Amputation of toe and midfoot bone
Medicare pricing data for 5,590 providers across 52 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
Amputation of toe and midfoot bone (HCPCS code 28810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $362.03, but hospitals typically charge $1,389 — 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 $362.03, your out-of-pocket cost would be approximately $72.41. 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 $287.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $513 | $3,888 | 21 | 45 | +41.6% |
| Delaware | $487 | $1,210 | 23 | 37 | +34.6% |
| Wyoming | $416 | $1,577 | 14 | 27 | +14.8% |
| Iowa | $415 | $2,162 | 66 | 142 | +14.5% |
| New Mexico | $409 | $994 | 25 | 60 | +12.9% |
| New Jersey | $397 | $1,440 | 154 | 369 | +9.6% |
| New York | $393 | $1,563 | 308 | 805 | +8.5% |
| Maryland | $387 | $1,257 | 88 | 300 | +6.9% |
| Washington | $381 | $1,152 | 140 | 291 | +5.3% |
| Puerto Rico | $377 | $448 | 11 | 13 | +4.2% |
| Illinois | $377 | $1,640 | 231 | 557 | +4.0% |
| Texas | $374 | $1,346 | 385 | 871 | +3.2% |
| California | $373 | $1,401 | 473 | 1,227 | +3.1% |
| Virginia | $371 | $1,203 | 146 | 383 | +2.4% |
| Florida | $371 | $1,240 | 291 | 640 | +2.4% |
| Massachusetts | $368 | $1,626 | 111 | 333 | +1.6% |
| Oregon | $367 | $1,332 | 73 | 148 | +1.3% |
| New Hampshire | $365 | $2,511 | 41 | 145 | +0.8% |
| North Dakota | $365 | $1,496 | 27 | 63 | +0.7% |
| North Carolina | $362 | $1,317 | 220 | 521 | -0.0% |
| Michigan | $362 | $1,199 | 187 | 360 | -0.1% |
| Colorado | $362 | $1,343 | 91 | 174 | -0.1% |
| Montana | $359 | $1,065 | 40 | 92 | -0.7% |
| Utah | $358 | $1,468 | 41 | 73 | -1.1% |
| Oklahoma | $358 | $1,065 | 69 | 170 | -1.2% |
| Mississippi | $357 | $1,385 | 95 | 293 | -1.3% |
| Ohio | $357 | $1,112 | 208 | 426 | -1.4% |
| Pennsylvania | $355 | $1,097 | 292 | 720 | -2.1% |
| Connecticut | $354 | $1,494 | 35 | 89 | -2.1% |
| Alabama | $354 | $1,169 | 92 | 264 | -2.2% |
| Georgia | $354 | $1,355 | 167 | 418 | -2.2% |
| Louisiana | $351 | $1,171 | 82 | 204 | -3.1% |
| Indiana | $351 | $1,542 | 122 | 284 | -3.1% |
| Minnesota | $351 | $1,565 | 83 | 188 | -3.1% |
| Nevada | $351 | $1,416 | 37 | 85 | -3.1% |
| Vermont | $351 | $1,515 | 19 | 37 | -3.2% |
| Arizona | $349 | $1,260 | 114 | 246 | -3.5% |
| Missouri | $348 | $1,203 | 117 | 265 | -3.9% |
| Tennessee | $348 | $1,183 | 130 | 301 | -4.0% |
| Maine | $344 | $1,806 | 35 | 68 | -4.9% |
| Kentucky | $344 | $1,098 | 89 | 251 | -4.9% |
| Rhode Island | $342 | $1,322 | 21 | 36 | -5.5% |
| District of Columbia | $335 | $1,239 | 9 | 33 | -7.3% |
| South Carolina | $334 | $1,402 | 124 | 344 | -7.8% |
| West Virginia | $333 | $1,175 | 38 | 81 | -8.0% |
| Hawaii | $328 | $1,046 | 14 | 44 | -9.3% |
| South Dakota | $328 | $1,303 | 14 | 62 | -9.5% |
| Arkansas | $323 | $1,109 | 79 | 214 | -10.8% |
| Wisconsin | $321 | $3,025 | 126 | 324 | -11.3% |
| Idaho | $309 | $1,184 | 50 | 103 | -14.6% |
| Nebraska | $282 | $1,135 | 60 | 161 | -22.2% |
| Kansas | $279 | $1,075 | 57 | 220 | -22.9% |
⚠️ 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