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

Open surgery to repair a dislocated toe knuckle joint

CPT 28645the billing code this page is about

Surgical incision to reposition a dislocated joint where a toe meets the foot, including hardware to hold the bones if used.

Hospitals typically charge $2,108 cash for this outpatient procedure — the median across 499 hospitals that filed a usable cash price; the average of the middle 60% is $2,539. Most fall between $880 and $5,741 (20th–80th percentile).

Hospitals
499
States
48
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 499 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
$660$1,016$2,108$4,499$9,565

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($660 vs $9,565).

How the prices are spread

$555 – $784: 48 hospitals$555$784 – $1,108: 66 hospitals$1,108 – $1,565: 66 hospitals$1,108$1,565 – $2,212: 52 hospitals$2,212 – $3,125: 39 hospitals$2,212$3,125 – $4,415: 76 hospitals$4,415 – $6,239: 41 hospitals$4,415$6,239 – $8,816: 26 hospitals$8,816 – $12,456: 29 hospitals$8,816$12,456 – $17,601: 8 hospitals$12,456median $2,108price bands are equal on a log scale
Hospitals per price band (451 of 499 — the bands cover the 5th to 95th percentile)
FromToHospitals
$555$78448
$784$1,10866
$1,108$1,56566
$1,565$2,21252
$2,212$3,12539
$3,125$4,41576
$4,415$6,23941
$6,239$8,81626
$8,816$12,45629
$12,456$17,6018

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,108
Cash as a multiple of Medicare0.63×

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 $2,108.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,186 across 10 hospitalsWA$1,186Idaho: median $4,120 across 10 hospitalsID$4,120Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,189 across 10 hospitalsMN$1,189Illinois: median $922 across 19 hospitalsIL$922Wisconsin: median $3,333 across 33 hospitalsWI$3,333Michigan: median $854 across 29 hospitalsMI$854New York: median $3,840 across 30 hospitalsNY$3,840Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,189 across 12 hospitalsOR$1,189Nevada: 3 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 $1,641 across 24 hospitalsIA$1,641Indiana: median $711 across 10 hospitalsIN$711Ohio: median $1,934 across 19 hospitalsOH$1,934Pennsylvania: median $3,804 across 13 hospitalsPA$3,804New Jersey: median $4,319 across 34 hospitalsNJ$4,319Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,187 across 47 hospitalsCA$4,187Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,242 across 10 hospitalsCO$1,242Nebraska: 7 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: median $515 across 12 hospitalsWV$515Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $811 across 14 hospitalsOK$811Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,653 across 27 hospitalsTX$2,653Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,108. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ34$4,319+105%$3,591 – $5,741
California CA47$4,187+99%$1,472 – $9,565
Idaho ID10$4,120+95%$1,326 – $8,372
New York NY30$3,840+82%$1,088 – $3,884
Pennsylvania PA13$3,804+80%$3,139 – $6,114
Wisconsin WI33$3,333+58%$3,056 – $5,751
Texas TX27$2,653+26%$2,093 – $3,807
Ohio OH19$1,934−8%$893 – $19,381
Iowa IA24$1,641−22%$1,190 – $2,108
Colorado CO10$1,242−41%$1,017 – $1,242
Minnesota MN10$1,189−44%$779 – $1,999
Oregon OR12$1,189−44%$1,189 – $2,168
Washington WA10$1,186−44%$1,016 – $2,250
Illinois IL19$922−56%$618 – $4,578
Michigan MI29$854−59%$660 – $3,245
Oklahoma OK14$811−62%$811 – $5,906
Indiana IN10$711−66%$618 – $1,466
West Virginia WV12$515−76%$512 – $1,551
Alabama AL9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $2,108.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care384$2,713$898 – $6,311
Children’s9fewer than 20 hospitals
Critical access106$1,466$854 – $3,333
Ownership
For-profit64$4,120$893 – $10,641
Government85$1,595$932 – $4,821
Non-profit350$1,999$857 – $5,115
System affiliation
Part of a system398$2,334$898 – $5,855
Independent101$1,362$880 – $3,594

Cash price vs list price

Median list price (chargemaster)$2,316
Median cash price$2,108
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

275 hospitals filed a usable inpatient cash price for this code. The median is $1,472 and the average of the middle 60% is $1,855; most fall between $811 and $4,319.

Cash price percentiles, inpatient, across 275 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
$618$880$1,472$3,807$8,372

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($618 vs $8,372).

Of the 312 hospitals that filed this code inpatient, 275 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

499 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 559 hospitals that filed this code at all gave us
Usable cash price — counted499
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
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 — excluded13
Hospitals that filed this code559

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 Open Tx Metatarsophalangeal Joint 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, “Open surgery to repair a dislocated toe knuckle joint (CPT 28645) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28645-open-surgery-to-repair-a-dislocated-toe-knuckle-joint