Price Checker / CPT 28515
How much does Treatment Of Toe Fracture cost?
CPT 28515 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 59x the fair price — among the most extreme markups. Dispute this.
Fair price
$390–$450
What this should cost
With insurance
~$2,050
Typical out-of-pocket
Overcharged if over
$560
Push back above this
The average hospital charge of $24,608 is $24,188 over the fair price (about 59x the fair rate).
What hospitals charge for Treatment Of 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 |
|---|---|---|---|
| El Campo Memorial Hospital El Campo, TX | $33,825 | — | 14450% |
| "St. Mary's General Hospital" PASSAIC, NJ | $15,390 | $354 | 8727% |
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 Treatment Of Toe Fracture
CPT code 28515 refers to treatment of toe fracture (billing description: "Treatment of toe fracture"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $145 in a facility (hospital or surgery center) and $174 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.