Hammertoe repair Cost by Hospital

Hammertoe repair is a surgical procedure. Prices are from 1565 US hospitals across 52 states, from their machine-readable files.

$3,270median cash price · 1565 hospitals, 52 statestypically $831–$11,379 depending on the hospital
≈ 6.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$5,470
Cash / self-pay
$3,270
Insurer-negotiated
$3,413
Medicare pays
$548
$831$11,379
Median cash $3,270  ·  Medicare $548  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,270 — about 6.0× the Medicare rate ($548). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,097).

💡 Asking for the cash price instead of the $5,470 list price could save about $2,200 (40%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Avera Marshall Regional Medical Ctr Marshall, MN $491 $864 — 126 min —
Marshall County Healthcare Center-CAH Britton, SD $491 $864 — 105 min —
Nemaha County Hospital Auburn, NE $498 $344 — 110 min —
University of Michigan Health System Ann Arbor, MI $502 $463 ★ 4/5 345 min —
Red Bud Regional Hospital Red Bud, IL $505 $865 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $505 $496 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $505 $540 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $505 $732 ★ 2/5 127 min —
Hugh Chatham Memorial Hospital Elkin, NC $523 $419 ★ 3/5 168 min —
Canton-Potsdam Hospital Potsdam, NY $523 $518 ★ 2/5 142 min —
Brattleboro Memorial Hospital Brattleboro, VT $535 $584 ★ 3/5 171 min —
Ascension Calumet Hospital Chilton, WI $548 $414 — 86 min —
Bayside Community Hospital Anahuac, TX $556 $320 — 106 min —
Ellis Hospital Schenectady, NY $566 $574 ★ 3/5 232 min —
Southwest General Health Center Middleburg Heights, OH $574 $366 ★ 4/5 199 min —
Artesia General Hospital Artesia, NM $576 $1,785 — 99 min —
Regional West Medical Center Scottsbluff, NE $583 $753 ★ 2/5 202 min —
Memorial Healthcare Owosso, MI $611 $3,800 ★ 3/5 181 min —
Ashtabula County Medical Center Ashtabula, OH $629 $498 ★ 3/5 194 min —
Bates County Memorial Hospital Butler, MO $634 $347 ★ 3/5 95 min —
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $636 $519 ★ 4/5 103 min —
UPMC Cole Coudersport, PA $638 $831 ★ 4/5 147 min —
Alice Peck Day Memorial Hospital Lebanon, NH $640 $918 ★ 4/5 118 min —
Ochsner Laird Hospital Union, MS $647 $406 — 102 min —
Mark Twain Medical Center San Andreas, CA $655 $711 ★ 3/5 123 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Hammertoe repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,270; Medicare pays $548.

InsurerHospitalsNegotiated median
Medicaid 183
$161
$123 – $1,413
Medicare 308
$263
$169 – $3,839
Univera 13
$319
$47 – $469
Independent Health 17
$492
$161 – $4,004
Priority Health 37
$632
$316 – $3,260
Workers' Comp / No-Fault 45
$654
$654 – $5,597
Geisinger 41
$785
$322 – $3,783
UCare 44
$975
$278 – $3,310
AmeriHealth 144
$994
$243 – $8,727
MVP Health Care 54
$1,085
$374 – $5,871
Amerigroup 116
$1,143
$355 – $3,271
Tricare / VA 213
$1,209
$189 – $5,248
Medica 76
$1,286
$397 – $3,730
Sanford Health Plan 37
$1,302
$369 – $4,712
HealthPartners 127
$1,487
$273 – $3,486
Bright Health 35
$1,714
$1,257 – $4,813
Harvard Pilgrim 27
$1,761
$625 – $5,885
Molina Healthcare 417
$1,785
$263 – $4,208
Highmark 101
$2,047
$186 – $7,850
Centene / Ambetter 563
$2,369
$186 – $5,360
Security Health Plan 36
$2,502
$369 – $5,205
UPMC Health Plan 64
$2,922
$301 – $8,944
MultiPlan / PHCS network 306
$3,184
$613 – $7,113
Humana 673
$3,307
$376 – $7,071
Devoted Health 106
$3,309
$3,008 – $4,080
Blue Cross Blue Shield 883
$3,316
$211 – $9,542
Coventry 58
$3,331
$468 – $7,689
Aetna 936
$3,486
$487 – $8,289
UnitedHealthcare 1047
$3,500
$425 – $8,725
Anthem 403
$3,534
$248 – $9,999
SelectHealth 30
$3,623
$1,021 – $5,462
Healthcare Highways 33
$3,650
$3,041 – $5,524
Kaiser Permanente 162
$3,773
$231 – $8,910
Health Net 152
$4,123
$235 – $7,575
Cigna 743
$4,718
$1,039 – $11,940
EmblemHealth 59
$4,958
$1,756 – $25,813
Oscar Health 162
$5,386
$1,357 – $7,922
AvMed 28
$8,168
$503 – $12,418

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$330
New Hampshire$769
Vermont$862
Maine$976
Wyoming$1,270
Oregon$1,580

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Hammertoe repair?

Yes — Medicare generally covers Hammertoe repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $548. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $110 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1565 US hospitals across 52 states, the typical (median) cash price is $3,270, versus a chargemaster (list) price around $5,470, a median insurer-negotiated rate of $3,413, a Medicare rate of about $548. Most cash prices fall between $831 and $11,379 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Hammertoe repair cost without insurance?
The median cash (self-pay) price across 1565 US hospitals is $3,270. Most hospitals fall between $831 and $11,379. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Hammertoe repair?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $548). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Hammertoe repair?
Medicare pays about $548. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Hammertoe repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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