Price Checker / CPT 28760
How much does Fusion Of Big Toe Joint cost?
CPT 28760 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 9.2x the fair price — among the most extreme markups. Dispute this.
Fair price
$2,750–$3,250
What this should cost
With insurance
~$4,000
Typical out-of-pocket
Overcharged if over
$4,050
Push back above this
The average hospital charge of $27,568 is $24,568 over the fair price (about 9.2x the fair rate).
What hospitals charge for Fusion Of Big Toe Joint
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $35,463 | — | 4424% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $35,463 | — | 4424% |
| Northern Light Sebasticook Valley Hospital Pittsfield, ME | $37,454 | — | 4200% |
| WTH Henry County Hospital , TN | $25,620 | — | 2515% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $16,799 | — | 1829% |
| Pecos County Memorial Hospital Fort Stockton, TX | $14,608 | — | 1577% |
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 Fusion Of Big Toe Joint
CPT code 28760 refers to fusion of big toe joint (billing description: "Fusion of big toe joint"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $537 in a facility (hospital or surgery center) and $784 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.