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Big toe joint fusion in West Virginia: what insurers pay

Posted commercial rates at 5 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 28750

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$7,9301.1×12026-01-01
Wheeling Hospital, Inc Wheeling$10,0301.4×42026-07-09
Reynolds Memorial Hospital, Inc Glen Dale$12,1211.7×12026-07-09
St Mary'S Medical Center Huntington$28,9224.2×22026-01-01
Logan Regional Medical Center Logan$48,3086.9×12026-04-01

Questions

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

5 West Virginia hospitals post usable commercial rates for big toe joint fusion in their federal price-transparency files. For CPT 28750, hospital outpatient, the median across 5 hospitals is $12,121, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.