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Hammertoe correction in Texas: what insurers pay

Posted commercial rates at 8 Texas hospitals, each next to its own Medicare base rate.

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CPT 28285

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$2,6280.8×12026-01-01
Houston Methodist Hospital Houston$4,0931.3×62026-04-01
Methodist Hospital San Antonio$5,5001.7×52026-09-01
St David's Medical Center Austin$5,9261.8×52026-09-01
Baylor University Medical Center Dallas$6,0931.9×32026-06-29
Medical City Plano Plano$6,9802.1×52026-09-01
Medical City Mckinney McKinney$7,8842.4×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$10,0173.0×22026-04-21

Questions

How much do insurers pay for hammertoe correction in Texas?

8 Texas hospitals post usable commercial rates for hammertoe correction in their federal price-transparency files. For CPT 28285, hospital outpatient, the median across 8 hospitals is $6,010, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.