Straightening a bent toe joint. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
1165 hospitals in 80 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $3,158 | $3,900 | $4,244 | $2,673–$8,718 |
| Alaska (statewide) | 3 | — | — | — | $3,573–$15,112 |
| Arizona (statewide) | 13 | $3,842 | $4,253 | $4,465 | $2,108–$11,826 |
| Arkansas (statewide) | 8 | $2,509 | $3,006 | $3,841 | $2,330–$4,485 |
| Atlanta GA | 10 | $5,324 | $5,531 | $5,531 | $5,324–$5,809 |
| Austin TX | 13 | $2,628 | $4,863 | $4,863 | $2,628–$5,353 |
| Boston MA | 11 | $4,452 | $5,031 | $5,714 | $3,000–$6,591 |
| California (statewide) | 64 | $4,796 | $7,543 | $11,961 | $3,560–$13,120 |
| Charlotte NC | 5 | $3,857 | $3,857 | $3,857 | $3,805–$3,857 |
| Chicago IL | 7 | $4,977 | $5,636 | $7,295 | $3,751–$7,516 |
| Cleveland OH | 11 | $3,328 | $3,902 | $5,554 | $2,453–$6,249 |
| Colorado (statewide) | 15 | $4,579 | $5,782 | $6,606 | $3,185–$10,197 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Connecticut (statewide) | 2 | — | — | — | $7,414–$13,633 |
| Dallas-Fort Worth TX | 12 | $5,449 | $5,574 | $6,730 | $5,023–$10,833 |
| Delaware (statewide) | 1 | — | — | — | $8,892–$8,892 |
| Denver CO | 15 | $3,552 | $5,492 | $5,908 | $3,185–$7,200 |
| Detroit MI | 15 | $2,795 | $3,708 | $5,058 | $2,795–$5,812 |
| Florida (statewide) | 59 | $5,503 | $6,736 | $7,272 | $2,012–$15,595 |
| Georgia (statewide) | 42 | $3,502 | $5,282 | $5,809 | $2,095–$17,296 |
| Hawaii (statewide) | 5 | $4,456 | $4,774 | $5,144 | $3,368–$8,080 |
| Houston TX | 19 | $4,336 | $4,708 | $4,807 | $4,144–$6,245 |
| Idaho (statewide) | 15 | $3,188 | $4,428 | $7,829 | $2,977–$13,000 |
| Illinois (statewide) | 26 | $4,150 | $5,507 | $7,295 | $2,880–$9,639 |
| Indiana (statewide) | 36 | $4,335 | $7,311 | $15,170 | $1,905–$26,474 |
| Indianapolis IN | 1 | — | — | — | $8,718–$8,718 |
| Iowa (statewide) | 23 | $4,340 | $5,178 | $7,309 | $1,953–$9,929 |
| Kansas (statewide) | 19 | $3,595 | $4,056 | $5,266 | $2,250–$15,112 |
| Kentucky (statewide) | 16 | $3,733 | $4,234 | $4,420 | $1,845–$5,710 |
| Las Vegas NV | 2 | — | — | — | $2,499–$3,010 |
| Los Angeles CA | 17 | $5,214 | $6,102 | $8,330 | $4,792–$20,636 |
| Louisiana (statewide) | 21 | $3,088 | $3,652 | $4,064 | $2,737–$9,482 |
| Maine (statewide) | 17 | $13,295 | $14,927 | $15,435 | $3,465–$19,406 |
| Maryland (statewide) | 1 | — | — | — | $4,363–$4,363 |
| Massachusetts (statewide) | 7 | $3,493 | $4,236 | $4,486 | $2,503–$5,100 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,262–$6,262 |
| Michigan (statewide) | 25 | $3,396 | $3,583 | $3,856 | $1,645–$5,698 |
| Minneapolis-St. Paul MN | 8 | $4,656 | $4,679 | $4,801 | $2,222–$6,072 |
| Minnesota (statewide) | 14 | $4,679 | $8,045 | $10,310 | $4,209–$14,305 |
| Mississippi (statewide) | 17 | $1,786 | $4,093 | $5,051 | $1,786–$12,864 |
| Missouri (statewide) | 17 | $4,387 | $5,052 | $6,290 | $3,137–$6,897 |
| Montana (statewide) | 5 | $6,181 | $6,562 | $6,814 | $4,056–$9,713 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,215 | $1,869–$6,688 |
| Nebraska (statewide) | 11 | $6,065 | $8,645 | $8,645 | $2,499–$18,020 |
| Nevada (statewide) | 5 | $2,318 | $2,499 | $6,228 | $2,318–$6,584 |
| New Hampshire (statewide) | 6 | $8,809 | $10,474 | $11,260 | $6,251–$14,652 |
| New Jersey (statewide) | 23 | $5,877 | $7,262 | $8,289 | $3,545–$11,208 |
| New Mexico (statewide) | 9 | $4,379 | $6,447 | $10,160 | $3,083–$13,842 |
| New York (statewide) | 32 | $4,041 | $4,935 | $7,011 | $2,531–$11,332 |
| New York City | 8 | $3,963 | $4,939 | $7,688 | $3,913–$12,245 |
| North Carolina (statewide) | 5 | $5,298 | $6,331 | $8,674 | $3,928–$9,044 |
| North Dakota (statewide) | 5 | $5,470 | $5,613 | $5,716 | $5,176–$7,395 |
| Ohio (statewide) | 39 | $3,508 | $6,862 | $9,414 | $1,596–$12,576 |
| Oklahoma (statewide) | 11 | $5,040 | $6,702 | $7,410 | $1,613–$10,430 |
| Oregon (statewide) | 8 | $8,308 | $9,591 | $11,997 | $7,348–$14,924 |
| Pennsylvania (statewide) | 42 | $3,530 | $6,052 | $7,161 | $2,133–$16,920 |
