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See a sample rate comparisonCPT 28111 Fee Schedule
Medicare rates as of October 2026
CPT 28111 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Ostectmy,Complete Exc;1st Meta.Head
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $472.96 national non-facility rate (2026) · View Medicare rates for 28111 |
| Medicaid Fee Schedule | $380.19 median of the 8 states in the free preview · View Medicaid rates for 28111 |
National average reimbursement for CPT 28111 by major payers:
$643.11
BCBS / Anthem
$655.99
UnitedHealthcare
$658.83
Aetna
$552.87
Cigna
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CPT 28111
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership
$4,539.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$2,206.00Published rateCcrm Dfw, LLC, Ccrm Dallas Fort Worth
$1,490.00Published rateMagnolia Surgery Center, LLC
Magnolia Surgery Center LLC
$1,240.00Published rateMagnolia Surgery Center, LLC
Magnolia Surgery Center LLC
$611.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28111 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28111. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 28110-CPT | Moderate | Ostectomy Partial Xcision Fifth Metatarsal Head (Bunionette), Ostectomy Partial Excision Fifth Metatarsal Head (Bunionette) (Separ |
| 28111-CPT | Moderate | Ostectmy,Complete Exc;1st Meta.Head |
| 28112-CPT | Moderate | Ostectomy Comple Xcision; Other Metatarsal Head (Second Third, Ostectomy Complete Excision; Other Metatarsal Head (Second Third Or |
| 28113-CPT | Moderate | Ostectomy,Complet Exc;5th Meta.Head |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28111 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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