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See a sample rate comparisonCPT 28113 Fee Schedule
Medicare rates as of October 2026
CPT 28113 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Ostectomy,Complet Exc;5th Meta.Head
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $584.52 national non-facility rate (2026) · View Medicare rates for 28113 |
| Medicaid Fee Schedule | $459.00 median of the 8 states in the free preview · View Medicaid rates for 28113 |
National average reimbursement for CPT 28113 by major payers:
$769.23
BCBS / Anthem
$765.40
UnitedHealthcare
$781.12
Aetna
$708.20
Cigna
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CPT 28113
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$4,781.00Published rateTorrance Ca Multispecialty Asc LLC, Surgery Center Of South Bay
Torrance Ca Multispecialty Asc LLC
$1,887.00Published rateShore Health System, Inc., Shore Health System Surgery Center
Shore Health System Inc
$1,450.00Published rateMir Ikramullah
Deaconess Hospital Inc
$1,056.04Published rateArrowhead Endoscopy And Pain Management Center LLC, Arrowhead Endoscopy Center.
Arrowhead Endoscopy And Pain Man
$610.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28113 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28113. 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 28113. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28113 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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