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Big toe joint fusion in Pennsylvania: what insurers pay

Posted commercial rates at 55 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
Upmc St Margaret Pittsburgh$4,0340.6×12026-03-06
Upmc Cole Coudersport$4,1830.6×12026-03-06
Upmc Altoona Altoona$5,3110.8×12026-03-06
Upmc East Monroeville$5,4960.8×22026-03-06
Riddle Memorial Hospital Media$5,5670.8×22026-04-01
Paoli Hospital Paoli$5,7790.8×22026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$5,8300.8×22026-03-06
Bryn Mawr Hospital Bryn Mawr$5,8400.8×22026-04-01
Lankenau Medical Center Wynnewood$5,8980.8×22026-04-01
Upmc Hamot Erie$6,0410.8×32026-03-06
Jefferson Abington Hospital Abington$6,1360.9×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$6,1970.9×12026-03-06
Upmc Mercy Pittsburgh$6,2840.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$6,4200.9×52026-09-21
Upmc Northwest Seneca$6,9731.0×12026-03-06
Wellspan Evangelical Community Hospital Lewisburg$7,2161.0×62026-01-01
Temple Health - Chestnut Hill Hospital Philadelphia$7,4551.0×42026-04-08
Jefferson Lansdale Hospital Lansdale$7,6471.1×52026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$7,7171.1×62026-09-15
Upmc Somerset Somerset$7,8361.1×22026-03-06
Jefferson Health-Northeast Philadelphia$8,3611.1×62026-09-15
Temple University Hospital Philadelphia$8,4371.1×92026-04-13
Thomas Jefferson University Hospital Philadelphia$10,3651.4×42026-09-15
Upmc Memorial York$10,5191.5×52026-03-06
Upmc Hanover Hanover$10,9191.5×32026-03-06
Upmc Carlisle Carlisle$10,9341.5×32026-03-06
Upmc Lititz Lititz$10,9781.6×32026-03-06
Roxborough Memorial Hospital Philadelphia$10,9831.5×52024-06-21
Upmc Washington Washington$12,1741.7×42026-03-06
Wellspan Surgery And Rehabilitation Hospital York$12,4561.8×32026-01-01
Saint Vincent Hospital Erie$12,7341.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,9501.8×62026-04-14
St Luke'S Miners Memorial Hospital Coaldale$13,0081.8×22026-02-27
St Luke'S Hospital Bethlehem Bethlehem$13,2291.8×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$13,2291.9×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$13,2291.8×32026-02-27
St Mary Medical Center Langhorne$14,1592.0×82026-03-31
Allegheny Valley Hospital Natrona$14,5072.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,5442.1×62026-04-14
Grove City Hospital Grove City$14,6182.1×52026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$14,8382.1×22026-02-26
Forbes Hospital Monroeville$14,9462.1×62026-04-14
Ahn Wexford Hospital Wexford$15,6442.2×62026-04-14
St Clair Hospital Pittsburgh$16,2182.3×72026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$16,9022.4×22026-02-26
Nazareth Hospital Philadelphia$17,6012.4×72026-03-31
Wellspan Ephrata Community Hospital Ephrata$17,8612.5×22026-01-01
Allegheny General Hospital Pittsburgh$17,9802.5×62026-04-14
West Penn Hospital Pittsburgh$18,0652.6×62026-04-14
St Luke'S Hospital - Easton Campus Easton$22,7883.1×22026-02-26
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
Wellspan Chambersburg Hospital Chambersburg$28,9844.0×22026-01-01
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27

Questions

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

55 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 55 hospitals is $10,983, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.