Repair of toe tendon
Medicare pricing data for 4,256 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Repair of toe tendon (HCPCS code 28010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $173.90, but hospitals typically charge $775.96 — a 4.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $173.90, your out-of-pocket cost would be approximately $34.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $134.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $224 | $447 | 17 | 51 | +29.0% |
| Maine | $213 | $556 | 7 | 28 | +22.5% |
| District of Columbia | $211 | $543 | 5 | 21 | +21.2% |
| Alaska | $205 | $1,783 | 17 | 62 | +17.8% |
| Massachusetts | $204 | $766 | 80 | 255 | +17.6% |
| West Virginia | $204 | $504 | 12 | 24 | +17.3% |
| Delaware | $203 | $506 | 11 | 43 | +16.6% |
| New Jersey | $200 | $929 | 98 | 252 | +15.1% |
| Hawaii | $195 | $530 | 9 | 35 | +12.1% |
| Connecticut | $194 | $808 | 26 | 80 | +11.7% |
| California | $190 | $773 | 321 | 1,258 | +9.3% |
| Wyoming | $190 | $866 | 5 | 18 | +9.2% |
| Maryland | $190 | $1,035 | 88 | 343 | +9.0% |
| Virginia | $189 | $671 | 100 | 457 | +8.9% |
| Pennsylvania | $188 | $556 | 209 | 651 | +8.3% |
| Colorado | $188 | $1,186 | 94 | 351 | +8.0% |
| Florida | $185 | $687 | 281 | 1,100 | +6.6% |
| Illinois | $183 | $753 | 162 | 672 | +5.3% |
| Georgia | $183 | $732 | 130 | 459 | +5.0% |
| Washington | $182 | $594 | 144 | 714 | +4.5% |
| Michigan | $181 | $480 | 153 | 445 | +4.2% |
| New York | $180 | $614 | 173 | 784 | +3.3% |
| New Mexico | $179 | $414 | 21 | 93 | +2.8% |
| Oregon | $179 | $657 | 84 | 488 | +2.8% |
| Oklahoma | $179 | $498 | 49 | 324 | +2.7% |
| South Dakota | $174 | $490 | 11 | 44 | -0.1% |
| Ohio | $173 | $686 | 183 | 610 | -0.5% |
| Missouri | $173 | $924 | 82 | 345 | -0.7% |
| Kentucky | $172 | $475 | 56 | 307 | -0.9% |
| New Hampshire | $171 | $1,575 | 30 | 233 | -1.5% |
| Texas | $171 | $697 | 253 | 1,016 | -1.8% |
| Arizona | $170 | $562 | 138 | 820 | -2.1% |
| Kansas | $169 | $1,041 | 45 | 194 | -2.7% |
| North Carolina | $169 | $629 | 134 | 627 | -2.9% |
| Louisiana | $167 | $869 | 49 | 207 | -3.7% |
| Utah | $166 | $853 | 88 | 436 | -4.3% |
| Tennessee | $165 | $663 | 121 | 608 | -5.4% |
| Idaho | $163 | $609 | 50 | 213 | -6.1% |
| South Carolina | $163 | $619 | 81 | 502 | -6.1% |
| Indiana | $162 | $710 | 141 | 781 | -6.7% |
| Mississippi | $162 | $630 | 5 | 123 | -6.8% |
| Alabama | $161 | $439 | 39 | 256 | -7.2% |
| Arkansas | $155 | $978 | 32 | 198 | -10.6% |
| Minnesota | $151 | $864 | 77 | 330 | -13.3% |
| Iowa | $150 | $772 | 61 | 294 | -13.6% |
| Wisconsin | $146 | $2,748 | 94 | 483 | -16.2% |
| Nebraska | $143 | $683 | 44 | 290 | -17.5% |
| Montana | $141 | $787 | 34 | 170 | -19.0% |
| Nevada | $131 | $1,259 | 27 | 200 | -24.7% |
| North Dakota | $123 | $833 | 23 | 196 | -29.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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