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See a sample rate comparisonCPT 28114 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Removal Of Metatarsal Heads, Ostectomy Complete Excision All Metatarsal Heads With Partial Proximal Phalangectomy Excluding First Metatarsal Eg Clayton Type Procedure
| 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 | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28114 |
| Medicaid Fee Schedule | View Medicaid rates for 28114 |
National average reimbursement for CPT 28114 by major payers:
$1,393.57
$1,394.33
$1,419.13
$1,373.50
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CPT 28114
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Saxony Surgery Center
$8,705.00Published rateSky Ridge Surgery Center Lp
$2,564.00Published rateGeorgia Interventional Pain
$1,600.00Published rateCheckerspot Surgery Centers, LLC
Checkerspot Surgery Centers LLC
$1,300.00Published rateNorthwest Endoscopy Center, LLC, North West Endoscopy Center
Northwest Endoscopy Center LLC
$600.00Published rate
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See a sample payer proposalCPT 28114 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28114 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 28114 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| 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 |
| 28114-CPT | High | Removal Of Metatarsal Heads, Ostectomy Complete Excision All Metatarsal Heads With Partial Proximal Phalangectomy Excluding First Metatarsal Eg Clayton Type Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28114 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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