Closed treatment of broken toe
Medicare pricing data for 3,316 providers across 42 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 toe (HCPCS code 28510) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $114.62, but hospitals typically charge $346.87 — a 3.0x 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 $114.62, your out-of-pocket cost would be approximately $22.92. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $86.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $131 | $385 | 505 | 1,102 | +13.9% |
| New Jersey | $128 | $478 | 202 | 468 | +12.0% |
| California | $123 | $332 | 157 | 313 | +7.5% |
| Hawaii | $121 | $274 | 13 | 26 | +5.1% |
| Maryland | $120 | $316 | 100 | 230 | +4.9% |
| Colorado | $120 | $321 | 27 | 35 | +4.3% |
| Delaware | $119 | $323 | 17 | 67 | +3.9% |
| Connecticut | $118 | $399 | 67 | 135 | +3.3% |
| Rhode Island | $118 | $289 | 23 | 54 | +3.1% |
| Pennsylvania | $115 | $345 | 253 | 609 | +0.6% |
| Florida | $114 | $300 | 273 | 811 | -0.9% |
| Michigan | $113 | $268 | 159 | 335 | -1.3% |
| Alaska | $113 | $708 | 11 | 11 | -1.3% |
| Virginia | $111 | $303 | 77 | 155 | -3.4% |
| Massachusetts | $111 | $391 | 122 | 234 | -3.5% |
| Minnesota | $110 | $488 | 21 | 30 | -4.3% |
| Washington | $109 | $329 | 13 | 18 | -5.0% |
| Illinois | $109 | $414 | 137 | 290 | -5.2% |
| Oregon | $108 | $384 | 14 | 22 | -5.7% |
| Wisconsin | $108 | $651 | 18 | 25 | -6.0% |
| Kansas | $108 | $328 | 19 | 29 | -6.0% |
| Arizona | $107 | $274 | 46 | 157 | -6.4% |
| Texas | $106 | $309 | 88 | 151 | -7.4% |
| Iowa | $106 | $403 | 28 | 43 | -7.9% |
| Nevada | $105 | $375 | 13 | 19 | -8.2% |
| Arkansas | $105 | $245 | 13 | 24 | -8.6% |
| Ohio | $105 | $287 | 150 | 256 | -8.6% |
| Utah | $105 | $262 | 27 | 36 | -8.8% |
| Alabama | $104 | $277 | 63 | 104 | -9.2% |
| North Carolina | $104 | $298 | 93 | 151 | -9.6% |
| Georgia | $103 | $411 | 82 | 155 | -10.2% |
| South Carolina | $103 | $368 | 59 | 129 | -10.4% |
| West Virginia | $102 | $275 | 25 | 46 | -11.3% |
| Indiana | $101 | $323 | 88 | 143 | -12.1% |
| Kentucky | $100 | $310 | 26 | 49 | -12.5% |
| Oklahoma | $100 | $259 | 26 | 32 | -12.9% |
| Louisiana | $99 | $350 | 35 | 66 | -13.3% |
| New Mexico | $99 | $331 | 26 | 54 | -13.4% |
| Tennessee | $99 | $282 | 53 | 83 | -13.7% |
| Missouri | $93 | $282 | 71 | 147 | -19.0% |
| Nebraska | $91 | $300 | 12 | 13 | -20.2% |
| Mississippi | $89 | $424 | 37 | 53 | -22.6% |
⚠️ 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