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Hammertoe correction: what insurers pay

Straightening a bent toe joint. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 28285: Repair of Hammertoe

91 hospitals in 32 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$5,324–$5,531
Austin TX2———$2,628–$5,926
Boston MA7$4,134$4,206$5,512$3,574–$6,288
California (statewide)1———$11,855–$11,855
Chicago IL5$4,628$5,326$5,636$3,751–$7,516
Cleveland OH5$5,512$5,520$6,514$2,890–$7,589
Columbus OH1———$11,769–$11,769
Dallas-Fort Worth TX4———$6,093–$10,017
Denver CO7$3,660$4,948$5,132$2,517–$5,980
Detroit MI6$2,795$3,088$3,831$2,795–$5,812
Georgia (statewide)1———$5,495–$5,495
Houston TX1———$4,093–$4,093
Indianapolis IN1———$8,718–$8,718
Kansas (statewide)1———$5,612–$5,612
Las Vegas NV2———$2,318–$3,769
Los Angeles CA2———$9,575–$20,636
Miami-Fort Lauderdale FL1———$6,465–$6,465
Minneapolis-St. Paul MN1———$2,222–$2,222
Nashville TN4———$1,869–$3,603
New York City3———$6,861–$12,248
Ohio (statewide)1———$6,962–$6,962
Philadelphia PA5$4,642$7,409$9,172$4,420–$11,208
Phoenix AZ3———$4,000–$4,231
Portland OR6$10,801$10,801$11,670$10,801–$11,960
Richmond VA2———$6,380–$6,548
San Antonio TX1———$5,500–$5,500
San Diego CA1———$4,208–$4,208
San Francisco Bay Area CA1———$22,041–$22,041
Seattle-Tacoma WA6$10,046$10,872$13,736$8,834–$14,460
Tampa FL2———$3,812–$6,038
Washington DC3———$5,676–$6,056
Wisconsin (statewide)1———$6,484–$6,484
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,2220.7×32026-03-31
Henderson HospitalLas Vegas NV$2,3180.7×42026-09-01
Adventhealth PorterDenver CO$2,5170.7×42026-04-01
Adventhealth ParkerDenver CO$2,5170.7×42026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5820.8×22026-01-01
Ascension Seton Medical Center AustinAustin TX$2,6280.8×12026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,7950.9×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,7950.9×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,7950.9×12026-05-01
University Hospitals - Elyria Medical CenterCleveland OH$2,8900.9×42026-07-14
Vanderbilt University Medical CenterNashville TN$3,2451.0×72025-10-01
Trinity Health Oakland HospitalDetroit MI$3,3811.0×162026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$3,5740.9×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$3,6031.1×52026-09-01
Endeavor Health Northwest Community HospitalChicago IL$3,7511.1×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,7691.1×72026-07-01
Tampa General HospitalTampa FL$3,8121.1×32026-04-01
Henry Ford Health Rochester HospitalDetroit MI$3,9811.2×12026-01-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$4,0001.1×42026-04-01
Beverly Hospital CorporationBoston MA$4,0861.0×42026-04-01
Houston Methodist HospitalHouston TX$4,0931.3×62026-04-01
New England Baptist HospitalBoston MA$4,1831.1×42026-04-01
Winchester HospitalBoston MA$4,2061.1×32026-04-01
Scripps Green HospitalSan Diego CA$4,2081.0×12026-03-30
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,2311.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,2311.2×52026-04-01
Riddle Memorial HospitalPhiladelphia PA$4,4201.3×22026-04-01
Endeavor Health Edward HospitalChicago IL$4,6281.3×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$4,6421.4×22026-04-01
HCA HealthONE SwedishDenver CO$4,8021.4×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,9481.4×42026-09-01
HCA HealthONE Sky RidgeDenver CO$5,0661.5×42026-09-01
Hca Healthone RoseDenver CO$5,1971.5×42026-09-01
Anna Jaques HospitalBoston MA$5,2321.3×32026-04-01
Emory University HospitalAtlanta GA$5,3241.6×62026-04-01
Endeavor Health Elmhurst HospitalChicago IL$5,3261.5×22026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,4951.9×32026-04-01
Methodist HospitalSan Antonio TX$5,5001.7×52026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$5,5121.8×22026-06-15
Medina HospitalCleveland OH$5,5201.8×32026-06-15
Piedmont Atlanta HospitalAtlanta GA$5,5311.7×22026-07-01
Piedmont Fayette HospitalAtlanta GA$5,5311.7×22026-07-01
Piedmont Newnan HospitalAtlanta GA$5,5311.7×22026-07-01
Menorah Medical CenterKansas (statewide)$5,6121.8×52026-09-01
Endeavor Health Evanston HospitalChicago IL$5,6361.6×32026-04-01
Reston Hospital CenterWashington DC$5,6761.7×42026-09-01
Stonesprings Hospital CenterWashington DC$5,6881.7×42026-09-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$5,7931.5×12026-04-01
Harper University HospitalDetroit MI$5,8121.8×12026-09-02
St David's Medical CenterAustin TX$5,9261.8×52026-09-01
UCHealth University of Colorado HospitalDenver CO$5,9801.7×32025-11-01
Morton Plant HospitalTampa FL$6,0381.8×22026-01-01
Inova Alexandria HospitalWashington DC$6,0561.8×62026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$6,0931.9×32026-06-29
Beth Israel Deaconess Medical CenterBoston MA$6,2881.6×22026-04-01
Henrico Doctors' HospitalRichmond VA$6,3802.0×42026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$6,4651.9×12026-06-15
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$6,4842.0×32026-01-01
Cleveland Clinic (main campus)Cleveland OH$6,5142.1×22026-06-16
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,5482.0×42026-09-01
Montefiore Medical CenterNew York City$6,8611.7×82026-04-01
Bethesda NorthOhio (statewide)$6,9622.2×42026-04-01
Medical City PlanoDallas-Fort Worth TX$6,9802.1×52026-09-01
Jefferson Stratford HospitalPhiladelphia PA$7,4092.0×32026-09-15
University of Chicago Medical CenterChicago IL$7,5162.1×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$7,5892.5×22026-06-15
Medical City MckinneyDallas-Fort Worth TX$7,8842.4×52026-09-01
Riverview HealthIndianapolis IN$8,7182.5×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$8,8342.3×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0252.2×72026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1722.7×32026-09-15
Keck Hospital Of UscLos Angeles CA$9,5752.3×52026-04-01
St Clare HospitalSeattle-Tacoma WA$10,0022.6×62026-02-28
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$10,0173.0×22026-04-21
St Anthony HospitalSeattle-Tacoma WA$10,1792.7×62026-02-28
Legacy Emanuel Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,8013.0×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2083.0×12026-03-24
Swedish Medical CenterSeattle-Tacoma WA$11,5653.0×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$11,7693.7×202026-03-31
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8552.8×52026-09-01
Providence St Vincent Medical CenterPortland OR$11,9603.3×32026-04-01
Providence Portland Medical CenterPortland OR$11,9603.3×32026-04-01
Hospital for Special SurgeryNew York City$12,2483.0×62026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$14,4603.8×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$14,4603.8×62026-08-27
Cedars-Sinai Medical CenterLos Angeles CA$20,6364.9×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0414.6×32026-04-01

Questions

How much do commercial insurers pay hospitals for hammertoe correction?

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.

What does Medicare pay for hammertoe correction?

Medicare's national hospital outpatient rate for CPT 28285 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for hammertoe correction?

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.