Price AtlasInteractive atlas · All states · techysurgeon.comToe amputation: what insurers pay
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.
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CPT 28820: Toe Amputation
1253 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 | $3,160 | $3,900 | $4,244 | $2,938–$8,718 |
| Alaska (statewide) | 3 | — | — | — | $2,818–$10,897 |
| Arizona (statewide) | 13 | $3,458 | $3,901 | $4,364 | $2,155–$11,826 |
| Arkansas (statewide) | 11 | $2,724 | $3,075 | $3,650 | $2,330–$4,485 |
| Atlanta GA | 10 | $4,346 | $4,714 | $5,531 | $4,346–$5,531 |
| Austin TX | 13 | $2,628 | $4,863 | $4,863 | $2,628–$4,982 |
| Boston MA | 13 | $4,159 | $5,490 | $5,761 | $3,000–$6,591 |
| California (statewide) | 60 | $4,666 | $9,298 | $12,270 | $3,476–$12,848 |
| Charlotte NC | 5 | $3,857 | $3,857 | $3,857 | $3,805–$3,857 |
| Chicago IL | 7 | $4,732 | $5,326 | $7,295 | $4,109–$7,516 |
| Cleveland OH | 11 | $3,223 | $3,484 | $3,810 | $1,857–$4,756 |
| Colorado (statewide) | 14 | $4,538 | $5,088 | $5,926 | $3,245–$7,895 |
| Columbus OH | 2 | — | — | — | $11,769–$11,769 |
| Connecticut (statewide) | 3 | — | — | — | $3,362–$13,633 |
| Dallas-Fort Worth TX | 14 | $4,801 | $4,897 | $5,103 | $4,799–$10,833 |
| Denver CO | 15 | $5,105 | $5,415 | $5,936 | $4,384–$6,550 |
| Detroit MI | 15 | $2,795 | $2,795 | $3,188 | $1,931–$5,812 |
| Florida (statewide) | 59 | $5,360 | $6,930 | $7,522 | $2,300–$15,595 |
| Georgia (statewide) | 45 | $3,756 | $4,714 | $5,531 | $2,092–$15,676 |
| Hawaii (statewide) | 5 | $4,231 | $5,092 | $5,672 | $4,038–$7,285 |
| Houston TX | 19 | $3,932 | $4,250 | $4,452 | $3,772–$6,245 |
| Idaho (statewide) | 15 | $3,124 | $3,306 | $7,451 | $1,738–$9,807 |
| Illinois (statewide) | 29 | $3,383 | $5,098 | $7,295 | $1,995–$9,639 |
| Indiana (statewide) | 37 | $5,193 | $7,429 | $12,222 | $2,234–$20,580 |
| Indianapolis IN | 4 | — | — | — | $3,624–$14,684 |
| Iowa (statewide) | 26 | $3,343 | $4,504 | $6,198 | $1,726–$9,929 |
| Kansas (statewide) | 19 | $4,084 | $4,982 | $5,673 | $2,989–$10,897 |
| Kentucky (statewide) | 15 | $2,293 | $3,652 | $3,920 | $1,613–$5,420 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 18 | $5,124 | $5,876 | $7,568 | $4,687–$14,342 |
| Louisiana (statewide) | 24 | $3,141 | $3,676 | $4,184 | $2,148–$8,954 |
| Maine (statewide) | 16 | $13,295 | $15,088 | $15,435 | $6,984–$19,406 |
| Maryland (statewide) | 1 | — | — | — | $4,824–$4,824 |
| Massachusetts (statewide) | 9 | $3,412 | $3,986 | $4,278 | $2,503–$5,018 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $3,554–$6,058 |
| Michigan (statewide) | 23 | $2,823 | $3,152 | $3,534 | $1,645–$7,911 |
| Minneapolis-St. Paul MN | 12 | $4,642 | $4,732 | $5,188 | $3,191–$6,718 |
| Minnesota (statewide) | 16 | $4,688 | $8,620 | $10,251 | $2,048–$15,214 |
| Mississippi (statewide) | 23 | $4,020 | $4,668 | $5,111 | $2,473–$8,923 |
| Missouri (statewide) | 20 | $3,804 | $4,394 | $5,189 | $2,501–$6,897 |
| Montana (statewide) | 5 | $4,764 | $6,562 | $6,814 | $4,299–$9,713 |
| Nashville TN | 8 | $2,753 | $2,895 | $4,001 | $1,637–$6,688 |
| Nebraska (statewide) | 12 | $3,376 | $4,736 | $5,285 | $3,376–$7,309 |
| Nevada (statewide) | 3 | — | — | — | $6,228–$7,643 |
| New Hampshire (statewide) | 6 | $5,492 | $7,255 | $10,415 | $2,760–$14,652 |
| New Jersey (statewide) | 28 | $5,428 | $6,770 | $7,389 | $3,591–$12,496 |
| New Mexico (statewide) | 7 | $5,782 | $9,222 | $10,034 | $1,827–$13,842 |
| New York (statewide) | 29 | $3,904 | $4,940 | $6,582 | $2,531–$9,545 |
| New York City | 8 | $3,902 | $5,341 | $8,155 | $3,876–$11,230 |
| North Carolina (statewide) | 6 | $4,270 | $5,814 | $8,088 | $3,108–$9,044 |
| North Dakota (statewide) | 5 | $5,613 | $5,716 | $7,003 | $5,176–$7,395 |
| Ohio (statewide) | 41 | $3,405 | $5,940 | $7,739 | $1,786–$12,576 |
| Oklahoma (statewide) | 12 | $5,793 | $6,702 | $7,148 | $2,889–$9,948 |
| Oregon (statewide) | 11 | $7,828 | $9,228 | $11,278 | $2,484–$14,924 |
| Pennsylvania (statewide) | 49 | $3,514 | $6,606 | $10,686 | $1,596–$15,051 |
| Philadelphia PA | 11 | $3,619 | $4,175 | $5,533 | $3,316–$12,496 |
| Phoenix AZ | 8 | $2,876 | $3,004 | $3,039 | $2,600–$3,039 |
