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: Fusion of Big Toe Joint
89 hospitals in 33 markets. National Medicare rate $7,413, surgery center $5,187.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,486–$7,486 |
| Austin TX | 2 | — | — | — | $5,743–$7,118 |
| Boston MA | 7 | $9,971 | $11,078 | $12,044 | $8,222–$13,661 |
| California (statewide) | 1 | — | — | — | $17,830–$17,830 |
| Chicago IL | 5 | $9,220 | $9,330 | $10,014 | $9,107–$16,851 |
| Cleveland OH | 5 | $10,314 | $10,722 | $11,648 | $7,176–$16,831 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,126–$24,892 |
| Denver CO | 7 | $8,110 | $8,320 | $14,123 | $7,897–$17,220 |
| Detroit MI | 6 | $5,684 | $5,902 | $6,932 | $5,684–$9,407 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $5,933–$5,933 |
| Indianapolis IN | 1 | — | — | — | $18,846–$18,846 |
| Kansas (statewide) | 1 | — | — | — | $8,900–$8,900 |
| Las Vegas NV | 2 | — | — | — | $7,352–$7,895 |
| Los Angeles CA | 2 | — | — | — | $9,575–$26,623 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $6,330–$6,330 |
| Nashville TN | 3 | — | — | — | $3,942–$7,073 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 3 | — | — | — | $9,856–$13,534 |
| Ohio (statewide) | 1 | — | — | — | $12,265–$12,265 |
| Philadelphia PA | 5 | $5,840 | $9,071 | $9,630 | $5,567–$13,320 |
| Phoenix AZ | 3 | — | — | — | $5,842–$6,041 |
| Pittsburgh PA | 1 | — | — | — | $6,197–$6,197 |
| Portland OR | 6 | $16,131 | $16,131 | $22,449 | $16,131–$24,555 |
| Richmond VA | 2 | — | — | — | $9,450–$10,410 |
| San Antonio TX | 1 | — | — | — | $5,939–$5,939 |
| San Diego CA | 1 | — | — | — | $9,333–$9,333 |
| San Francisco Bay Area CA | 1 | — | — | — | $38,045–$38,045 |
| Seattle-Tacoma WA | 6 | $22,205 | $24,030 | $29,360 | $19,451–$31,977 |
| Tampa FL | 2 | — | — | — | $13,658–$14,016 |
| Washington DC | 4 | — | — | — | $5,261–$8,598 |
| Wisconsin (statewide) | 1 | — | — | — | $12,152–$12,152 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,942 | 0.6× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $4,082 | 0.6× | 5 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $5,261 | 0.6× | 3 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,567 | 0.8× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,684 | 0.8× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,684 | 0.8× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,684 | 0.8× | 1 | 2026-05-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,743 | 0.8× | 1 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 0.6× | 5 | 2026-06-10 |
| Bryn Mawr Hospital | Philadelphia PA | $5,840 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $5,842 | 0.8× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $5,842 | 0.8× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,933 | 0.8× | 5 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,939 | 0.8× | 6 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $6,041 | 0.8× | 3 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $6,119 | 0.8× | 16 | 2026-03-31 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,197 | 0.9× | 1 | 2026-03-06 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $6,330 | 0.8× | 4 | 2026-03-31 |
| Vanderbilt University Medical Center | Nashville TN | $7,073 | 1.0× | 7 | 2025-10-01 |
| St David's Medical Center | Austin TX | $7,118 | 1.0× | 6 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $7,176 | 1.1× | 2 | 2026-07-14 |
| Henry Ford Health Rochester Hospital | Detroit MI | $7,203 | 1.0× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $7,352 | 1.0× | 1 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,486 | 1.0× | 6 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $7,895 | 1.0× | 5 | 2026-07-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,897 | 1.0× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $7,922 | 1.0× | 4 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $8,222 | 0.9× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $8,272 | 1.1× | 5 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $8,298 | 1.1× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $8,320 | 1.1× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $8,580 | 1.1× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $8,598 | 1.1× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $8,900 | 1.3× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $9,012 | 1.0× | 3 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,071 | 1.1× | 3 | 2026-09-15 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $9,107 | 1.2× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,126 | 1.3× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 1.4× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $9,220 | 1.2× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $9,330 | 1.2× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $9,333 | 1.0× | 1 | 2026-03-30 |
| Harper University Hospital | Detroit MI | $9,407 | 1.3× | 1 | 2026-09-02 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,450 | 1.3× | 4 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $9,575 | 1.0× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,630 | 1.3× | 3 | 2026-09-15 |
| Montefiore Medical Center | New York City | $9,856 | 1.1× | 8 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $10,014 | 1.3× | 2 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $10,314 | 1.5× | 2 | 2026-06-16 |
| Henrico Doctors' Hospital | Richmond VA | $10,410 | 1.5× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $10,722 | 1.6× | 2 | 2026-06-15 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $10,930 | 1.3× | 1 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $11,026 | 1.4× | 3 | 2025-11-01 |
| Winchester Hospital | Boston MA | $11,078 | 1.3× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $11,080 | 1.2× | 7 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $11,502 | 1.3× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $11,648 | 1.7× | 2 | 2026-06-15 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $12,152 | 1.7× | 3 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $12,265 | 1.7× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $12,586 | 1.4× | 1 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $12,755 | 1.8× | 6 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $13,064 | 1.8× | 6 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 1.6× | 1 | 2026-03-24 |
| Hospital for Special Surgery | New York City | $13,534 | 1.5× | 6 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $13,658 | 1.8× | 2 | 2026-01-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $13,661 | 1.6× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $14,016 | 1.9× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $16,131 | 2.0× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $16,831 | 2.5× | 1 | 2026-06-15 |
| University of Chicago Medical Center | Chicago IL | $16,851 | 2.2× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $17,220 | 2.3× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $17,220 | 2.3× | 2 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $17,830 | 1.9× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $18,846 | 2.5× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $19,451 | 2.3× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $22,107 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $22,498 | 2.7× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $24,555 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,555 | 3.0× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $24,892 | 3.4× | 2 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $25,561 | 3.0× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $26,623 | 2.9× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $30,626 | 3.6× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $31,977 | 3.8× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $38,045 | 3.6× | 4 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $46,178 | 6.6× | 20 | 2026-03-31 |
Questions
How much do commercial insurers pay hospitals for big toe joint fusion?
Across 89 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 28750, hospital outpatient is $9,575, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,352 to $14,016. 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: Ascension Saint Thomas Hospital (Midtown + West) ($3,942), TriStar StoneCrest Medical Center ($4,082), George Washington Univ Hospital ($5,261). Highest: Mount Carmel New Albany Surgical Hospital ($46,178), Stanford Health Care ($38,045), Multicare Good Samaritan Hospital ($31,977). Coverage is limited to the markets listed on this page.