Amputation of a toe at the joint, most often for infection or poor circulation. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
104 hospitals in 37 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,346–$5,531 |
| Austin TX | 2 | — | — | — | $2,628–$5,926 |
| Boston MA | 7 | $4,607 | $5,232 | $6,040 | $4,086–$6,622 |
| California (statewide) | 1 | — | — | — | $11,297–$11,297 |
| Chicago IL | 5 | $4,628 | $4,837 | $5,326 | $4,109–$7,516 |
| Cleveland OH | 5 | $3,484 | $3,502 | $6,238 | $2,890–$6,370 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Dallas-Fort Worth TX | 4 | — | — | — | $4,302–$10,017 |
| Denver CO | 7 | $4,527 | $4,764 | $4,994 | $4,300–$5,980 |
| Detroit MI | 6 | $2,795 | $2,795 | $3,042 | $2,654–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,849–$3,849 |
| Indianapolis IN | 2 | — | — | — | $3,857–$8,718 |
| Kansas (statewide) | 1 | — | — | — | $3,708–$3,708 |
| Las Vegas NV | 1 | — | — | — | $3,769–$3,769 |
| Los Angeles CA | 2 | — | — | — | $8,293–$14,342 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,022–$6,022 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $4,022–$7,452 |
| Nashville TN | 4 | — | — | — | $1,637–$3,284 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 3 | — | — | — | $6,861–$8,622 |
| Ohio (statewide) | 1 | — | — | — | $5,506–$5,506 |
| Pennsylvania (statewide) | 1 | — | — | — | $6,958–$6,958 |
| Philadelphia PA | 5 | $3,640 | $6,648 | $6,993 | $3,453–$11,399 |
| Phoenix AZ | 3 | — | — | — | $2,968–$3,039 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $7,274 | $7,274 | $10,788 | $7,274–$11,960 |
| Research Triangle NC | 2 | — | — | — | $5,152–$5,152 |
| Richmond VA | 2 | — | — | — | $5,670–$5,839 |
| San Antonio TX | 1 | — | — | — | $3,695–$3,695 |
| San Diego CA | 1 | — | — | — | $4,208–$4,208 |
| San Francisco Bay Area CA | 1 | — | — | — | $19,507–$19,507 |
| Seattle-Tacoma WA | 6 | $10,046 | $10,872 | $13,228 | $8,834–$14,460 |
| St. Louis MO | 5 | $6,730 | $6,730 | $6,730 | $4,953–$9,261 |
| Tampa FL | 2 | — | — | — | $3,630–$6,038 |
| Washington DC | 3 | — | — | — | $4,798–$5,012 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,628 | 0.8× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $2,654 | 0.8× | 16 | 2026-03-31 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,795 | 0.9× | 1 | 2026-05-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,890 | 0.9× | 4 | 2026-07-14 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 0.9× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,968 | 0.8× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,039 | 0.9× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,039 | 0.9× | 5 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,125 | 1.0× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,245 | 1.0× | 7 | 2025-10-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,284 | 1.1× | 1 | 2026-01-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 1.0× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,484 | 1.1× | 2 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $3,502 | 1.1× | 3 | 2026-06-15 |
| Tampa General Hospital | Tampa FL | $3,630 | 1.1× | 3 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 1.1× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $3,695 | 1.1× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $3,708 | 1.2× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,769 | 1.1× | 7 | 2026-07-01 |
| Houston Methodist Hospital | Houston TX | $3,849 | 1.2× | 6 | 2026-04-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $3,857 | 1.1× | 1 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $4,022 | 1.2× | 2 | 2026-03-31 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 1.0× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,109 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,183 | 1.1× | 4 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,208 | 1.0× | 1 | 2026-03-30 |
| Adventhealth Porter | Denver CO | $4,300 | 1.3× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,300 | 1.3× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,302 | 1.3× | 3 | 2026-06-29 |
| Emory University Hospital | Atlanta GA | $4,346 | 1.3× | 6 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 1.4× | 1 | 2026-03-06 |
| Endeavor Health Edward Hospital | Chicago IL | $4,628 | 1.3× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,754 | 1.4× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $4,764 | 1.4× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,797 | 1.7× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $4,798 | 1.4× | 6 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $4,837 | 1.4× | 2 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $4,953 | 1.5× | 1 | 2026-06-10 |
