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Hammertoe correction in Pennsylvania: what insurers pay

Posted commercial rates at 59 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 28285

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Memorial Medical Center Johnstown$2,1330.7×12026-04-15
Upmc Kane Kane$2,2140.7×22026-03-06
Upmc Cole Coudersport$2,6080.8×12026-03-06
St Mary Medical Center Langhorne$2,6160.8×202026-03-31
Upmc Northwest Seneca$2,7960.9×22026-03-06
Nazareth Hospital Philadelphia$2,8560.8×192026-03-31
Upmc St Margaret Pittsburgh$2,8600.9×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$3,0090.9×72026-04-08
Upmc East Monroeville$3,0100.9×22026-03-06
Upmc Altoona Altoona$3,0400.9×12026-03-06
Upmc Hamot Erie$3,4401.1×42026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$3,4941.1×52026-09-21
Wayne Memorial Hospital Honesdale$3,5141.1×12026-09-16
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,5771.1×32026-02-26
Jefferson Lansdale Hospital Lansdale$4,0961.3×52026-09-15
Jefferson Abington Hospital Abington$4,0961.3×52026-09-15
Upmc Somerset Somerset$4,1761.3×22026-03-06
Saint Vincent Hospital Erie$4,3801.4×72026-04-14
Riddle Memorial Hospital Media$4,4201.3×22026-04-01
Robert Packer Hospital Sayre$4,5651.4×102026-03-31
Troy Community Hospital Troy$4,5651.4×12026-03-31
Paoli Hospital Paoli$4,5921.4×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6421.4×22026-04-01
Forbes Hospital Monroeville$4,6811.5×72026-04-14
Lankenau Medical Center Wynnewood$4,6891.5×22026-04-01
Temple University Hospital Philadelphia$4,9041.5×92026-04-13
St Luke'S Miners Memorial Hospital Coaldale$5,0821.6×32026-02-27
Roxborough Memorial Hospital Philadelphia$5,4331.6×62024-06-21
Jefferson Health-Northeast Philadelphia$5,5141.6×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$5,5141.7×62026-09-15
Upmc Washington Washington$5,5301.7×42026-03-06
Upmc Memorial York$5,5881.8×52026-03-06
Lower Bucks Hospital Bristol$5,6921.8×62026-09-01
Jefferson Hospital Jefferson Hills$5,8821.9×62026-04-14
Upmc Carlisle Carlisle$6,4131.9×32026-03-06
Upmc Lititz Lititz$6,4132.0×32026-03-06
Upmc Hanover Hanover$6,4132.0×32026-03-06
Wellspan Surgery And Rehabilitation Hospital York$6,4202.0×32026-01-01
Allegheny Valley Hospital Natrona$6,5882.1×62026-04-14
Canonsburg General Hospital Canonsburg$6,6062.1×62026-04-14
Grove City Hospital Grove City$6,6392.1×52026-04-14
St Luke'S Hospital Bethlehem Bethlehem$6,6822.0×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$6,6822.1×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$6,6822.0×32026-02-27
Wellspan York Hospital York$6,9952.2×32026-01-01
Ahn Wexford Hospital Wexford$7,1062.2×62026-04-14
Wellspan Evangelical Community Hospital Lewisburg$7,2162.3×62026-01-01
St Clair Hospital Pittsburgh$7,3132.3×72026-03-31
Wellspan Chambersburg Hospital Chambersburg$7,7602.4×12026-01-01
Geisinger St. Luke'S Hospital Orwigsburg$8,0142.5×22026-02-26
Allegheny General Hospital Pittsburgh$8,1662.6×62026-04-14
West Penn Hospital Pittsburgh$8,2052.6×62026-04-14
Thomas Jefferson University Hospital Philadelphia$9,3042.8×42026-09-15
St Luke'S Hospital - Easton Campus Easton$10,6863.2×22026-02-26
Penn State Health Hampden Medical Center Enola$10,9343.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,0543.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$11,2263.5×12026-03-27
Penn State Health St. Joseph Reading$14,4704.3×12026-03-27
Wellspan Ephrata Community Hospital Ephrata$16,9205.3×22026-01-01

Questions

How much do insurers pay for hammertoe correction in Pennsylvania?

59 Pennsylvania hospitals post usable commercial rates for hammertoe correction in their federal price-transparency files. For CPT 28285, hospital outpatient, the median across 59 hospitals is $5,514, 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.