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

Pinning a dislocated toe knuckle joint through the skin

CPT 28636the billing code this page is about

Realignment by hand of a dislocated joint where a toe meets the foot, then holding it with a pin or screw placed through the skin.

Hospitals typically charge $1,043 cash for this outpatient procedure — the median across 375 hospitals that filed a usable cash price; the average of the middle 60% is $1,730. Most fall between $419 and $4,265 (20th–80th percentile).

Hospitals
375
States
44
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 375 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
$316$500$1,043$4,058$7,969

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($316 vs $7,969).

How the prices are spread

$242 – $345: 24 hospitals$242$345 – $492: 50 hospitals$492 – $701: 47 hospitals$492$701 – $999: 42 hospitals$999 – $1,423: 23 hospitals$999$1,423 – $2,029: 27 hospitals$2,029 – $2,892: 8 hospitals$2,029$2,892 – $4,121: 60 hospitals$4,121 – $5,874: 29 hospitals$4,121$5,874 – $8,372: 31 hospitals$5,874median $1,043price bands are equal on a log scale
Hospitals per price band (341 of 375 — the bands cover the 5th to 95th percentile)
FromToHospitals
$242$34524
$345$49250
$492$70147
$701$99942
$999$1,42323
$1,423$2,02927
$2,029$2,8928
$2,892$4,12160
$4,121$5,87429
$5,874$8,37231

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,043
Cash as a multiple of Medicare0.31×

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 $1,043.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $363 across 12 hospitalsIL$363Wisconsin: median $1,608 across 30 hospitalsWI$1,608Michigan: median $500 across 26 hospitalsMI$500New York: median $3,840 across 21 hospitalsNY$3,840Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $546 across 12 hospitalsOR$546Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $771 across 15 hospitalsIA$771Indiana: median $363 across 10 hospitalsIN$363Ohio: median $720 across 14 hospitalsOH$720Pennsylvania: median $350 across 19 hospitalsPA$350New Jersey: median $4,881 across 29 hospitalsNJ$4,881Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $7,969 across 31 hospitalsCA$7,969Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $244 across 10 hospitalsWV$244Virginia: 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $4,859 across 10 hospitalsSC$4,859Oklahoma: median $368 across 12 hospitalsOK$368Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,058 across 21 hospitalsTX$4,058Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,043. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA31$7,969+664%$937 – $7,969
New Jersey NJ29$4,881+368%$3,594 – $9,748
South Carolina SC10$4,859+366%$4,859 – $5,416
Texas TX21$4,058+289%$2,853 – $4,058
New York NY21$3,840+268%$1,671 – $3,840
Wisconsin WI30$1,608+54%$995 – $1,889
Iowa IA15$771−26%$771 – $771
Ohio OH14$720−31%$555 – $3,080
Oregon OR12$546−48%$419 – $1,043
Michigan MI26$500−52%$500 – $1,608
Oklahoma OK12$368−65%$368 – $368
Illinois IL12$363−65%$363 – $648
Indiana IN10$363−65%$363 – $861
Pennsylvania PA19$350−66%$140 – $5,486
West Virginia WV10$244−77%$242 – $396
Idaho ID9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,043.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care293$1,364$419 – $4,859
Children’s9fewer than 20 hospitals
Critical access73$771$363 – $1,889
Ownership
For-profit42$3,261$427 – $9,441
Government51$734$454 – $3,257
Non-profit282$1,197$415 – $4,499
System affiliation
Part of a system299$1,306$419 – $4,859
Independent76$775$394 – $3,138

Cash price vs list price

Median list price (chargemaster)$1,048
Median cash price$1,043
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

215 hospitals filed a usable inpatient cash price for this code. The median is $1,026 and the average of the middle 60% is $1,500; most fall between $368 and $4,058.

Cash price percentiles, inpatient, across 215 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
$316$419$1,026$4,058$7,969

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($316 vs $7,969).

Of the 235 hospitals that filed this code inpatient, 215 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 4 a list price only.

How complete is this

375 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 419 hospitals that filed this code at all gave us
Usable cash price — counted375
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded7
Hospitals that filed this code419

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 Metatarsophlngl 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 toe knuckle joint through the skin (CPT 28636) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28636-pinning-a-dislocated-toe-knuckle-joint-through-the-skin