Amputation of toe at joint between forefoot and toes
Medicare pricing data for 9,223 providers across 51 states
This procedure has a 6.5x markup — hospitals charge $1,576 but Medicare allows only $243.18. Uninsured patients may face bills 6.5 times higher than what insurance negotiates. Prices vary significantly by location — from $137 in District of Columbia to $388 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
Amputation of toe at joint between forefoot and toes (HCPCS code 28820) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $243.18, but hospitals typically charge $1,576 — a 6.5x 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 $243.18, your out-of-pocket cost would be approximately $48.64. 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 6.5x more than what Medicare allows for this procedure. Medicare actually pays $192.31 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $388 | $4,977 | 36 | 97 | +59.7% |
| Utah | $350 | $2,033 | 99 | 286 | +44.0% |
| Iowa | $344 | $2,123 | 131 | 423 | +41.5% |
| Wyoming | $328 | $2,030 | 28 | 99 | +34.9% |
| Colorado | $327 | $2,193 | 186 | 489 | +34.5% |
| Maryland | $314 | $1,708 | 181 | 662 | +29.0% |
| Kansas | $306 | $2,032 | 90 | 371 | +26.0% |
| Oregon | $302 | $1,637 | 126 | 325 | +24.1% |
| Washington | $300 | $1,238 | 247 | 715 | +23.2% |
| Idaho | $298 | $1,285 | 74 | 231 | +22.5% |
| Nebraska | $291 | $1,807 | 89 | 287 | +19.8% |
| Delaware | $281 | $1,012 | 37 | 116 | +15.5% |
| New Mexico | $279 | $1,301 | 53 | 148 | +14.7% |
| Arizona | $276 | $1,622 | 198 | 542 | +13.6% |
| Indiana | $275 | $1,827 | 225 | 814 | +13.2% |
| Montana | $272 | $1,340 | 46 | 129 | +11.9% |
| Illinois | $266 | $1,950 | 364 | 1,051 | +9.3% |
| New Hampshire | $261 | $2,332 | 57 | 147 | +7.2% |
| California | $255 | $1,623 | 776 | 2,095 | +4.7% |
| Florida | $252 | $1,417 | 599 | 1,666 | +3.7% |
| Alabama | $252 | $1,206 | 127 | 382 | +3.6% |
| Tennessee | $251 | $1,451 | 231 | 668 | +3.1% |
| Virginia | $248 | $1,223 | 249 | 844 | +1.9% |
| Louisiana | $246 | $1,581 | 131 | 353 | +1.4% |
| Georgia | $246 | $1,712 | 239 | 600 | +1.1% |
| Michigan | $238 | $1,269 | 327 | 808 | -2.2% |
| North Carolina | $233 | $1,424 | 294 | 851 | -4.1% |
| Missouri | $233 | $1,450 | 198 | 623 | -4.2% |
| Pennsylvania | $232 | $1,195 | 487 | 1,209 | -4.5% |
| Texas | $219 | $1,448 | 639 | 1,889 | -9.9% |
| New York | $214 | $1,847 | 388 | 920 | -12.0% |
| Minnesota | $212 | $1,800 | 143 | 522 | -12.7% |
| Mississippi | $212 | $1,588 | 90 | 265 | -12.9% |
| Ohio | $212 | $1,260 | 368 | 1,004 | -12.9% |
| Connecticut | $211 | $1,654 | 79 | 227 | -13.1% |
| Nevada | $210 | $1,643 | 61 | 132 | -13.5% |
| Arkansas | $208 | $1,259 | 106 | 334 | -14.3% |
| New Jersey | $207 | $1,572 | 229 | 562 | -14.9% |
| South Carolina | $192 | $1,440 | 174 | 428 | -20.9% |
| Massachusetts | $189 | $1,606 | 175 | 468 | -22.4% |
| Wisconsin | $184 | $3,240 | 219 | 639 | -24.3% |
| Rhode Island | $184 | $1,300 | 42 | 110 | -24.4% |
| North Dakota | $183 | $1,549 | 30 | 172 | -24.9% |
| Kentucky | $174 | $953 | 135 | 438 | -28.6% |
| Oklahoma | $173 | $1,037 | 112 | 355 | -29.0% |
| Maine | $167 | $1,136 | 55 | 140 | -31.2% |
| Hawaii | $150 | $1,096 | 25 | 50 | -38.5% |
| Vermont | $149 | $1,405 | 23 | 73 | -38.8% |
| West Virginia | $146 | $928 | 63 | 212 | -40.0% |
| South Dakota | $143 | $1,349 | 33 | 143 | -41.0% |
| District of Columbia | $137 | $1,128 | 13 | 77 | -43.8% |
⚠️ 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