Price Checker / CPT 26556

How much does Toe Joint Transfer cost?

CPT 26556 · Based on 2026 Medicare rates and hospital-published pricing

Slightly high

The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.

Fair price

$7,300–$8,550

What this should cost

With insurance

~$4,100

Typical out-of-pocket

Overcharged if over

$10,700

Push back above this

The average hospital charge of $9,200 is $1,250 over the fair price.

What hospitals charge for Toe Joint Transfer

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Henry Ford Providence Novi Hospital

Novi, MI

281%
Little Falls Hospital

LITTLE FALLS, ME

$6,670117%

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About Toe Joint Transfer

CPT code 26556 refers to toe joint transfer (billing description: "Toe joint transfer"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $3,080 in a facility (hospital or surgery center) and $3,080 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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