| Pittsburgh PA | 10 | $3,217 | $5,706 | $6,738 | $2,494–$8,166 |
| Portland OR | 9 | $7,274 | $7,274 | $11,960 | $6,682–$11,960 |
| Research Triangle NC | 2 | — | — | — | $4,148–$5,152 |
| Rhode Island (statewide) | 5 | $4,393 | $6,284 | $6,696 | $4,194–$8,858 |
| Richmond VA | 3 | — | — | — | $5,342–$5,350 |
| Rio Grande Valley TX | 5 | $4,252 | $4,291 | $5,830 | $3,144–$5,830 |
| Salt Lake City UT | 9 | $3,576 | $3,698 | $3,698 | $2,947–$3,819 |
| San Antonio TX | 3 | — | — | — | $3,960–$4,773 |
| San Diego CA | 7 | $7,154 | $7,154 | $7,200 | $6,018–$7,760 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,134–$19,507 |
| Seattle-Tacoma WA | 16 | $8,396 | $8,809 | $11,436 | $8,002–$12,938 |
| South Carolina (statewide) | 28 | $6,603 | $7,453 | $9,162 | $3,707–$11,592 |
| South Dakota (statewide) | 5 | $5,205 | $5,830 | $5,938 | $4,023–$16,579 |
| St. Louis MO | 7 | $6,188 | $6,188 | $6,188 | $4,953–$8,358 |
| Tampa FL | 6 | $6,038 | $6,038 | $6,038 | $5,195–$9,268 |
| Tennessee (statewide) | 36 | $2,863 | $3,104 | $3,478 | $2,102–$6,718 |
| Texas (statewide) | 80 | $3,772 | $4,853 | $5,023 | $1,954–$20,580 |
| Utah (statewide) | 8 | $2,947 | $3,374 | $3,606 | $2,484–$11,341 |
| Virginia (statewide) | 25 | $5,978 | $9,305 | $10,442 | $3,192–$12,413 |
| Washington (statewide) | 15 | $6,824 | $9,220 | $9,800 | $2,135–$16,915 |
| Washington DC | 8 | $4,359 | $4,359 | $4,421 | $4,359–$5,051 |
| West Virginia (statewide) | 9 | $4,800 | $5,466 | $10,636 | $3,602–$21,783 |
| Wisconsin (statewide) | 42 | $6,094 | $6,825 | $6,825 | $1,936–$12,908 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Upmc Cole | Pennsylvania (statewide) | $1,596 | 0.5× | 1 | 2026-03-06 |
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,613 | 0.5× | 1 | 2026-07-10 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 0.5× | 1 | 2026-01-01 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $1,645 | 0.5× | 1 | 2026-09-02 |
| Upmc Kane | Pennsylvania (statewide) | $1,692 | 0.5× | 1 | 2026-03-06 |
| Clarinda Regional Health Center | Iowa (statewide) | $1,726 | 0.6× | 1 | 2026-07-13 |
| Steele Memorial Medical Center | Idaho (statewide) | $1,738 | 0.5× | 2 | 2026-02-26 |
| University Hospitals Samaritan Medical Center | Ohio (statewide) | $1,786 | 0.6× | 1 | 2026-07-14 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $1,788 | 0.6× | 2 | 2026-09-25 |
| Cibola General Hospital | New Mexico (statewide) | $1,827 | 0.6× | 2 | 2026-09-27 |
| University Hospitals Cleveland Medical Center | Cleveland OH | $1,857 | 0.6× | 1 | 2026-07-14 |
| Conemaugh Memorial Medical Center | Pennsylvania (statewide) | $1,859 | 0.6× | 1 | 2026-04-15 |
| Mainehealth Waldo Hospital | Maine (statewide) | $15,942 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $16,256 | 5.0× | 2 | 2026-03-30 |
| Parkview Whitley Hospital | Indiana (statewide) | $16,283 | 4.7× | 1 | 2026-09-01 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $16,579 | 5.0× | 2 | 2026-09-10 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $16,915 | 4.4× | 5 | 2026-08-27 |
| Parkview Lagrange Hospital | Indiana (statewide) | $18,563 | 5.4× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $19,406 | 6.0× | 1 | 2025-09-09 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 4.0× | 4 | 2026-04-01 |
| 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 |
| Logan Regional Medical Center | West Virginia (statewide) | $21,783 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for toe amputation?
Across 1253 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 28820, hospital outpatient is $5,105, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,805 to $7,274. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for toe amputation?
Medicare's national hospital outpatient rate for CPT 28820 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for toe amputation?
Lowest medians: Upmc Cole ($1,596), Jackson Purchase Medical Center ($1,613), Ascension Saint Thomas Rutherford ($1,637). Highest: Logan Regional Medical Center ($21,783), Parkview Hospital ($20,580), Parkview Regional Medical Center ($20,580). Coverage: every hospital whose price file we could read.