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

Pinning a dislocated midfoot joint through the skin

CPT 28606the billing code this page is about

Realignment by hand of a dislocated joint between the midfoot bones and the long bones of the foot, then holding it with pins or screws placed through the skin.

Hospitals typically charge $1,935 cash for this outpatient procedure — the median across 418 hospitals that filed a usable cash price; the average of the middle 60% is $2,308. Most fall between $680 and $5,273 (20th–80th percentile).

Hospitals
418
States
45
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 418 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
$544$780$1,935$4,084$8,372

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($544 vs $8,372).

How the prices are spread

$392 – $539: 23 hospitals$392$539 – $742: 53 hospitals$742 – $1,022: 55 hospitals$742$1,022 – $1,406: 45 hospitals$1,406 – $1,936: 18 hospitals$1,406$1,936 – $2,665: 28 hospitals$2,665 – $3,668: 31 hospitals$2,665$3,668 – $5,048: 60 hospitals$5,048 – $6,949: 40 hospitals$5,048$6,949 – $9,565: 28 hospitals$6,949median $1,935price bands are equal on a log scale
Hospitals per price band (381 of 418 — the bands cover the 5th to 95th percentile)
FromToHospitals
$392$53923
$539$74253
$742$1,02255
$1,022$1,40645
$1,406$1,93618
$1,936$2,66528
$2,665$3,66831
$3,668$5,04860
$5,048$6,94940
$6,949$9,56528

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,935
Cash as a multiple of Medicare0.58×

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 $1,935.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $923 across 10 hospitalsWA$923Idaho: median $6,877 across 10 hospitalsID$6,877Montana: 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: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $751 across 16 hospitalsIL$751Wisconsin: median $2,207 across 28 hospitalsWI$2,207Michigan: median $628 across 31 hospitalsMI$628New York: median $3,840 across 23 hospitalsNY$3,840Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $748 across 12 hospitalsOR$748Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $961 across 14 hospitalsIA$961Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,323 across 15 hospitalsOH$1,323Pennsylvania: median $2,382 across 20 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 $9,565 across 34 hospitalsCA$9,565Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 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: 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: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,273 across 11 hospitalsSC$5,273Oklahoma: median $648 across 13 hospitalsOK$648Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,778 across 24 hospitalsTX$3,778Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,935. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA34$9,565+394%$1,096 – $9,565
Idaho ID10$6,877+255%$3,504 – $8,372
South Carolina SC11$5,273+172%$5,273 – $5,416
New Jersey NJ23$4,233+119%$3,591 – $5,741
New York NY23$3,840+98%$1,175 – $3,884
Texas TX24$3,778+95%$1,320 – $3,778
Pennsylvania PA20$2,382+23%$250 – $5,038
Wisconsin WI28$2,207+14%$1,935 – $3,884
Ohio OH15$1,323−32%$631 – $2,225
Iowa IA14$961−50%$961 – $961
Washington WA10$923−52%$684 – $2,864
Illinois IL16$751−61%$544 – $1,660
Oregon OR12$748−61%$748 – $1,290
Oklahoma OK13$648−67%$648 – $6,194
Michigan MI31$628−68%$392 – $2,207
Indiana IN9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $1,935.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care331$2,469$682 – $5,416
Children’s9fewer than 20 hospitals
Critical access78$1,290$680 – $2,480
Ownership
For-profit47$3,605$858 – $9,441
Government78$1,280$710 – $3,840
Non-profit293$2,041$648 – $5,273
System affiliation
Part of a system319$2,207$648 – $5,416
Independent99$1,127$687 – $3,504

Cash price vs list price

Median list price (chargemaster)$1,630
Median cash price$1,935
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

224 hospitals filed a usable inpatient cash price for this code. The median is $1,299 and the average of the middle 60% is $1,982; most fall between $648 and $5,273.

Cash price percentiles, inpatient, across 224 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
$544$715$1,299$3,778$8,372

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($544 vs $8,372).

Of the 249 hospitals that filed this code inpatient, 224 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

418 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 464 hospitals that filed this code at all gave us
Usable cash price — counted418
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 — excluded12
Hospitals that filed this code464

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 Tars 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 midfoot joint through the skin (CPT 28606) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28606-pinning-a-dislocated-midfoot-joint-through-the-skin