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 935 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 here45
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 — excluded43
Hospitals that filed this code935

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 Closed Treatment Sesamoid Fracture.

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 sesamoid bone in the foot without surgery (CPT 28530) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28530-setting-a-broken-sesamoid-bone-in-the-foot-without-surgery