Price AtlasInteractive atlas · All states · techysurgeon.comBig toe joint fusion: what insurers pay
Fusing the arthritic big-toe joint. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 28750: Big Toe Joint Fusion
1090 hospitals in 78 markets. National Medicare rate $7,413, surgery center $5,187.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $7,210 | $8,005 | $9,422 | $3,284–$18,846 |
| Alaska (statewide) | 3 | — | — | — | $5,215–$19,552 |
| Arizona (statewide) | 12 | $6,045 | $7,688 | $8,764 | $4,769–$16,051 |
| Arkansas (statewide) | 8 | $6,662 | $6,836 | $8,290 | $5,000–$9,874 |
| Atlanta GA | 6 | $7,486 | $7,486 | $9,902 | $7,486–$10,708 |
| Austin TX | 13 | $5,743 | $8,874 | $8,874 | $5,743–$10,637 |
| Boston MA | 11 | $9,188 | $11,926 | $12,708 | $6,518–$14,320 |
| California (statewide) | 53 | $9,832 | $20,878 | $27,033 | $6,637–$27,033 |
| Charlotte NC | 5 | $8,493 | $8,493 | $8,493 | $8,377–$8,493 |
| Chicago IL | 7 | $9,275 | $10,014 | $14,716 | $9,107–$16,851 |
| Cleveland OH | 10 | $7,681 | $8,473 | $9,570 | $7,208–$13,262 |
| Colorado (statewide) | 14 | $8,654 | $11,006 | $12,782 | $7,179–$16,594 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 2 | — | — | — | $7,730–$30,233 |
| Dallas-Fort Worth TX | 12 | $9,648 | $10,642 | $12,262 | $9,098–$26,538 |
| Denver CO | 15 | $8,926 | $10,303 | $15,141 | $7,617–$16,596 |
| Detroit MI | 16 | $5,684 | $6,544 | $9,407 | $3,858–$11,436 |
| Florida (statewide) | 62 | $7,504 | $9,410 | $13,063 | $4,126–$16,822 |
| Georgia (statewide) | 28 | $7,402 | $9,940 | $12,751 | $4,141–$23,376 |
| Hawaii (statewide) | 4 | — | — | — | $6,585–$10,048 |
| Houston TX | 19 | $6,866 | $8,778 | $10,038 | $5,172–$13,850 |
| Idaho (statewide) | 14 | $9,864 | $10,573 | $14,113 | $6,615–$21,676 |
| Illinois (statewide) | 25 | $7,935 | $12,047 | $14,716 | $5,580–$21,223 |
| Indiana (statewide) | 29 | $11,946 | $17,978 | $30,763 | $4,716–$47,957 |
| Indianapolis IN | 1 | — | — | — | $18,846–$18,846 |
| Iowa (statewide) | 20 | $9,979 | $12,836 | $14,449 | $7,413–$22,020 |
| Kansas (statewide) | 17 | $8,483 | $8,930 | $11,216 | $4,100–$19,552 |
| Kentucky (statewide) | 13 | $6,707 | $8,465 | $9,134 | $3,764–$11,978 |
| Las Vegas NV | 2 | — | — | — | $7,352–$10,382 |
| Los Angeles CA | 17 | $10,395 | $11,970 | $14,138 | $9,078–$26,623 |
| Louisiana (statewide) | 24 | $6,901 | $7,910 | $10,118 | $5,982–$12,908 |
| Maine (statewide) | 17 | $29,272 | $32,866 | $33,984 | $7,684–$42,727 |
| Massachusetts (statewide) | 6 | $6,908 | $8,124 | $8,926 | $6,518–$10,392 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $13,338–$13,338 |
| Michigan (statewide) | 23 | $6,507 | $7,230 | $9,493 | $4,056–$12,410 |
| Minneapolis-St. Paul MN | 7 | $8,739 | $8,918 | $10,774 | $6,330–$15,377 |
| Minnesota (statewide) | 14 | $8,918 | $17,770 | $22,780 | $7,845–$31,617 |
| Mississippi (statewide) | 17 | $8,372 | $8,996 | $10,059 | $3,963–$19,790 |
| Missouri (statewide) | 18 | $8,900 | $9,311 | $12,156 | $4,100–$24,107 |
| Montana (statewide) | 5 | $8,930 | $14,481 | $15,002 | $8,204–$21,584 |
| Nashville TN | 7 | $3,911 | $4,082 | $8,808 | $3,880–$13,806 |
| Nebraska (statewide) | 11 | $10,220 | $10,260 | $11,977 | $7,352–$20,585 |
| Nevada (statewide) | 4 | — | — | — | $7,352–$11,803 |
| New Hampshire (statewide) | 6 | $14,467 | $19,286 | $23,067 | $9,001–$32,494 |
| New Jersey (statewide) | 22 | $8,289 | $8,413 | $11,292 | $7,907–$15,638 |
| New Mexico (statewide) | 9 | $7,538 | $12,392 | $19,208 | $4,249–$28,537 |
| New York (statewide) | 30 | $8,454 | $9,898 | $14,442 | $5,323–$24,437 |
| New York City | 8 | $8,454 | $8,732 | $10,520 | $8,454–$14,214 |
| North Carolina (statewide) | 4 | — | — | — | $7,186–$19,175 |
| North Dakota (statewide) | 5 | $11,996 | $12,358 | $12,633 | $10,326–$16,346 |
| Ohio (statewide) | 36 | $10,094 | $16,212 | $18,410 | $4,763–$27,890 |
| Oklahoma (statewide) | 10 | $13,883 | $14,894 | $15,473 | $4,676–$29,216 |
| Oregon (statewide) | 8 | $18,293 | $21,212 | $26,646 | $16,296–$33,060 |
| Pennsylvania (statewide) | 35 | $9,178 | $13,229 | $17,252 | $4,183–$32,089 |
| Philadelphia PA | 11 | $5,869 | $7,717 | $8,754 | $5,567–$13,320 |
