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

Setting a dislocated toe knuckle joint without anesthesia

CPT 28630the billing code this page is about

Realignment by hand of a dislocated joint where a toe meets the foot, done without an incision and without anesthesia.

Hospitals typically charge $350 cash for this outpatient procedure — the median across 1,909 hospitals that filed a usable cash price; the average of the middle 60% is $371. Most fall between $201 and $611 (20th–80th percentile).

Hospitals
1,909
States
50
Filings dated
Dec 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 1,909 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
$140$223$350$555$826

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($140 vs $826).

How the prices are spread

$105 – $133: 72 hospitals$105$133 – $169: 105 hospitals$169 – $215: 170 hospitals$169$215 – $274: 258 hospitals$274 – $349: 247 hospitals$274$349 – $443: 241 hospitals$443 – $564: 262 hospitals$443$564 – $717: 195 hospitals$717 – $912: 110 hospitals$717$912 – $1,160: 60 hospitals$912median $350price bands are equal on a log scale
Hospitals per price band (1,720 of 1,909 — the bands cover the 5th to 95th percentile)
FromToHospitals
$105$13372
$133$169105
$169$215170
$215$274258
$274$349247
$349$443241
$443$564262
$564$717195
$717$912110
$912$1,16060

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$350
Cash as a multiple of Medicare1.39×

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 $350.

Alaska: median $422 across 12 hospitalsAK$422Maine: median $226 across 19 hospitalsME$226Vermont: median $365 across 11 hospitalsVT$365New Hampshire: median $178 across 17 hospitalsNH$178Washington: median $372 across 56 hospitalsWA$372Idaho: median $670 across 15 hospitalsID$670Montana: median $166 across 18 hospitalsMT$166North Dakota: median $344 across 18 hospitalsND$344Minnesota: median $316 across 68 hospitalsMN$316Illinois: median $365 across 80 hospitalsIL$365Wisconsin: median $540 across 64 hospitalsWI$540Michigan: median $262 across 58 hospitalsMI$262New York: median $462 across 85 hospitalsNY$462Massachusetts: median $534 across 38 hospitalsMA$534Oregon: median $433 across 41 hospitalsOR$433Nevada: median $270 across 10 hospitalsNV$270Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $391 across 13 hospitalsSD$391Iowa: median $303 across 50 hospitalsIA$303Indiana: median $313 across 38 hospitalsIN$313Ohio: median $378 across 65 hospitalsOH$378Pennsylvania: median $366 across 89 hospitalsPA$366New Jersey: median $701 across 48 hospitalsNJ$701Connecticut: median $555 across 17 hospitalsCT$555Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $603 across 118 hospitalsCA$603Utah: median $437 across 25 hospitalsUT$437Colorado: median $418 across 39 hospitalsCO$418Nebraska: median $295 across 37 hospitalsNE$295Missouri: median $286 across 30 hospitalsMO$286Kentucky: median $242 across 27 hospitalsKY$242West Virginia: median $307 across 26 hospitalsWV$307Virginia: median $299 across 48 hospitalsVA$299Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $303 across 20 hospitalsAZ$303New Mexico: median $290 across 17 hospitalsNM$290Kansas: median $323 across 38 hospitalsKS$323Arkansas: median $217 across 23 hospitalsAR$217Tennessee: median $141 across 32 hospitalsTN$141North Carolina: median $361 across 36 hospitalsNC$361South Carolina: median $344 across 41 hospitalsSC$344Oklahoma: median $221 across 45 hospitalsOK$221Louisiana: median $194 across 35 hospitalsLA$194Mississippi: median $134 across 40 hospitalsMS$134Alabama: median $286 across 15 hospitalsAL$286Georgia: median $528 across 43 hospitalsGA$528Hawaii: median $773 across 13 hospitalsHI$773Texas: median $353 across 142 hospitalsTX$353Florida: median $539 across 67 hospitalsFL$539
Cash price by state, most expensive first. National median $350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Hawaii HI13$773+121%$573 – $937
New Jersey NJ48$701+100%$286 – $4,350
Idaho ID15$670+91%$173 – $670
California CA118$603+72%$315 – $1,282
Connecticut CT17$555+58%$260 – $645
Wisconsin WI64$540+54%$234 – $593
Florida FL67$539+54%$372 – $896
Massachusetts MA38$534+52%$239 – $720
Georgia GA43$528+51%$207 – $901
New York NY85$462+32%$246 – $738
Utah UT25$437+25%$363 – $466
Oregon OR41$433+24%$274 – $593
Alaska AK12$422+21%$231 – $937
Colorado CO39$418+19%$258 – $650
South Dakota SD13$391+12%$386 – $543
Ohio OH65$378+8%$204 – $717
Washington WA56$372+6%$213 – $690
Pennsylvania PA89$366+5%$199 – $647
Illinois IL80$365+4%$210 – $531
Vermont VT11$365+4%$190 – $473
North Carolina NC36$361+3%$189 – $367
Texas TX142$353+1%$210 – $541
South Carolina SC41$344−2%$266 – $577
North Dakota ND18$344−2%$229 – $497
Kansas KS38$323−8%$207 – $764
Minnesota MN68$316−10%$230 – $496
Indiana IN38$313−11%$215 – $490
West Virginia WV26$307−12%$225 – $422
Iowa IA50$303−13%$180 – $423
Arizona AZ20$303−14%$178 – $514
Virginia VA48$299−15%$111 – $395
Nebraska NE37$295−16%$216 – $400
New Mexico NM17$290−17%$262 – $368
Alabama AL15$286−18%$164 – $383
Missouri MO30$286−18%$227 – $596
Nevada NV10$270−23%$250 – $476
Michigan MI58$262−25%$157 – $413
Kentucky KY27$242−31%$149 – $320
Maine ME19$226−36%$154 – $405
Oklahoma OK45$221−37%$170 – $376
Arkansas AR23$217−38%$156 – $296
Louisiana LA35$194−45%$114 – $275
New Hampshire NH17$178−49%$110 – $264
Montana MT18$166−53%$123 – $357
Tennessee TN32$141−60%$63 – $511
Mississippi MS40$134−62%$79 – $229
Wyoming WY9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE4not 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 $350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,372$363$206 – $645
Children’s41$625$282 – $1,091
Critical access495$320$189 – $531
Ownership
For-profit188$326$200 – $764
Government320$310$190 – $511
Non-profit1,400$366$204 – $611
System affiliation
Part of a system1,547$365$204 – $623
Independent362$319$196 – $573

Cash price vs list price

Median list price (chargemaster)$597
Median cash price$350
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

1,432 hospitals filed a usable inpatient cash price for this code. The median is $373 and the average of the middle 60% is $393; most fall between $207 and $643.

Cash price percentiles, inpatient, across 1,432 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
$149$229$373$577$853

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($149 vs $853).

Of the 1,532 hospitals that filed this code inpatient, 1,432 gave a usable cash price; 36 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 64 a list price only.

How complete is this

1,909 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,041 hospitals that filed this code at all gave us
Usable cash price — counted1,909
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded73
Hospitals that filed this code2,041

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 PR Closed Rx Mt-Phal Toe Dislocation.

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 dislocated toe knuckle joint without anesthesia (CPT 28630) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28630-setting-a-dislocated-toe-knuckle-joint-without-anesthesia