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

Setting a dislocated toe joint under anesthesia

CPT 28665the billing code this page is about

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

Hospitals typically charge $483 cash for this outpatient procedure — the median across 1,008 hospitals that filed a usable cash price; the average of the middle 60% is $554. Most fall between $263 and $1,210 (20th–80th percentile).

Hospitals
1,008
States
50
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 1,008 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
$199$285$483$890$1,965

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($199 vs $1,965).

How the prices are spread

$146 – $197: 51 hospitals$146$197 – $267: 121 hospitals$267 – $362: 133 hospitals$267$362 – $491: 155 hospitals$491 – $665: 97 hospitals$491$665 – $901: 152 hospitals$901 – $1,221: 49 hospitals$901$1,221 – $1,654: 42 hospitals$1,654 – $2,241: 67 hospitals$1,654$2,241 – $3,037: 42 hospitals$2,241median $483price bands are equal on a log scale
Hospitals per price band (909 of 1,008 — the bands cover the 5th to 95th percentile)
FromToHospitals
$146$19751
$197$267121
$267$362133
$362$491155
$491$66597
$665$901152
$901$1,22149
$1,221$1,65442
$1,654$2,24167
$2,241$3,03742

Against Medicare

Medicare pays (OPPS 2026, national rate)$286
Median cash price$483
Cash as a multiple of Medicare1.69×

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 $483.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $297 across 10 hospitalsME$297Vermont: 6 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 $592 across 32 hospitalsWA$592Idaho: median $611 across 12 hospitalsID$611Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $256 across 22 hospitalsMN$256Illinois: median $485 across 33 hospitalsIL$485Wisconsin: median $723 across 44 hospitalsWI$723Michigan: median $255 across 36 hospitalsMI$255New York: median $332 across 47 hospitalsNY$332Massachusetts: median $1,590 across 11 hospitalsMA$1,590Oregon: median $483 across 31 hospitalsOR$483Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $384 across 26 hospitalsIA$384Indiana: median $292 across 13 hospitalsIN$292Ohio: median $454 across 22 hospitalsOH$454Pennsylvania: median $543 across 44 hospitalsPA$543New Jersey: median $811 across 37 hospitalsNJ$811Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $742 across 87 hospitalsCA$742Utah: median $425 across 24 hospitalsUT$425Colorado: median $750 across 17 hospitalsCO$750Nebraska: median $364 across 20 hospitalsNE$364Missouri: median $386 across 19 hospitalsMO$386Kentucky: median $883 across 17 hospitalsKY$883West Virginia: median $133 across 13 hospitalsWV$133Virginia: median $764 across 16 hospitalsVA$764Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $342 across 22 hospitalsKS$342Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $271 across 12 hospitalsTN$271North Carolina: median $362 across 21 hospitalsNC$362South Carolina: median $432 across 22 hospitalsSC$432Oklahoma: median $211 across 21 hospitalsOK$211Louisiana: median $1,081 across 16 hospitalsLA$1,081Mississippi: median $500 across 16 hospitalsMS$500Alabama: median $384 across 10 hospitalsAL$384Georgia: median $528 across 16 hospitalsGA$528Hawaii: median $634 across 12 hospitalsHI$634Texas: median $756 across 91 hospitalsTX$756Florida: median $856 across 43 hospitalsFL$856
Cash price by state, most expensive first. National median $483. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA11$1,590+229%$813 – $2,296
Louisiana LA16$1,081+124%$177 – $1,874
Kentucky KY17$883+83%$177 – $2,539
Florida FL43$856+77%$735 – $2,976
New Jersey NJ37$811+68%$313 – $4,881
Virginia VA16$764+58%$440 – $764
Texas TX91$756+57%$338 – $1,771
Colorado CO17$750+55%$405 – $1,965
California CA87$742+54%$438 – $896
Wisconsin WI44$723+50%$436 – $904
Hawaii HI12$634+31%$460 – $852
Idaho ID12$611+27%$442 – $1,697
Washington WA32$592+23%$280 – $760
Pennsylvania PA44$543+12%$96 – $1,797
Georgia GA16$528+9%$209 – $5,743
Mississippi MS16$500+4%$268 – $2,672
Illinois IL33$4850%$194 – $1,320
Oregon OR31$4830%$280 – $752
Ohio OH22$454−6%$255 – $794
South Carolina SC22$432−11%$403 – $4,336
Utah UT24$425−12%$363 – $466
Missouri MO19$386−20%$221 – $2,452
Alabama AL10$384−20%$172 – $1,286
Iowa IA26$384−20%$302 – $384
Nebraska NE20$364−25%$254 – $655
North Carolina NC21$362−25%$260 – $578
Kansas KS22$342−29%$263 – $1,606
New York NY47$332−31%$286 – $769
Maine ME10$297−38%$236 – $472
Indiana IN13$292−40%$177 – $387
Tennessee TN12$271−44%$146 – $616
Minnesota MN22$256−47%$199 – $325
Michigan MI36$255−47%$228 – $471
Oklahoma OK21$211−56%$211 – $541
West Virginia WV13$133−72%$133 – $366
Arkansas AR9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maryland MD1not 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 $483.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care750$526$264 – $1,484
Children’s34$1,131$338 – $1,683
Critical access224$396$232 – $726
Ownership
For-profit93$745$263 – $1,923
Government154$396$263 – $754
Non-profit761$487$261 – $1,160
System affiliation
Part of a system838$524$264 – $1,304
Independent170$375$229 – $839

Cash price vs list price

Median list price (chargemaster)$806
Median cash price$483
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

705 hospitals filed a usable inpatient cash price for this code. The median is $577 and the average of the middle 60% is $643; most fall between $273 and $1,455.

Cash price percentiles, inpatient, across 705 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
$207$320$577$1,081$2,087

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($207 vs $2,087).

Of the 752 hospitals that filed this code inpatient, 705 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,008 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,077 hospitals that filed this code at all gave us
Usable cash price — counted1,008
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
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 — excluded36
Hospitals that filed this code1,077

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 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 joint under anesthesia (CPT 28665) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28665-setting-a-dislocated-toe-joint-under-anesthesia