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Big toe joint fusion in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 28750

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$5,5670.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,8400.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$6,1970.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,6301.3×32026-09-15

Questions

How much do insurers pay for big toe joint fusion in Pennsylvania?

4 Pennsylvania hospitals post usable commercial rates for big toe joint fusion in their federal price-transparency files. For CPT 28750, hospital outpatient, the median across 4 hospitals is $6,019, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.