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

Pinning a dislocated toe joint through the skin

CPT 28666the billing code this page is about

Realignment by hand of a dislocated joint within a toe, then holding it with a pin or screw placed through the skin instead of an open incision.

Hospitals typically charge $1,090 cash for this outpatient procedure — the median across 377 hospitals that filed a usable cash price; the average of the middle 60% is $2,043. Most fall between $344 and $5,273 (20th–80th percentile).

Hospitals
377
States
42
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 377 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
$250$422$1,090$4,265$7,969

The most expensive tenth of hospitals charges at least 32× what the cheapest tenth charges ($250 vs $7,969).

How the prices are spread

$184 – $269: 27 hospitals$184$269 – $394: 44 hospitals$394 – $576: 51 hospitals$394$576 – $843: 17 hospitals$843 – $1,233: 33 hospitals$843$1,233 – $1,803: 8 hospitals$1,803 – $2,637: 10 hospitals$1,803$2,637 – $3,857: 61 hospitals$3,857 – $5,641: 43 hospitals$3,857$5,641 – $8,250: 47 hospitals$5,641median $1,090price bands are equal on a log scale
Hospitals per price band (341 of 377 — the bands cover the 5th to 95th percentile)
FromToHospitals
$184$26927
$269$39444
$394$57651
$576$84317
$843$1,23333
$1,233$1,8038
$1,803$2,63710
$2,637$3,85761
$3,857$5,64143
$5,641$8,25047

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$1,090
Cash as a multiple of Medicare0.33×

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 $1,090.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 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: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $305 across 13 hospitalsIL$305Wisconsin: median $966 across 23 hospitalsWI$966Michigan: median $462 across 28 hospitalsMI$462New York: median $3,840 across 19 hospitalsNY$3,840Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $335 across 12 hospitalsOR$335Nevada: 2 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 $422 across 17 hospitalsIA$422Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $692 across 14 hospitalsOH$692Pennsylvania: median $133 across 18 hospitalsPA$133New Jersey: median $4,350 across 28 hospitalsNJ$4,350Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,969 across 27 hospitalsCA$7,969Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $250 across 13 hospitalsTN$250North Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,273 across 10 hospitalsSC$5,273Oklahoma: median $282 across 13 hospitalsOK$282Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,588 across 10 hospitalsGA$6,588Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,098 across 34 hospitalsTX$3,098Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,090. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$7,969+631%$7,969 – $7,969
Georgia GA10$6,588+504%$6,588 – $8,250
South Carolina SC10$5,273+384%$5,273 – $5,416
New Jersey NJ28$4,350+299%$3,594 – $5,741
New York NY19$3,840+252%$3,343 – $3,884
Texas TX34$3,098+184%$3,098 – $3,112
Wisconsin WI23$966−11%$901 – $966
Ohio OH14$692−37%$352 – $9,539
Michigan MI28$462−58%$462 – $966
Iowa IA17$422−61%$422 – $453
Oregon OR12$335−69%$321 – $594
Illinois IL13$305−72%$127 – $640
Oklahoma OK13$282−74%$282 – $6,599
Tennessee TN13$250−77%$192 – $357
Pennsylvania PA18$133−88%$108 – $5,486
Louisiana LA9not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maine ME1not 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 $1,090.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care306$2,853$344 – $5,303
Children’s10fewer than 20 hospitals
Critical access61$901$324 – $2,960
Ownership
For-profit47$3,098$469 – $6,588
Government54$512$259 – $3,840
Non-profit276$1,090$355 – $5,273
System affiliation
Part of a system311$1,931$357 – $5,416
Independent66$568$316 – $3,257

Cash price vs list price

Median list price (chargemaster)$1,037
Median cash price$1,090
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

215 hospitals filed a usable inpatient cash price for this code. The median is $966 and the average of the middle 60% is $1,793; most fall between $312 and $5,273.

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
$243$347$966$3,591$7,969

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($243 vs $7,969).

Of the 232 hospitals that filed this code inpatient, 215 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

377 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 402 hospitals that filed this code at all gave us
Usable cash price — counted377
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded4
Hospitals that filed this code402

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 23, 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 Interphalangeal Joint 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 joint through the skin (CPT 28666) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28666-pinning-a-dislocated-toe-joint-through-the-skin