28308

Incision or partial removal of foot bone (other than big toe) to straighten toe

Medicare pricing data for 6,315 providers across 51 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $2,752 but Medicare allows only $396.97. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $173 in South Dakota to $616 in Alaska. 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 or partial removal of foot bone (other than big toe) to straighten toe (HCPCS code 28308) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $396.97, but hospitals typically charge $2,752 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$79.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $396.97, your out-of-pocket cost would be approximately $79.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$396.97
Average Hospital Charge
$2,752
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,751.99
Medicare Allowed$396.97
Medicare Payment$315.34

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $315.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$616$7,9231123+55.3%
California$517$3,5505361,991+30.3%
Delaware$508$2,26233221+28.1%
Oregon$503$3,062101365+26.7%
Maryland$484$3,605141501+21.8%
New Mexico$438$2,32238118+10.5%
Arizona$437$2,943178792+10.0%
Hawaii$436$2,192817+9.8%
New Jersey$431$3,991190513+8.7%
Washington$429$1,802203852+8.0%
Maine$428$2,2181439+7.9%
Illinois$416$3,3403081,188+4.9%
Idaho$415$1,60861552+4.6%
Colorado$415$3,645170604+4.5%
Iowa$412$2,33189578+3.7%
Tennessee$411$2,682151940+3.7%
Nevada$411$2,44537124+3.6%
New Hampshire$404$4,38031118+1.8%
Indiana$403$2,945163661+1.5%
Utah$399$2,96988256+0.6%
Texas$396$2,8094451,866-0.1%
Minnesota$392$2,641115403-1.2%
Missouri$392$2,92498401-1.2%
Wyoming$392$2,18317108-1.3%
Alabama$389$2,04675401-2.0%
Pennsylvania$388$2,337240834-2.2%
Georgia$387$2,866181733-2.5%
Wisconsin$386$4,668117543-2.8%
Kansas$384$2,45867350-3.2%
Michigan$383$2,152201578-3.6%
Florida$381$2,8894512,089-3.9%
Nebraska$378$2,42179356-4.7%
Mississippi$374$3,61732270-5.7%
Virginia$367$2,586151803-7.5%
Connecticut$364$3,41174284-8.2%
North Dakota$363$2,2162387-8.6%
Rhode Island$359$1,97832115-9.6%
Montana$357$1,80936142-10.0%
New York$356$3,2343031,044-10.3%
Arkansas$356$1,97347289-10.4%
Louisiana$354$2,63464281-10.9%
Ohio$343$2,039227763-13.7%
North Carolina$340$1,869191990-14.5%
Massachusetts$332$2,378120541-16.4%
South Carolina$299$2,136110599-24.8%
Oklahoma$260$1,11271250-34.6%
Vermont$258$1,183925-35.0%
District of Columbia$256$1,2721541-35.5%
Kentucky$241$1,37659228-39.2%
West Virginia$227$1,2242668-42.9%
South Dakota$173$1,1222484-56.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber