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

Pinning a dislocated midfoot bone through the skin

CPT 28546the billing code this page is about

Realignment of a dislocated tarsal bone in the midfoot by hand, then holding it with pins or screws placed through the skin rather than through an open incision.

Hospitals typically charge $1,776 cash for this outpatient procedure — the median across 286 hospitals that filed a usable cash price; the average of the middle 60% is $1,952. Most fall between $683 and $4,035 (20th–80th percentile).

Hospitals
286
States
42
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 286 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
$497$870$1,776$3,935$5,416

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($497 vs $5,416).

How the prices are spread

$377 – $529: 15 hospitals$377$529 – $743: 32 hospitals$743 – $1,044: 28 hospitals$743$1,044 – $1,466: 32 hospitals$1,466 – $2,059: 55 hospitals$1,466$2,059 – $2,892: 23 hospitals$2,892 – $4,063: 30 hospitals$2,892$4,063 – $5,707: 33 hospitals$5,707 – $8,016: 7 hospitals$5,707$8,016 – $11,260: 5 hospitals$8,016median $1,776price bands are equal on a log scale
Hospitals per price band (260 of 286 — the bands cover the 5th to 95th percentile)
FromToHospitals
$377$52915
$529$74332
$743$1,04428
$1,044$1,46632
$1,466$2,05955
$2,059$2,89223
$2,892$4,06330
$4,063$5,70733
$5,707$8,0167
$8,016$11,2605

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,776
Cash as a multiple of Medicare1.08×

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 $1,776.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $629 across 12 hospitalsIL$629Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $658 across 12 hospitalsMI$658New York: median $1,894 across 22 hospitalsNY$1,894Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,408 across 11 hospitalsOR$1,408Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,428 across 14 hospitalsIA$1,428Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $884 across 10 hospitalsOH$884Pennsylvania: median $273 across 18 hospitalsPA$273New Jersey: median $3,986 across 23 hospitalsNJ$3,986Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,113 across 35 hospitalsCA$5,113Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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 $2,601 across 10 hospitalsSC$2,601Oklahoma: median $583 across 12 hospitalsOK$583Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $3,935 across 19 hospitalsTX$3,935Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,776. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$5,113+188%$1,818 – $7,088
New Jersey NJ23$3,986+124%$1,771 – $5,741
Texas TX19$3,935+122%$1,515 – $3,935
South Carolina SC10$2,601+46%$2,601 – $5,416
New York NY22$1,894+7%$1,643 – $1,909
Iowa IA14$1,428−20%$1,428 – $1,428
Oregon OR11$1,408−21%$669 – $1,974
Ohio OH10$884−50%$653 – $1,600
Michigan MI12$658−63%$658 – $2,211
Illinois IL12$629−65%$429 – $995
Oklahoma OK12$583−67%$583 – $583
Pennsylvania PA18$273−85%$222 – $2,706
Georgia GA9not enough hospitals filed a usable price
Wisconsin WI9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,776.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care249$1,871$669 – $4,881
Children’s8fewer than 20 hospitals
Critical access29$1,776$850 – $3,644
Ownership
For-profit42$2,860$658 – $8,317
Government37$1,515$840 – $1,894
Non-profit207$1,776$669 – $3,935
System affiliation
Part of a system236$1,885$686 – $5,110
Independent50$1,160$666 – $2,320

Cash price vs list price

Median list price (chargemaster)$1,785
Median cash price$1,776
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

185 hospitals filed a usable inpatient cash price for this code. The median is $1,455 and the average of the middle 60% is $2,457; most fall between $666 and $5,113.

Cash price percentiles, inpatient, across 185 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
$583$778$1,455$3,935$5,650

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($583 vs $5,650).

Of the 196 hospitals that filed this code inpatient, 185 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

286 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 315 hospitals that filed this code at all gave us
Usable cash price — counted286
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
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 — excluded4
Hospitals that filed this code315

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 Tarsl Dislc Xcp Talotarsal 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 dislocated midfoot bone through the skin (CPT 28546) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28546-pinning-a-dislocated-midfoot-bone-through-the-skin