CPT 28435 · 1,224 hospitals reporting

Closed treatment of broken ankle joint bone with manipulation

The same procedure costs $88.5 at one hospital and $11,629 at another — a 131× spread for what's billed under the same code. Median: $1,610.

Cheapest published

$88.5

4 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,224 hospitals

$1,610

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$11,629

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

480 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER	OH	$2,152	$1,614	—	—	1 insurers
DALLAS MEDICAL CENTER	TX	$1,470	$1,607	$441	$1,470	5 insurers
VALLEY VIEW MEDICAL CENTER	AZ	$2,691	$1,615	—	—	1 insurers
COMMUNITY MEMORIAL HOSPITAL	WI	$2,939	$1,616	—	—	4 insurers
FROEDTERT MEMORIAL LUTHERAN HOSPITAL	WI	$2,939	$1,616	—	—	4 insurers
GARDEN CITY HOSPITAL	MI	$7,657	$1,595	$855	$7,657	5 insurers
SANFORD BEMIDJI MEDICAL CENTER	MN	$1,986	$1,589	—	—	3 insurers
CENTRAL MAINE MEDICAL CENTER	ME	$2,258	$1,586	$677	$2,258	5 insurers
LOWER BUCKS HOSPITAL	PA	$6,087	$1,581	$145	$4,870	5 insurers
MOUNT GRANT GENERAL HOSPITAL	NV	$6,087	$1,643	$145	$5,904	5 insurers
ROXBOROUGH MEMORIAL HOSPITAL	PA	$6,087	$1,643	$145	$5,904	5 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$1,574	$1,574	—	—	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$4,139	$1,660	—	—	4 insurers
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL	MN	$4,139	$1,660	—	—	4 insurers
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER	MN	$4,139	$1,660	—	—	4 insurers
FAIRVIEW NORTHLAND REGIONAL HOSPITAL	MN	$4,139	$1,660	—	—	5 insurers
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL	MN	$4,139	$1,660	—	—	4 insurers
M HEALTH FAIRVIEW WOODWINDS HOSPITAL	MN	$4,139	$1,660	—	—	4 insurers
DOYLESTOWN HOSPITAL	PA	$1,559	$1,559	—	—	5 insurers
University of Arkansas Medical Sciences	AR	$2,583	$1,550	—	—	5 insurers
CAPE FEAR VALLEY MEDICAL CENTER	NC	$2,822	$1,693	—	—	5 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$2,822	$1,693	—	—	5 insurers
TRINITY MUSCATINE	IA	$1,905	$1,524	—	—	4 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$1,905	$1,524	—	—	4 insurers
ST LUKES HOSPITAL	IA	$1,905	$1,524	—	—	4 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$1,905	$1,524	—	—	4 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$1,905	$1,524	—	—	4 insurers
UCHEALTH HIGHLANDS RANCH HOSPITAL	CO	$5,075	$1,523	—	—	5 insurers
PROVIDENCE MEDICAL CENTER	KS	$8,547	$1,514	$365	$7,897	5 insurers
COSHOCTON REGIONAL MEDICAL CENTER	OH	$6,777	$1,513	$1,358	$6,641	5 insurers
PEACEHEALTH SOUTHWEST MEDICAL CENTER	WA	$2,634	$1,712	—	—	5 insurers
TRINITY ROCK ISLAND	IL	$1,874	$1,499	—	—	5 insurers
TRINITY - BETTENDORF	IA	$1,874	$1,499	—	—	5 insurers
PEACEHEALTH ST JOHN MEDICAL CENTER	WA	$2,657	$1,727	—	—	5 insurers
SACRED HEART MEDICAL CENTER - RIVERBEND	OR	$2,291	$1,489	—	—	5 insurers
TRI-CITY MEDICAL CENTER	CA	$2,890	$1,734	—	—	0 insurers
TRI-CITY MEDICAL CENTER	CA	$2,890	$1,734	—	—	5 insurers
SANFORD MEDICAL CENTER FARGO	ND	$2,175	$1,740	—	—	2 insurers
CHRISTUS ST FRANCES CABRINI HOSPITAL	LA	$6,695	$1,741	$407	$6,695	5 insurers
ALAMEDA HOSPITAL	CA	$2,958	$1,479	$1,183	$2,219	4 insurers