| Philadelphia PA | 11 | $4,617 | $4,904 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,734 | $4,116 | $4,231 | $2,936–$4,231 |
| Pittsburgh PA | 8 | $4,263 | $5,706 | $6,718 | $2,860–$8,166 |
| Portland OR | 9 | $10,801 | $10,801 | $11,960 | $10,537–$11,960 |
| Rhode Island (statewide) | 5 | $4,393 | $6,284 | $6,757 | $3,711–$7,600 |
| Richmond VA | 3 | — | — | — | $6,380–$7,051 |
| Rio Grande Valley TX | 7 | $4,272 | $4,416 | $5,830 | $4,252–$14,797 |
| Salt Lake City UT | 9 | $3,576 | $3,698 | $3,698 | $2,947–$3,819 |
| San Antonio TX | 3 | — | — | — | $3,960–$4,807 |
| San Diego CA | 7 | $7,154 | $7,154 | $7,200 | $6,018–$7,760 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,682–$22,041 |
| Seattle-Tacoma WA | 16 | $8,488 | $9,090 | $11,697 | $8,396–$12,093 |
| South Carolina (statewide) | 18 | $8,684 | $10,138 | $14,185 | $2,439–$14,603 |
| South Dakota (statewide) | 5 | $5,205 | $5,830 | $5,938 | $5,017–$16,579 |
| Tampa FL | 6 | $6,038 | $6,038 | $6,038 | $3,812–$10,426 |
| Tennessee (statewide) | 26 | $3,117 | $3,389 | $4,497 | $2,218–$8,384 |
| Texas (statewide) | 76 | $4,020 | $5,002 | $5,504 | $2,035–$20,580 |
| Utah (statewide) | 7 | $3,060 | $3,576 | $3,637 | $2,947–$11,341 |
| Vermont (statewide) | 1 | — | — | — | $3,667–$3,667 |
| Virginia (statewide) | 20 | $7,253 | $9,846 | $10,691 | $4,936–$12,413 |
| Washington (statewide) | 16 | $6,079 | $9,318 | $9,686 | $1,851–$19,013 |
| Washington DC | 8 | $5,822 | $5,822 | $5,956 | $5,079–$6,372 |
| West Virginia (statewide) | 5 | $3,602 | $5,466 | $13,136 | $2,830–$21,783 |
| Wisconsin (statewide) | 43 | $6,146 | $7,043 | $7,250 | $1,966–$12,908 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Nationwide Children'S Hospital | Ohio (statewide) | $1,596 | 0.5× | 1 | 2026-04-01 |
| Newman Memorial Hospital | Oklahoma (statewide) | $1,613 | 0.5× | 1 | 2026-07-10 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $1,645 | 0.5× | 1 | 2026-09-02 |
| Ochsner Rush Hospital | Mississippi (statewide) | $1,786 | 0.6× | 2 | 2026-04-01 |
| Ochsner Watkins Hospital | Mississippi (statewide) | $1,786 | 0.6× | 2 | 2026-04-01 |
| Ochsner Laird Hospital | Mississippi (statewide) | $1,786 | 0.6× | 2 | 2026-04-01 |
| Ochsner Scott Regional | Mississippi (statewide) | $1,786 | 0.6× | 2 | 2026-04-01 |
| Ochsner Stennis Memorial Hospital | Mississippi (statewide) | $1,786 | 0.6× | 2 | 2026-04-01 |
| Oaklawn Hospital | Michigan (statewide) | $1,829 | 0.6× | 2 | 2026-03-27 |
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,845 | 0.6× | 1 | 2026-07-10 |
| Lourdes Medical Center | Washington (statewide) | $1,851 | 0.5× | 1 | 2026-07-10 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.6× | 1 | 2026-01-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $19,013 | 5.0× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $19,406 | 6.0× | 1 | 2025-09-09 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.9× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 6.3× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.9× | 3 | 2025-11-26 |
| Logan Regional Medical Center | West Virginia (statewide) | $21,783 | 6.9× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 4.6× | 3 | 2026-04-01 |
| Franciscan Health Lafayette | Indiana (statewide) | $22,448 | 6.5× | 1 | 2026-01-01 |
| Franciscan Health Crown Point | Indiana (statewide) | $25,231 | 7.3× | 3 | 2026-01-01 |
| Franciscan Health Munster | Indiana (statewide) | $25,965 | 7.5× | 3 | 2026-01-01 |
| Franciscan Health Michigan City | Indiana (statewide) | $26,474 | 7.7× | 3 | 2026-01-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 1165 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 28285, hospital outpatient is $5,504, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,986 to $7,458. 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: Nationwide Children'S Hospital ($1,596), Newman Memorial Hospital ($1,613), Helen Newberry Joy Hospital ($1,645). Highest: Franciscan Health Michigan City ($26,474), Franciscan Health Munster ($25,965), Franciscan Health Crown Point ($25,231). Coverage: every hospital whose price file we could read.