Procedure price report · Bunionectomy or repair of toe deformities

Fusion of the big toe knuckle joint

CPT code CPT 28755the billing code this page is about

Surgery that permanently fuses the joint within the big toe itself, between the two toe bones.

Hospitals typically charge $2,276 cash for this outpatient procedure — the median across 694 hospitals that filed a usable cash price; the average of the middle 60% is $3,496. Most fall between $834 and $9,072 (20th–80th percentile).

Hospitals
694
States
49
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 694 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
$556$923$2,276$8,118$13,668

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($556 vs $13,668).

How the prices are spread

$489 – $712: 70 hospitals$489$712 – $1,037: 109 hospitals$1,037 – $1,511: 75 hospitals$1,037$1,511 – $2,201: 50 hospitals$2,201 – $3,206: 47 hospitals$2,201$3,206 – $4,670: 38 hospitals$4,670 – $6,802: 55 hospitals$4,670$6,802 – $9,907: 90 hospitals$9,907 – $14,430: 60 hospitals$9,907$14,430 – $21,018: 32 hospitals$14,430median $2,276price bands are equal on a log scale
Hospitals per price band (626 of 694 — the bands cover the 5th to 95th percentile)
FromToHospitals
$489$71270
$712$1,037109
$1,037$1,51175
$1,511$2,20150
$2,201$3,20647
$3,206$4,67038
$4,670$6,80255
$6,802$9,90790
$9,907$14,43060
$14,430$21,01832

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,276
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 $2,276.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 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 $1,185 across 19 hospitalsWA$1,185Idaho: median $3,296 across 17 hospitalsID$3,296Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,320 across 40 hospitalsMN$1,320Illinois: median $1,068 across 22 hospitalsIL$1,068Wisconsin: median $2,276 across 37 hospitalsWI$2,276Michigan: median $941 across 36 hospitalsMI$941New York: median $7,413 across 35 hospitalsNY$7,413Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,222 across 23 hospitalsOR$1,222Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,272 across 32 hospitalsIA$1,272Indiana: median $802 across 14 hospitalsIN$802Ohio: median $1,345 across 23 hospitalsOH$1,345Pennsylvania: median $8,376 across 21 hospitalsPA$8,376New Jersey: median $6,561 across 33 hospitalsNJ$6,561Connecticut: 2 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 $10,506 across 39 hospitalsCA$10,506Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,676 across 18 hospitalsNE$1,676Missouri: median $805 across 14 hospitalsMO$805Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $905 across 15 hospitalsWV$905Virginia: median $4,118 across 11 hospitalsVA$4,118Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $8,904 across 11 hospitalsAZ$8,904New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $840 across 11 hospitalsKS$840Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,536 across 12 hospitalsTN$2,536North Carolina: median $950 across 12 hospitalsNC$950South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $556 across 15 hospitalsOK$556Louisiana: median $6,200 across 10 hospitalsLA$6,200Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,865 across 11 hospitalsAL$5,865Georgia: median $7,811 across 10 hospitalsGA$7,811Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 35 hospitalsTX$5,887Florida: median $12,135 across 10 hospitalsFL$12,135
Cash price by state, most expensive first. National median $2,276. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$12,135+433%$1,269 – $12,843
California CA39$10,506+362%$1,294 – $10,506
Arizona AZ11$8,904+291%$1,694 – $21,947
Pennsylvania PA21$8,376+268%$5,050 – $12,077
Georgia GA10$7,811+243%$7,811 – $21,431
New York NY35$7,413+226%$845 – $8,454
New Jersey NJ33$6,561+188%$4,881 – $7,914
Louisiana LA10$6,200+172%$3,261 – $7,900
Texas TX35$5,887+159%$1,707 – $12,548
Alabama AL11$5,865+158%$1,455 – $8,926
Virginia VA11$4,118+81%$227 – $16,021
Idaho ID17$3,296+45%$1,021 – $14,738
Tennessee TN12$2,536+11%$468 – $10,127
Wisconsin WI37$2,2760%$1,672 – $3,731
Nebraska NE18$1,676−26%$845 – $4,501
Ohio OH23$1,345−41%$773 – $18,227
Minnesota MN40$1,320−42%$801 – $2,453
Iowa IA32$1,272−44%$887 – $1,272
Oregon OR23$1,222−46%$923 – $1,863
Washington WA19$1,185−48%$818 – $7,029
Illinois IL22$1,068−53%$497 – $2,234
North Carolina NC12$950−58%$817 – $5,697
Michigan MI36$941−59%$941 – $9,978
West Virginia WV15$905−60%$363 – $6,184
Kansas KS11$840−63%$554 – $4,268
Missouri MO14$805−65%$735 – $2,857
Indiana IN14$802−65%$497 – $22,140
Oklahoma OK15$556−76%$556 – $11,539
Colorado CO9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not 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 $2,276.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care488$4,601$923 – $10,506
Children’s17fewer than 20 hospitals
Critical access189$1,178$716 – $2,560
Ownership
For-profit90$7,892$1,154 – $16,164
Government129$1,271$786 – $7,390
Non-profit475$2,276$841 – $8,613
System affiliation
Part of a system520$2,580$872 – $10,438
Independent174$1,430$696 – $6,980

Cash price vs list price

Median list price (chargemaster)$2,106
Median cash price$2,276
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

340 hospitals filed a usable inpatient cash price for this code. The median is $1,272 and the average of the middle 60% is $1,871; most fall between $556 and $5,887.

Cash price percentiles, inpatient, across 340 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
$474$670$1,272$4,118$10,506

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($474 vs $10,506).

Of the 379 hospitals that filed this code inpatient, 340 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

694 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 779 hospitals that filed this code at all gave us
Usable cash price — counted694
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded23
Hospitals that filed this code779

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.

Hospitals file this code under descriptions such as Arthrodesis Great Toe Interphalangeal Joint.

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, “Fusion of the big toe knuckle joint (CPT 28755) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-28755-fusion-of-the-big-toe-knuckle-joint