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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 under anesthesia

CPT 28635the billing code this page is about

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

Hospitals typically charge $1,642 cash for this outpatient procedure — the median across 869 hospitals that filed a usable cash price; the average of the middle 60% is $1,637. Most fall between $362 and $3,802 (20th–80th percentile).

Hospitals
869
States
48
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 869 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
$239$476$1,642$3,136$5,339

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($239 vs $5,339).

How the prices are spread

$176 – $253: 47 hospitals$176$253 – $363: 84 hospitals$363 – $521: 63 hospitals$363$521 – $748: 61 hospitals$748 – $1,074: 52 hospitals$748$1,074 – $1,542: 67 hospitals$1,542 – $2,214: 149 hospitals$1,542$2,214 – $3,178: 98 hospitals$3,178 – $4,562: 73 hospitals$3,178$4,562 – $6,548: 94 hospitals$4,562median $1,642price bands are equal on a log scale
Hospitals per price band (788 of 869 — the bands cover the 5th to 95th percentile)
FromToHospitals
$176$25347
$253$36384
$363$52163
$521$74861
$748$1,07452
$1,074$1,54267
$1,542$2,214149
$2,214$3,17898
$3,178$4,56273
$4,562$6,54894

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,642
Cash as a multiple of Medicare1.00×

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 $1,642.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $358 across 10 hospitalsME$358Vermont: 6 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 $1,584 across 33 hospitalsWA$1,584Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $709 across 29 hospitalsMN$709Illinois: median $483 across 27 hospitalsIL$483Wisconsin: median $728 across 37 hospitalsWI$728Michigan: median $418 across 43 hospitalsMI$418New York: median $1,894 across 48 hospitalsNY$1,894Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $503 across 23 hospitalsOR$503Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $437 across 22 hospitalsIA$437Indiana: median $313 across 10 hospitalsIN$313Ohio: median $510 across 15 hospitalsOH$510Pennsylvania: median $1,603 across 27 hospitalsPA$1,603New Jersey: median $3,213 across 31 hospitalsNJ$3,213Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,136 across 83 hospitalsCA$3,136Utah: median $891 across 24 hospitalsUT$891Colorado: median $4,181 across 10 hospitalsCO$4,181Nebraska: median $587 across 14 hospitalsNE$587Missouri: median $467 across 15 hospitalsMO$467Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $361 across 18 hospitalsWV$361Virginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $6,467 across 13 hospitalsAZ$6,467New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $405 across 15 hospitalsKS$405Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $309 across 11 hospitalsTN$309North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $4,336 across 19 hospitalsSC$4,336Oklahoma: median $1,154 across 28 hospitalsOK$1,154Louisiana: median $1,421 across 16 hospitalsLA$1,421Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $5,889 across 19 hospitalsGA$5,889Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,965 across 81 hospitalsTX$1,965Florida: median $5,571 across 31 hospitalsFL$5,571
Cash price by state, most expensive first. National median $1,642. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ13$6,467+294%$3,841 – $6,467
Georgia GA19$5,889+259%$1,262 – $8,713
Florida FL31$5,571+239%$4,083 – $16,347
South Carolina SC19$4,336+164%$1,928 – $4,859
Colorado CO10$4,181+155%$325 – $4,181
New Jersey NJ31$3,213+96%$1,773 – $5,413
California CA83$3,136+91%$1,775 – $4,749
Texas TX81$1,965+20%$1,460 – $2,383
New York NY48$1,894+15%$687 – $3,802
Pennsylvania PA27$1,603−2%$96 – $3,016
Washington WA33$1,584−4%$529 – $3,235
Louisiana LA16$1,421−13%$1,072 – $1,728
Oklahoma OK28$1,154−30%$218 – $1,960
Utah UT24$891−46%$831 – $990
Wisconsin WI37$728−56%$678 – $2,799
Minnesota MN29$709−57%$287 – $870
Nebraska NE14$587−64%$340 – $2,111
Ohio OH15$510−69%$319 – $1,328
Oregon OR23$503−69%$278 – $3,630
Illinois IL27$483−71%$238 – $1,665
Missouri MO15$467−72%$270 – $2,424
Iowa IA22$437−73%$378 – $500
Michigan MI43$418−75%$266 – $5,591
Kansas KS15$405−75%$200 – $1,365
West Virginia WV18$361−78%$137 – $2,823
Maine ME10$358−78%$173 – $515
Indiana IN10$313−81%$219 – $1,120
Tennessee TN11$309−81%$166 – $2,318
Idaho ID9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,642.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care658$1,894$476 – $4,336
Children’s15fewer than 20 hospitals
Critical access196$728$280 – $2,506
Ownership
For-profit88$2,058$626 – $6,097
Government134$1,340$351 – $2,797
Non-profit647$1,595$377 – $3,630
System affiliation
Part of a system724$1,775$437 – $4,083
Independent145$820$286 – $2,138

Cash price vs list price

Median list price (chargemaster)$2,906
Median cash price$1,642
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

592 hospitals filed a usable inpatient cash price for this code. The median is $1,852 and the average of the middle 60% is $1,886; most fall between $418 and $4,336.

Cash price percentiles, inpatient, across 592 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
$238$565$1,852$3,314$5,571

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($238 vs $5,571).

Of the 642 hospitals that filed this code inpatient, 592 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 31 a list price only.

How complete is this

869 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 945 hospitals that filed this code at all gave us
Usable cash price — counted869
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
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 — excluded37
Hospitals that filed this code945

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 Cltx Metatarsophlngl Jt Dislc Req Anes.

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 under anesthesia (CPT 28635) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28635-setting-a-dislocated-toe-knuckle-joint-under-anesthesia