Closed treatment of broken bone in forefoot or midfoot
Medicare pricing data for 9,358 providers across 47 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
Closed treatment of broken bone in forefoot or midfoot (HCPCS code 28470) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $194.31, but hospitals typically charge $762.81 — a 3.9x 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 $194.31, your out-of-pocket cost would be approximately $38.86. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $149.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $228 | $542 | 8 | 11 | +17.5% |
| New York | $226 | $1,057 | 784 | 1,854 | +16.5% |
| New Jersey | $222 | $1,158 | 371 | 978 | +14.1% |
| Connecticut | $210 | $649 | 142 | 365 | +8.0% |
| Maryland | $208 | $727 | 266 | 628 | +7.2% |
| Montana | $206 | $517 | 6 | 13 | +6.3% |
| Massachusetts | $205 | $791 | 303 | 725 | +5.4% |
| Delaware | $204 | $809 | 44 | 134 | +5.0% |
| Rhode Island | $202 | $665 | 49 | 109 | +4.1% |
| California | $200 | $859 | 573 | 1,033 | +2.8% |
| Pennsylvania | $199 | $673 | 705 | 1,884 | +2.4% |
| Florida | $198 | $701 | 673 | 1,987 | +1.8% |
| Illinois | $196 | $836 | 383 | 868 | +0.8% |
| Colorado | $195 | $840 | 96 | 165 | +0.4% |
| Virginia | $194 | $696 | 232 | 484 | -0.4% |
| Michigan | $191 | $534 | 435 | 898 | -1.6% |
| North Dakota | $190 | $742 | 21 | 52 | -2.1% |
| Arizona | $188 | $712 | 158 | 406 | -3.1% |
| Maine | $188 | $492 | 11 | 19 | -3.1% |
| Nevada | $188 | $1,082 | 52 | 81 | -3.5% |
| Utah | $187 | $561 | 82 | 153 | -4.0% |
| New Hampshire | $185 | $824 | 30 | 57 | -4.8% |
| Alabama | $185 | $585 | 212 | 534 | -4.8% |
| Minnesota | $185 | $866 | 149 | 234 | -4.9% |
| New Mexico | $184 | $545 | 54 | 127 | -5.4% |
| Georgia | $183 | $813 | 239 | 563 | -5.7% |
| Louisiana | $183 | $622 | 97 | 222 | -5.9% |
| Oregon | $182 | $737 | 47 | 81 | -6.1% |
| South Carolina | $182 | $630 | 174 | 502 | -6.3% |
| Indiana | $182 | $635 | 237 | 586 | -6.3% |
| West Virginia | $182 | $599 | 83 | 196 | -6.4% |
| South Dakota | $182 | $812 | 27 | 48 | -6.5% |
| Ohio | $180 | $636 | 576 | 1,084 | -7.3% |
| Kentucky | $179 | $660 | 124 | 318 | -7.7% |
| Kansas | $179 | $631 | 101 | 189 | -7.9% |
| North Carolina | $179 | $684 | 290 | 531 | -8.1% |
| Wisconsin | $178 | $1,217 | 99 | 154 | -8.5% |
| Iowa | $178 | $713 | 104 | 251 | -8.6% |
| Washington | $177 | $786 | 115 | 164 | -9.2% |
| Arkansas | $176 | $494 | 50 | 134 | -9.4% |
| Missouri | $176 | $696 | 205 | 446 | -9.4% |
| Texas | $173 | $858 | 433 | 717 | -11.1% |
| Tennessee | $171 | $694 | 185 | 354 | -11.7% |
| Mississippi | $171 | $772 | 110 | 330 | -12.1% |
| Oklahoma | $170 | $720 | 80 | 151 | -12.6% |
| Nebraska | $164 | $619 | 43 | 72 | -15.6% |
| Idaho | $156 | $666 | 36 | 57 | -19.5% |
⚠️ 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