Price Checker / CPT 28495
How much does Treat Big Toe Fracture cost?
CPT 28495 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$520–$610
What this should cost
With insurance
~$2,050
Typical out-of-pocket
Overcharged if over
$760
Push back above this
The average hospital charge of $7,772 is $7,202 over the fair price (about 14x the fair rate).
What hospitals charge for Treat Big Toe Fracture
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UPMC Bedford , PA | $7,772 | $6,218 | 3871% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Treat Big Toe Fracture
CPT code 28495 refers to treat big toe fracture (billing description: "Treat big toe fracture"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $154 in a facility (hospital or surgery center) and $196 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.