| HCA HealthONE Sky Ridge | Denver CO | $4,984 | 1.4× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $5,000 | 1.5× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $5,004 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,012 | 1.5× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,031 | 1.3× | 1 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $5,152 | 1.6× | 1 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $5,152 | 1.6× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $5,232 | 1.3× | 3 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,326 | 1.5× | 2 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $5,381 | 1.6× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $5,506 | 1.7× | 4 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $5,531 | 1.7× | 2 | 2026-07-01 |
| Medical City Plano | Dallas-Fort Worth TX | $5,640 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $5,670 | 1.8× | 4 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.4× | 5 | 2026-06-10 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $5,793 | 1.5× | 1 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,812 | 1.8× | 1 | 2026-09-02 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $5,839 | 1.8× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $5,926 | 1.8× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 1.7× | 3 | 2025-11-01 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $6,022 | 1.8× | 2 | 2026-03-30 |
| Morton Plant Hospital | Tampa FL | $6,038 | 1.8× | 2 | 2026-01-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $6,134 | 1.8× | 2 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $6,216 | 1.8× | 2 | 2026-06-16 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,238 | 2.0× | 1 | 2026-06-16 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,288 | 1.6× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,370 | 2.1× | 2 | 2026-06-15 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 2.0× | 3 | 2026-01-01 |
| Winchester Hospital | Boston MA | $6,622 | 1.7× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 1.8× | 3 | 2026-09-15 |
| Missouri Baptist Medical Center | St. Louis MO | $6,730 | 2.0× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $6,730 | 2.0× | 4 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $6,730 | 2.0× | 4 | 2025-12-15 |
| Montefiore Medical Center | New York City | $6,861 | 1.7× | 8 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $6,958 | 2.1× | 8 | 2026-07-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $6,993 | 2.1× | 3 | 2026-09-15 |
| Legacy Emanuel Medical Center | Portland OR | $7,274 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $7,274 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $7,274 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $7,274 | 2.0× | 5 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $7,452 | 2.2× | 3 | 2026-06-16 |
| University of Chicago Medical Center | Chicago IL | $7,516 | 2.1× | 2 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $8,293 | 2.0× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $8,442 | 2.1× | 7 | 2026-01-01 |
| Hospital for Special Surgery | New York City | $8,622 | 2.1× | 6 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $8,718 | 2.5× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $8,834 | 2.3× | 5 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $9,261 | 2.8× | 4 | 2025-12-15 |
| St Clare Hospital | Seattle-Tacoma WA | $10,002 | 2.6× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,017 | 3.0× | 2 | 2026-04-21 |
| St Anthony Hospital | Seattle-Tacoma WA | $10,179 | 2.7× | 6 | 2026-02-28 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,297 | 2.7× | 5 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,399 | 3.1× | 4 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $11,565 | 3.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $11,769 | 3.7× | 20 | 2026-03-31 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.3× | 3 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $13,782 | 3.6× | 5 | 2026-08-27 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 3.4× | 3 | 2025-11-26 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $14,460 | 3.8× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 4.0× | 4 | 2026-04-01 |
Across 104 hospitals in 37 metro areas that post a usable dollar rate, the median commercial rate for CPT 28820, hospital outpatient is $5,519, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,103 to $6,967. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 28820 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.
Lowest medians: Ascension Saint Thomas Rutherford ($1,637), Ascension Seton Medical Center Austin ($2,628), Trinity Health Oakland Hospital ($2,654). Highest: Stanford Health Care ($19,507), Multicare Good Samaritan Hospital ($14,460), Cedars-Sinai Medical Center ($14,342). Coverage is limited to the markets listed on this page.