Partial removal of foot or heel bone
Medicare pricing data for 5,997 providers across 51 states
This procedure has a 5.3x markup — hospitals charge $2,118 but Medicare allows only $401.47. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. 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
Partial removal of foot or heel bone (HCPCS code 28122) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $401.47, but hospitals typically charge $2,118 — a 5.3x 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 $401.47, your out-of-pocket cost would be approximately $80.29. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $319.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $590 | $6,361 | 15 | 30 | +47.0% |
| Delaware | $560 | $2,358 | 28 | 80 | +39.5% |
| Wyoming | $532 | $3,055 | 18 | 31 | +32.5% |
| Oregon | $520 | $1,877 | 86 | 172 | +29.5% |
| Idaho | $461 | $1,646 | 53 | 144 | +14.9% |
| California | $461 | $2,476 | 462 | 1,237 | +14.8% |
| Washington | $458 | $1,741 | 160 | 372 | +14.1% |
| Colorado | $447 | $2,600 | 129 | 293 | +11.3% |
| New Jersey | $440 | $2,650 | 182 | 401 | +9.7% |
| North Dakota | $433 | $2,079 | 22 | 76 | +7.7% |
| Arizona | $422 | $2,304 | 180 | 546 | +5.1% |
| Florida | $421 | $2,291 | 412 | 1,189 | +5.0% |
| Indiana | $421 | $2,404 | 159 | 456 | +4.9% |
| Texas | $418 | $2,377 | 443 | 1,102 | +4.1% |
| Alabama | $415 | $1,743 | 70 | 275 | +3.3% |
| Tennessee | $414 | $1,974 | 134 | 386 | +3.2% |
| New Mexico | $413 | $2,167 | 49 | 180 | +2.9% |
| Georgia | $410 | $2,707 | 154 | 493 | +2.1% |
| Illinois | $409 | $2,601 | 288 | 756 | +2.0% |
| Utah | $402 | $2,016 | 77 | 240 | +0.0% |
| New York | $400 | $2,620 | 241 | 528 | -0.3% |
| Montana | $400 | $1,816 | 26 | 64 | -0.4% |
| Kansas | $396 | $2,093 | 66 | 241 | -1.4% |
| Connecticut | $393 | $1,999 | 65 | 237 | -2.1% |
| Massachusetts | $391 | $1,816 | 112 | 279 | -2.6% |
| Minnesota | $391 | $2,479 | 116 | 290 | -2.6% |
| Missouri | $391 | $1,937 | 98 | 252 | -2.6% |
| Nevada | $386 | $2,165 | 56 | 302 | -3.9% |
| Michigan | $383 | $1,453 | 209 | 476 | -4.6% |
| Ohio | $382 | $1,692 | 222 | 570 | -4.9% |
| Pennsylvania | $382 | $1,665 | 255 | 663 | -4.9% |
| Virginia | $379 | $1,605 | 155 | 513 | -5.5% |
| New Hampshire | $373 | $2,680 | 26 | 109 | -7.1% |
| Arkansas | $369 | $1,624 | 44 | 102 | -8.2% |
| North Carolina | $360 | $1,784 | 171 | 534 | -10.3% |
| Maryland | $360 | $1,560 | 135 | 724 | -10.4% |
| Vermont | $350 | $1,944 | 7 | 14 | -12.7% |
| Oklahoma | $350 | $1,241 | 64 | 177 | -12.9% |
| District of Columbia | $344 | $1,469 | 21 | 155 | -14.3% |
| Mississippi | $341 | $2,234 | 36 | 136 | -15.0% |
| Nebraska | $338 | $2,088 | 60 | 171 | -15.8% |
| Rhode Island | $337 | $1,406 | 28 | 68 | -16.1% |
| Louisiana | $337 | $1,614 | 55 | 129 | -16.2% |
| Maine | $336 | $1,422 | 22 | 46 | -16.3% |
| Iowa | $336 | $2,225 | 88 | 270 | -16.3% |
| South Carolina | $334 | $1,717 | 102 | 225 | -16.9% |
| West Virginia | $326 | $1,393 | 27 | 63 | -18.8% |
| Wisconsin | $311 | $3,879 | 131 | 268 | -22.5% |
| Hawaii | $302 | $1,692 | 10 | 25 | -24.7% |
| Kentucky | $299 | $1,254 | 62 | 178 | -25.4% |
| South Dakota | $296 | $1,218 | 28 | 85 | -26.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber