Straightening a bent toe joint. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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91 hospitals in 32 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $5,324–$5,531 |
| Austin TX | 2 | — | — | — | $2,628–$5,926 |
| Boston MA | 7 | $4,134 | $4,206 | $5,512 | $3,574–$6,288 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $4,628 | $5,326 | $5,636 | $3,751–$7,516 |
| Cleveland OH | 5 | $5,512 | $5,520 | $6,514 | $2,890–$7,589 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,093–$10,017 |
| Denver CO | 7 | $3,660 | $4,948 | $5,132 | $2,517–$5,980 |
| Detroit MI | 6 | $2,795 | $3,088 | $3,831 | $2,795–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $5,495–$5,495 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Indianapolis IN | 1 | — | — | — | $8,718–$8,718 |
| Kansas (statewide) | 1 | — | — | — | $5,612–$5,612 |
| Las Vegas NV | 2 | — | — | — | $2,318–$3,769 |
| Los Angeles CA | 2 | — | — | — | $9,575–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,465–$6,465 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $2,222–$2,222 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York City | 3 | — | — | — | $6,861–$12,248 |
| Ohio (statewide) | 1 | — | — | — | $6,962–$6,962 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $4,000–$4,231 |
| Portland OR | 6 | $10,801 | $10,801 | $11,670 | $10,801–$11,960 |
| Richmond VA | 2 | — | — | — | $6,380–$6,548 |
| San Antonio TX | 1 | — | — | — | $5,500–$5,500 |
| San Diego CA | 1 | — | — | — | $4,208–$4,208 |
| San Francisco Bay Area CA | 1 | — | — | — | $22,041–$22,041 |
| Seattle-Tacoma WA | 6 | $10,046 | $10,872 | $13,736 | $8,834–$14,460 |
| Tampa FL | 2 | — | — | — | $3,812–$6,038 |
| Washington DC | 3 | — | — | — | $5,676–$6,056 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.6× | 1 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $2,222 | 0.7× | 3 | 2026-03-31 |
| Henderson Hospital | Las Vegas NV | $2,318 | 0.7× | 4 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $2,517 | 0.7× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,517 | 0.7× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 0.8× | 2 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,628 | 0.8× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,890 | 0.9× | 4 | 2026-07-14 |
| Vanderbilt University Medical Center | Nashville TN | $3,245 | 1.0× | 7 | 2025-10-01 |
| Trinity Health Oakland Hospital | Detroit MI | $3,381 | 1.0× | 16 | 2026-03-31 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,574 | 0.9× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.1× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 1.1× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,769 | 1.1× | 7 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.1× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,981 | 1.2× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,000 | 1.1× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 1.0× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.3× | 6 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,183 | 1.1× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $4,206 | 1.1× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,208 | 1.0× | 1 | 2026-03-30 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,231 | 1.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,231 | 1.2× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.3× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,628 | 1.3× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.4× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $4,802 | 1.4× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,948 | 1.4× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $5,066 | 1.5× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $5,197 | 1.5× | 4 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $5,232 | 1.3× | 3 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $5,324 | 1.6× | 6 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,326 | 1.5× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,495 | 1.9× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,500 | 1.7× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,512 | 1.8× | 2 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $5,520 | 1.8× | 3 | 2026-06-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Menorah Medical Center | Kansas (statewide) | $5,612 | 1.8× | 5 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.6× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $5,676 | 1.7× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,688 | 1.7× | 4 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $5,793 | 1.5× | 1 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,812 | 1.8× | 1 | 2026-09-02 |
| St David's Medical Center | Austin TX | $5,926 | 1.8× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 1.7× | 3 | 2025-11-01 |
| Morton Plant Hospital | Tampa FL | $6,038 | 1.8× | 2 | 2026-01-01 |
| Inova Alexandria Hospital | Washington DC | $6,056 | 1.8× | 6 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 1.9× | 3 | 2026-06-29 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,288 | 1.6× | 2 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,380 | 2.0× | 4 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,465 | 1.9× | 1 | 2026-06-15 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 2.0× | 3 | 2026-01-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,514 | 2.1× | 2 | 2026-06-16 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,548 | 2.0× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $6,861 | 1.7× | 8 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $6,962 | 2.2× | 4 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $6,980 | 2.1× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 2.0× | 3 | 2026-09-15 |
| University of Chicago Medical Center | Chicago IL | $7,516 | 2.1× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $7,589 | 2.5× | 2 | 2026-06-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $7,884 | 2.4× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $8,718 | 2.5× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $8,834 | 2.3× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 2.2× | 7 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 2.7× | 3 | 2026-09-15 |
| Keck Hospital Of Usc | Los Angeles CA | $9,575 | 2.3× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $10,002 | 2.6× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,017 | 3.0× | 2 | 2026-04-21 |
| St Anthony Hospital | Seattle-Tacoma WA | $10,179 | 2.7× | 6 | 2026-02-28 |
| Legacy Emanuel Medical Center | Portland OR | $10,801 | 3.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $10,801 | 3.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $10,801 | 3.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $10,801 | 3.0× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 3.0× | 1 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $11,565 | 3.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $11,769 | 3.7× | 20 | 2026-03-31 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 2.8× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.3× | 3 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,248 | 3.0× | 6 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $14,460 | 3.8× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $14,460 | 3.8× | 6 | 2026-08-27 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.9× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 4.6× | 3 | 2026-04-01 |
Across 91 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 28285, hospital outpatient is $5,636, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,195 to $8,301. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 28285 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.
Lowest medians: Ascension Saint Thomas Rutherford ($1,869), Park Nicollet Methodist Hospital ($2,222), Henderson Hospital ($2,318). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Tacoma General Allenmore Hospital ($14,460). Coverage is limited to the markets listed on this page.