With Health Insurance: Copay and 10%-50% Coinsurance
Without Health Insurance: $500-$25,000+
Metatarsalgia is pain and inflammation in the ball of the foot, typically caused by an injury from overuse during high impact sports.
Typical costs:
For patients covered by health insurance, the typical out-of-pocket cost for metatarsalgia treatment consists of doctor visit copays and coinsurance of 10%-50% for procedures. Metatarsalgia treatment typically is covered by health insurance.
For patients not covered by health insurance, metatarsalgia treatment typically costs less than $500 for ice, rest, therapeutic shoes, a night splint and over-the-counter pads or shoe inserts. It can cost $800 or more for custom orthotics. Metatarsalgia typically can be treated conservatively; however, in rare cases, surgery might be required. Surgery can cost $7,000-$25,000 or more, depending on the type required. In some cases, metatarsalgia can be a symptom of an underlying condition, such as Morton's neuroma, which might require surgery.
For example, MyFootShop.com charges $3-$18 for metatarsal pads, inserts and bandages[1] . FootSmart.com charges about $7-$37 for metatarsal pads[2] and $13-$50 for over-the-counter shoe insoles[3] . PodiatryNetwork.com charges about $50 for a night splint[4] . FootSmart.com charges about $30-$135 for therapeutic sandals or shoes[5] , and DrewShoe.com charges about $100-$315 for shoes suitable for metatarsalgia[6] .
Surgery for Morton's neuroma can cost $7,000 or more. Saint Elizabeth Regional Medical Center, in Nebraska, charges about $9,000-$13,000, not including doctor fee, for surgery on a metatarsal bone[7] . Baptist Memorial Health Care[8] , in Memphis, charges an average of about $22,200 for orthopedic surgery on the feet, without complications, not including doctor fee, which can add several thousand dollars to the final bill.
A doctor might order an X-ray or MRI to check for underlying conditions, such as Morton's neuroma, that could be causing the symptoms.
The doctor typically will recommend ice, rest and a pressure bandage for the first day or two after the injury.
The doctor also might prescribe therapeutic shoes, inserts, metatarsal pads, or other orthotics and gentle stretching exercises.
In rare cases, when other treatments have failed, the patient might require surgery. The type of surgery could vary, depending on the cause of the problem. For example, a patient with Morton's neuroma might require surgery to remove the inflamed nerve. Or, a patient with pain caused by the position of the metatarsal bones might need surgical realignment of the bones.
WebMD has an overview of metatarsalgia[9] and PodiatryNetwork.com has overview[10] of metatarsal bone realignment surgery, an orthopedic surgery that requires moving a bone and holding it in place with hardware. This typically is an outpatient procedure that requires IV sedation or general anesthesia.
Additional costs:
If surgery is required, crutches might be needed during recovery at a cost of about $15-$100.
Physical therapy, which typically costs $50-$350 per session, might be required.
Discounts:
Some websites that sell over-the-counter orthotics or pads offer discounts. For example, FootSmart.com offers discounts[11] such as free shipping or $15 off plus free shipping on orders of $150 or more.
Many hospitals and doctors give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[12] in California offers a 35% discount.
Shopping for metatarsalgia treatment:
A sports medicine doctor or podiatrist would treat metatarsalgia. Or, if surgery is required, a podiatric surgeon or orthopedic surgeon typically would perform the procedure.
The American Podiatric Medical Association offers a podiatrist locator[13] . It is important to make sure the podiatrist is board certified by the American Board of Podiatric Medicine or the American Board of Podiatric Surgery[14] , depending on their area of specialty. The American Orthopaedic Foot & Ankle Society offers a locator for orthopedic surgeons[15] who specialize in conditions of the foot and ankle.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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