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

Setting a dislocated toe joint without anesthesia

CPT 28660the billing code this page is about

Realignment by hand of a dislocated joint within a toe, done without an incision and without anesthesia.

Hospitals typically charge $337 cash for this outpatient procedure — the median across 2,131 hospitals that filed a usable cash price; the average of the middle 60% is $358. Most fall between $185 and $614 (20th–80th percentile).

Hospitals
2,131
States
49
Filings dated
Aug 2022 – 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 2,131 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
$134$211$337$562$847

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($134 vs $847).

How the prices are spread

$94 – $122: 73 hospitals$94$122 – $158: 141 hospitals$158 – $205: 186 hospitals$158$205 – $265: 323 hospitals$265 – $344: 256 hospitals$265$344 – $446: 284 hospitals$446 – $578: 261 hospitals$446$578 – $750: 221 hospitals$750 – $972: 104 hospitals$750$972 – $1,260: 75 hospitals$972median $337price bands are equal on a log scale
Hospitals per price band (1,924 of 2,131 — the bands cover the 5th to 95th percentile)
FromToHospitals
$94$12273
$122$158141
$158$205186
$205$265323
$265$344256
$344$446284
$446$578261
$578$750221
$750$972104
$972$1,26075

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$337
Cash as a multiple of Medicare1.34×

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 $337.

Alaska: median $487 across 12 hospitalsAK$487Maine: median $243 across 20 hospitalsME$243Vermont: median $267 across 11 hospitalsVT$267New Hampshire: median $199 across 16 hospitalsNH$199Washington: median $393 across 67 hospitalsWA$393Idaho: median $290 across 19 hospitalsID$290Montana: median $233 across 23 hospitalsMT$233North Dakota: median $358 across 19 hospitalsND$358Minnesota: median $345 across 75 hospitalsMN$345Illinois: median $347 across 101 hospitalsIL$347Wisconsin: median $464 across 66 hospitalsWI$464Michigan: median $305 across 62 hospitalsMI$305New York: median $377 across 89 hospitalsNY$377Massachusetts: median $541 across 41 hospitalsMA$541Oregon: median $374 across 50 hospitalsOR$374Nevada: median $378 across 14 hospitalsNV$378Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $400 across 17 hospitalsSD$400Iowa: median $220 across 57 hospitalsIA$220Indiana: median $319 across 40 hospitalsIN$319Ohio: median $333 across 69 hospitalsOH$333Pennsylvania: median $372 across 94 hospitalsPA$372New Jersey: median $628 across 41 hospitalsNJ$628Connecticut: median $433 across 17 hospitalsCT$433Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $689 across 121 hospitalsCA$689Utah: median $416 across 27 hospitalsUT$416Colorado: median $304 across 40 hospitalsCO$304Nebraska: median $257 across 49 hospitalsNE$257Missouri: median $283 across 46 hospitalsMO$283Kentucky: median $263 across 27 hospitalsKY$263West Virginia: median $341 across 32 hospitalsWV$341Virginia: median $333 across 50 hospitalsVA$333Maryland: no hospital in the corpus filed a usable priceMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $146 across 22 hospitalsAZ$146New Mexico: median $242 across 20 hospitalsNM$242Kansas: median $263 across 52 hospitalsKS$263Arkansas: median $216 across 23 hospitalsAR$216Tennessee: median $197 across 48 hospitalsTN$197North Carolina: median $331 across 42 hospitalsNC$331South Carolina: median $457 across 42 hospitalsSC$457Oklahoma: median $225 across 54 hospitalsOK$225Louisiana: median $179 across 35 hospitalsLA$179Mississippi: median $143 across 40 hospitalsMS$143Alabama: median $261 across 23 hospitalsAL$261Georgia: median $531 across 56 hospitalsGA$531Hawaii: median $573 across 14 hospitalsHI$573Texas: median $359 across 151 hospitalsTX$359Florida: median $607 across 75 hospitalsFL$607
Cash price by state, most expensive first. National median $337. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA121$689+105%$365 – $1,260
New Jersey NJ41$628+86%$283 – $4,627
Florida FL75$607+80%$293 – $1,367
Hawaii HI14$573+70%$522 – $937
Massachusetts MA41$541+61%$292 – $777
Georgia GA56$531+58%$168 – $806
Alaska AK12$487+45%$231 – $758
Wisconsin WI66$464+38%$208 – $548
South Carolina SC42$457+36%$250 – $1,438
Connecticut CT17$433+28%$213 – $668
Utah UT27$416+23%$363 – $442
South Dakota SD17$400+19%$312 – $437
Washington WA67$393+17%$161 – $615
Nevada NV14$378+12%$268 – $672
New York NY89$377+12%$163 – $743
Oregon OR50$374+11%$237 – $508
Pennsylvania PA94$372+11%$196 – $554
Texas TX151$359+7%$212 – $786
North Dakota ND19$358+6%$176 – $514
Illinois IL101$347+3%$202 – $575
Minnesota MN75$345+2%$185 – $507
West Virginia WV32$341+1%$145 – $489
Ohio OH69$333−1%$198 – $717
Virginia VA50$333−1%$111 – $380
North Carolina NC42$331−2%$142 – $393
Indiana IN40$319−5%$227 – $463
Michigan MI62$305−9%$206 – $572
Colorado CO40$304−10%$181 – $650
Idaho ID19$290−14%$189 – $670
Missouri MO46$283−16%$193 – $545
Vermont VT11$267−21%$174 – $447
Kentucky KY27$263−22%$196 – $358
Kansas KS52$263−22%$180 – $719
Alabama AL23$261−22%$164 – $601
Nebraska NE49$257−24%$163 – $355
Maine ME20$243−28%$183 – $359
New Mexico NM20$242−28%$145 – $290
Montana MT23$233−31%$154 – $352
Oklahoma OK54$225−33%$130 – $466
Iowa IA57$220−35%$139 – $399
Arkansas AR23$216−36%$155 – $291
New Hampshire NH16$199−41%$136 – $253
Tennessee TN48$197−41%$73 – $465
Louisiana LA35$179−47%$97 – $299
Arizona AZ22$146−57%$146 – $554
Mississippi MS40$143−57%$95 – $226
Wyoming WY9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE5not 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 $337.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,461$363$197 – $688
Children’s49$627$292 – $1,046
Critical access619$277$160 – $501
Ownership
For-profit221$344$192 – $806
Government402$284$163 – $526
Non-profit1,506$352$193 – $614
System affiliation
Part of a system1,692$358$195 – $627
Independent439$275$169 – $549

Cash price vs list price

Median list price (chargemaster)$566
Median cash price$337
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

1,563 hospitals filed a usable inpatient cash price for this code. The median is $373 and the average of the middle 60% is $382; most fall between $192 and $648.

Cash price percentiles, inpatient, across 1,563 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
$137$212$373$584$872

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($137 vs $872).

Of the 1,669 hospitals that filed this code inpatient, 1,563 gave a usable cash price; 40 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

2,131 of the 3,956 hospitals with a price file in our corpus (54%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,274 hospitals that filed this code at all gave us
Usable cash price — counted2,131
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
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 — excluded74
Hospitals that filed this code2,274

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 Interphalangeal Joint Dislocation W/O 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 joint without anesthesia (CPT 28660) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28660-setting-a-dislocated-toe-joint-without-anesthesia