Fusion of big toe at joint with foot
Medicare pricing data for 5,787 providers across 51 states
Prices vary significantly by location — from $484 in South Dakota to $2,486 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
Fusion of big toe at joint with foot (HCPCS code 28750) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,450, but hospitals typically charge $5,557 — a 3.8x 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 $1,450, your out-of-pocket cost would be approximately $290.02. 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 3.8x more than what Medicare allows for this procedure. Medicare actually pays $1,151 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $2,486 | $13,061 | 18 | 46 | +71.4% |
| Oregon | $2,092 | $6,529 | 102 | 357 | +44.2% |
| Maryland | $2,003 | $8,933 | 109 | 361 | +38.1% |
| Delaware | $1,996 | $6,420 | 26 | 131 | +37.6% |
| California | $1,878 | $7,319 | 460 | 1,422 | +29.5% |
| Wyoming | $1,855 | $6,065 | 18 | 50 | +27.9% |
| Nevada | $1,826 | $6,429 | 43 | 147 | +25.9% |
| Connecticut | $1,821 | $6,692 | 66 | 175 | +25.6% |
| Hawaii | $1,816 | $4,002 | 10 | 26 | +25.2% |
| New Hampshire | $1,778 | $8,977 | 31 | 160 | +22.6% |
| Mississippi | $1,762 | $8,221 | 29 | 215 | +21.5% |
| Illinois | $1,675 | $6,766 | 228 | 738 | +15.5% |
| Iowa | $1,665 | $6,545 | 99 | 568 | +14.8% |
| Colorado | $1,625 | $6,898 | 143 | 489 | +12.1% |
| Georgia | $1,612 | $5,657 | 168 | 558 | +11.2% |
| Minnesota | $1,587 | $6,480 | 130 | 424 | +9.4% |
| Washington | $1,577 | $4,210 | 186 | 603 | +8.8% |
| Virginia | $1,564 | $4,726 | 154 | 781 | +7.9% |
| New Jersey | $1,530 | $7,497 | 114 | 250 | +5.5% |
| North Carolina | $1,493 | $4,504 | 188 | 850 | +3.0% |
| Alabama | $1,488 | $3,678 | 69 | 206 | +2.6% |
| Arizona | $1,480 | $5,369 | 170 | 691 | +2.1% |
| Tennessee | $1,470 | $4,641 | 144 | 596 | +1.4% |
| Florida | $1,427 | $6,216 | 376 | 1,307 | -1.6% |
| Missouri | $1,423 | $4,617 | 112 | 395 | -1.9% |
| Indiana | $1,414 | $7,750 | 170 | 553 | -2.5% |
| New Mexico | $1,388 | $4,173 | 43 | 116 | -4.3% |
| Utah | $1,360 | $5,567 | 76 | 185 | -6.2% |
| Montana | $1,336 | $4,179 | 37 | 161 | -7.9% |
| Kansas | $1,308 | $4,719 | 48 | 190 | -9.8% |
| Texas | $1,307 | $5,139 | 391 | 1,369 | -9.8% |
| Louisiana | $1,299 | $5,065 | 71 | 189 | -10.4% |
| New York | $1,276 | $5,764 | 212 | 541 | -12.0% |
| Michigan | $1,272 | $5,724 | 217 | 538 | -12.3% |
| Pennsylvania | $1,265 | $4,310 | 250 | 798 | -12.8% |
| Arkansas | $1,226 | $5,301 | 47 | 260 | -15.4% |
| South Carolina | $1,222 | $4,314 | 104 | 454 | -15.7% |
| North Dakota | $1,178 | $5,167 | 18 | 148 | -18.8% |
| Rhode Island | $1,178 | $4,035 | 27 | 70 | -18.8% |
| Maine | $1,122 | $3,666 | 18 | 31 | -22.6% |
| Idaho | $1,115 | $2,852 | 45 | 123 | -23.1% |
| Nebraska | $1,114 | $4,790 | 77 | 328 | -23.2% |
| Ohio | $1,073 | $3,374 | 248 | 669 | -26.0% |
| District of Columbia | $1,038 | $3,930 | 11 | 29 | -28.4% |
| Massachusetts | $1,006 | $4,250 | 101 | 309 | -30.6% |
| Wisconsin | $954 | $6,153 | 143 | 403 | -34.2% |
| Kentucky | $835 | $2,905 | 55 | 237 | -42.4% |
| Oklahoma | $725 | $1,883 | 45 | 141 | -50.0% |
| West Virginia | $673 | $2,535 | 25 | 60 | -53.6% |
| Vermont | $513 | $2,225 | 8 | 21 | -64.6% |
| South Dakota | $484 | $1,986 | 26 | 134 | -66.6% |
⚠️ 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