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

Pinning a dislocated hindfoot joint through the skin

CPT 28576the billing code this page is about

Realignment by hand of a dislocated joint between the ankle bone and the bones below it, then holding it with pins or screws inserted through the skin.

Hospitals typically charge $1,939 cash for this outpatient procedure — the median across 323 hospitals that filed a usable cash price; the average of the middle 60% is $2,771. Most fall between $638 and $7,861 (20th–80th percentile).

Hospitals
323
States
41
Filings dated
Jan 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 323 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
$561$741$1,939$6,184$9,058

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($561 vs $9,058).

How the prices are spread

$353 – $508: 12 hospitals$353$508 – $731: 46 hospitals$731 – $1,052: 40 hospitals$731$1,052 – $1,514: 33 hospitals$1,514 – $2,179: 22 hospitals$1,514$2,179 – $3,136: 20 hospitals$3,136 – $4,514: 12 hospitals$3,136$4,514 – $6,497: 49 hospitals$6,497 – $9,352: 42 hospitals$6,497$9,352 – $13,461: 15 hospitals$9,352median $1,939price bands are equal on a log scale
Hospitals per price band (291 of 323 — the bands cover the 5th to 95th percentile)
FromToHospitals
$353$50812
$508$73146
$731$1,05240
$1,052$1,51433
$1,514$2,17922
$2,179$3,13620
$3,136$4,51412
$4,514$6,49749
$6,497$9,35242
$9,352$13,46115

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$1,939
Cash as a multiple of Medicare0.26×

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 $1,939.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 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: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,895 across 11 hospitalsMN$1,895Illinois: median $753 across 15 hospitalsIL$753Wisconsin: median $1,939 across 14 hospitalsWI$1,939Michigan: median $611 across 22 hospitalsMI$611New York: median $8,454 across 21 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $738 across 10 hospitalsOR$738Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $950 across 14 hospitalsIA$950Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,196 across 11 hospitalsOH$1,196Pennsylvania: median $302 across 18 hospitalsPA$302New Jersey: median $6,839 across 23 hospitalsNJ$6,839Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,113 across 30 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: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,273 across 10 hospitalsSC$5,273Oklahoma: median $638 across 12 hospitalsOK$638Louisiana: 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: median $6,184 across 20 hospitalsGA$6,184Hawaii: no hospital in the corpus filed a usable priceHITexas: median $3,080 across 20 hospitalsTX$3,080Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,939. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY21$8,454+336%$4,265 – $8,454
New Jersey NJ23$6,839+253%$4,881 – $7,914
Georgia GA20$6,184+219%$6,184 – $7,906
South Carolina SC10$5,273+172%$5,273 – $5,416
California CA30$5,113+164%$1,169 – $5,113
Texas TX20$3,080+59%$1,297 – $3,080
Wisconsin WI14$1,9390%$1,939 – $3,489
Minnesota MN11$1,895−2%$1,615 – $1,895
Ohio OH11$1,196−38%$673 – $1,615
Iowa IA14$950−51%$950 – $950
Illinois IL15$753−61%$294 – $1,027
Oregon OR10$738−62%$738 – $1,229
Oklahoma OK12$638−67%$638 – $638
Michigan MI22$611−68%$611 – $806
Pennsylvania PA18$302−84%$246 – $12,077
Florida FL7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not 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 $1,939.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care274$2,853$638 – $7,906
Children’s9fewer than 20 hospitals
Critical access40$1,895$710 – $3,489
Ownership
For-profit35$5,416$653 – $12,676
Government46$1,180$712 – $7,906
Non-profit242$1,939$638 – $6,184
System affiliation
Part of a system268$2,994$656 – $7,906
Independent55$1,178$627 – $4,265

Cash price vs list price

Median list price (chargemaster)$1,840
Median cash price$1,939
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

178 hospitals filed a usable inpatient cash price for this code. The median is $1,910 and the average of the middle 60% is $2,866; most fall between $657 and $6,184.

Cash price percentiles, inpatient, across 178 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
$553$738$1,910$5,273$10,468

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($553 vs $10,468).

Of the 187 hospitals that filed this code inpatient, 178 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

323 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 341 hospitals that filed this code at all gave us
Usable cash price — counted323
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded2
Hospitals that filed this code341

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 Talotarsal Jt Dislc 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 hindfoot joint through the skin (CPT 28576) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28576-pinning-a-dislocated-hindfoot-joint-through-the-skin