| Phoenix AZ | 8 | $5,486 | $5,842 | $5,892 | $4,420–$6,041 |
| Pittsburgh PA | 11 | $6,014 | $12,174 | $14,726 | $4,034–$17,980 |
| Portland OR | 9 | $16,131 | $16,131 | $24,555 | $15,321–$24,555 |
| Rhode Island (statewide) | 4 | — | — | — | $8,027–$14,799 |
| Richmond VA | 3 | — | — | — | $8,702–$9,000 |
| Rio Grande Valley TX | 6 | $9,328 | $9,379 | $9,702 | $9,131–$12,909 |
| Salt Lake City UT | 9 | $10,634 | $10,996 | $10,996 | $6,513–$11,359 |
| San Antonio TX | 3 | — | — | — | $6,850–$8,720 |
| San Diego CA | 7 | $15,866 | $15,866 | $15,968 | $13,066–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $9,212–$38,045 |
| Seattle-Tacoma WA | 16 | $20,196 | $20,668 | $25,275 | $16,482–$28,676 |
| South Carolina (statewide) | 19 | $11,124 | $14,978 | $20,144 | $8,110–$21,345 |
| South Dakota (statewide) | 5 | $12,333 | $14,785 | $15,058 | $11,089–$33,765 |
| Tampa FL | 6 | $13,658 | $13,658 | $14,069 | $13,658–$15,523 |
| Tennessee (statewide) | 26 | $4,463 | $6,870 | $8,356 | $3,880–$14,573 |
| Texas (statewide) | 75 | $7,510 | $9,416 | $13,880 | $4,467–$32,884 |
| Utah (statewide) | 7 | $7,478 | $10,634 | $10,815 | $6,513–$25,202 |
| Vermont (statewide) | 1 | — | — | — | $7,215–$7,215 |
| Virginia (statewide) | 20 | $15,104 | $20,943 | $23,710 | $8,975–$26,244 |
| Washington (statewide) | 12 | $16,963 | $20,608 | $23,562 | $7,334–$37,385 |
| Washington DC | 9 | $8,272 | $8,272 | $8,272 | $5,292–$8,773 |
| West Virginia (statewide) | 5 | $10,030 | $12,121 | $28,922 | $7,930–$48,308 |
| Wisconsin (statewide) | 34 | $11,131 | $12,997 | $13,504 | $5,222–$21,151 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $3,284 | 0.5× | 1 | 2026-04-30 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.5× | 1 | 2026-04-30 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,764 | 0.6× | 2 | 2026-09-25 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,815 | 0.6× | 1 | 2026-02-28 |
| Henry Ford Health -St John Hospital | Detroit MI | $3,858 | 0.5× | 1 | 2026-01-01 |
| TriStar Skyline Medical Center | Nashville TN | $3,880 | 0.6× | 5 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $3,880 | 0.6× | 5 | 2026-09-01 |
| Tristar Southern Hills Medical Center | Tennessee (statewide) | $3,880 | 0.6× | 5 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,942 | 0.6× | 1 | 2026-01-01 |
| Wayne General Hospital | Mississippi (statewide) | $3,963 | 0.6× | 2 | 2026-07-31 |
| Upmc St Margaret | Pittsburgh PA | $4,034 | 0.6× | 1 | 2026-03-06 |
| Oaklawn Hospital | Michigan (statewide) | $4,056 | 0.6× | 2 | 2026-03-27 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $33,984 | 4.8× | 2 | 2026-03-30 |
| Parkview Lagrange Hospital | Indiana (statewide) | $34,475 | 4.5× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $35,099 | 4.9× | 1 | 2025-09-09 |
| Parkview Whitley Hospital | Indiana (statewide) | $35,271 | 4.6× | 1 | 2026-09-01 |
| Northern Light Mayo Hospital | Maine (statewide) | $35,792 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $37,385 | 4.4× | 5 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $38,045 | 3.6× | 4 | 2026-04-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $38,188 | 5.0× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $42,727 | 6.0× | 1 | 2025-09-09 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $46,178 | 6.6× | 24 | 2026-03-31 |
| Saint Joseph Regional Medical Center | Indiana (statewide) | $47,957 | 6.3× | 22 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for big toe joint fusion?
Across 1090 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 28750, hospital outpatient is $10,401, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,870 to $15,455. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for big toe joint fusion?
Medicare's national hospital outpatient rate for CPT 28750 is $7,413 and its surgery-center rate is $5,187, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for big toe joint fusion?
Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,764). Highest: Logan Regional Medical Center ($48,308), Saint Joseph Regional Medical Center ($47,957), Mount Carmel New Albany Surgical Hospital ($46,178). Coverage: every hospital whose price file we could read.