Price Checker / CPT 28011

How much does Incision Of Toe Tendons cost?

CPT 28011 · Based on 2026 Medicare rates and hospital-published pricing

Overcharged

The average hospital charge is roughly 9.8x the fair price. This is well above fair — push back or dispute it.

Fair price

$480–$960

What this should cost

With insurance

~$2,550

Typical out-of-pocket

Overcharged if over

$1,200

Push back above this

The average hospital charge of $7,086 is $6,366 over the fair price (about 9.8x the fair rate).

What hospitals charge for Incision Of Toe Tendons

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

HospitalGross ChargeCash Ratevs Medicare
Thayer County Health Services

Hebron, NE

$12,2264636%
UM Charles Regional Medical Center

La Plata, MD

$1,946507%

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About Incision Of Toe Tendons

CPT code 28011 refers to incision of toe tendons (billing description: "Incision of toe tendons"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $265 in a facility (hospital or surgery center) and $321 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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