Hammertoe repair is a surgical procedure. Prices are from 1565 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
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%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 183 |
$123 – $1,413 |
| Medicare | 308 |
$169 – $3,839 |
| Univera | 13 |
$47 – $469 |
| Independent Health | 17 |
$161 – $4,004 |
| Priority Health | 37 |
$316 – $3,260 |
| Workers' Comp / No-Fault | 45 |
$654 – $5,597 |
| Geisinger | 41 |
$322 – $3,783 |
| UCare | 44 |
$278 – $3,310 |
| AmeriHealth | 144 |
$243 – $8,727 |
| MVP Health Care | 54 |
$374 – $5,871 |
| Amerigroup | 116 |
$355 – $3,271 |
| Tricare / VA | 213 |
$189 – $5,248 |
| Medica | 76 |
$397 – $3,730 |
| Sanford Health Plan | 37 |
$369 – $4,712 |
| HealthPartners | 127 |
$273 – $3,486 |
| Bright Health | 35 |
$1,257 – $4,813 |
| Harvard Pilgrim | 27 |
$625 – $5,885 |
| Molina Healthcare | 417 |
$263 – $4,208 |
| Highmark | 101 |
$186 – $7,850 |
| Centene / Ambetter | 563 |
$186 – $5,360 |
| Security Health Plan | 36 |
$369 – $5,205 |
| UPMC Health Plan | 64 |
$301 – $8,944 |
| MultiPlan / PHCS network | 306 |
$613 – $7,113 |
| Humana | 673 |
$376 – $7,071 |
| Devoted Health | 106 |
$3,008 – $4,080 |
| Blue Cross Blue Shield | 883 |
$211 – $9,542 |
| Coventry | 58 |
$468 – $7,689 |
| Aetna | 936 |
$487 – $8,289 |
| UnitedHealthcare | 1047 |
$425 – $8,725 |
| Anthem | 403 |
$248 – $9,999 |
| SelectHealth | 30 |
$1,021 – $5,462 |
| Healthcare Highways | 33 |
$3,041 – $5,524 |
| Kaiser Permanente | 162 |
$231 – $8,910 |
| Health Net | 152 |
$235 – $7,575 |
| Cigna | 743 |
$1,039 – $11,940 |
| EmblemHealth | 59 |
$1,756 – $25,813 |
| Oscar Health | 162 |
$1,357 – $7,922 |
| AvMed | 28 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Brant Mccartan, DPM | Podiatry | Milwaukee, WI | 204 |
| Steven Howell, M.D. | Orthopedic Surgery | Wichita, KS | 143 |
| Robert Goodman, DPM PC | Podiatry | Salem, MA | 130 |
| Kenneth Stephenson, MD | Orthopedic Surgery | Lubbock, TX | 103 |
| Gregory Ardoin, MD | Orthopedic Surgery | Little Rock, AR | 99 |
| Alexander Pappas, M.D. | Orthopedic Surgery | Myrtle Beach, SC | 89 |
| John Womack, M.D. | Orthopedic Surgery | Greenville, SC | 87 |
| Kris Dinucci, DPM | Podiatry | Scottsdale, AZ | 84 |
| Dallas Patterson, D.P.M. | Podiatry | San Antonio, TX | 84 |
| Garnett Murphy, M.D. | Orthopedic Surgery | Germantown, TN | 82 |
| Roman Orsini, DPM | Podiatry | Lewes, DE | 82 |
| Orlando Nunez, DPM, MD | Podiatry | Coeur D Alene, ID | 79 |
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?
Does Medicare cover Hammertoe repair?
What does Medicare pay for Hammertoe repair?
Why do Hammertoe repair prices vary between hospitals?
Is the cash price lower than using insurance?
Related Surgery & Procedures
See more Surgery & Procedures.