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Hammertoe correction in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 28285

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$6,8611.7×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,0252.2×72026-01-01
Hospital for Special Surgery New York$12,2483.0×62026-04-01

Questions

How much do insurers pay for hammertoe correction in New York?

3 New York hospitals post usable commercial rates for hammertoe correction in their federal price-transparency files. For CPT 28285, hospital outpatient, the median across 3 hospitals is $9,025, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.