Incision to lengthen toe tendon
Medicare pricing data for 3,754 providers across 46 states
This procedure has a 5.1x markup — hospitals charge $1,149 but Medicare allows only $224.97. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $127 in North Dakota to $351 in Rhode Island. Where you get this procedure matters more than almost any other factor. 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
Incision to lengthen toe tendon (HCPCS code 28232) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $224.97, but hospitals typically charge $1,149 — a 5.1x 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 $224.97, your out-of-pocket cost would be approximately $44.99. 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 5.1x more than what Medicare allows for this procedure. Medicare actually pays $176.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $351 | $759 | 7 | 17 | +55.8% |
| Maryland | $281 | $1,115 | 72 | 403 | +24.8% |
| New Jersey | $274 | $1,679 | 122 | 322 | +21.6% |
| Massachusetts | $273 | $925 | 81 | 314 | +21.3% |
| Connecticut | $272 | $1,103 | 43 | 143 | +20.9% |
| California | $267 | $1,306 | 296 | 1,395 | +18.6% |
| New York | $254 | $1,209 | 178 | 658 | +13.1% |
| Utah | $253 | $1,101 | 67 | 471 | +12.6% |
| New Mexico | $246 | $892 | 28 | 87 | +9.5% |
| Florida | $245 | $944 | 302 | 1,695 | +9.0% |
| Louisiana | $245 | $853 | 47 | 252 | +8.9% |
| Virginia | $244 | $1,132 | 108 | 455 | +8.3% |
| Oregon | $243 | $1,412 | 49 | 205 | +8.1% |
| Oklahoma | $241 | $727 | 50 | 396 | +7.3% |
| Michigan | $241 | $755 | 202 | 753 | +7.3% |
| Washington | $234 | $1,198 | 73 | 371 | +3.9% |
| Montana | $230 | $940 | 22 | 156 | +2.3% |
| Pennsylvania | $229 | $878 | 173 | 634 | +1.6% |
| Ohio | $227 | $995 | 171 | 612 | +1.0% |
| Colorado | $223 | $1,822 | 92 | 320 | -0.8% |
| Nevada | $222 | $1,114 | 32 | 129 | -1.4% |
| Texas | $220 | $1,302 | 256 | 1,019 | -2.0% |
| Missouri | $220 | $1,252 | 62 | 353 | -2.3% |
| Kentucky | $219 | $860 | 32 | 133 | -2.7% |
| Wyoming | $218 | $1,063 | 7 | 144 | -3.3% |
| South Carolina | $217 | $830 | 63 | 329 | -3.5% |
| West Virginia | $213 | $763 | 13 | 67 | -5.4% |
| North Carolina | $207 | $1,176 | 95 | 420 | -8.1% |
| Georgia | $205 | $1,194 | 85 | 348 | -8.8% |
| Illinois | $202 | $1,407 | 145 | 639 | -10.2% |
| Indiana | $200 | $1,633 | 103 | 475 | -11.1% |
| Kansas | $199 | $1,222 | 34 | 290 | -11.4% |
| Delaware | $197 | $874 | 17 | 181 | -12.3% |
| Wisconsin | $197 | $2,266 | 75 | 287 | -12.3% |
| Tennessee | $195 | $1,724 | 83 | 437 | -13.1% |
| South Dakota | $193 | $440 | 15 | 75 | -14.0% |
| Idaho | $193 | $875 | 30 | 144 | -14.2% |
| Minnesota | $189 | $1,449 | 52 | 163 | -15.8% |
| Alabama | $188 | $1,139 | 45 | 194 | -16.3% |
| Iowa | $185 | $1,517 | 76 | 425 | -17.9% |
| Arizona | $183 | $921 | 128 | 1,113 | -18.6% |
| Arkansas | $181 | $603 | 27 | 565 | -19.7% |
| Mississippi | $168 | $823 | 16 | 310 | -25.5% |
| Nebraska | $156 | $1,665 | 26 | 125 | -30.8% |
| New Hampshire | $128 | $2,332 | 10 | 58 | -42.9% |
| North Dakota | $127 | $2,452 | 7 | 39 | -43.6% |
⚠️ 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