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See a sample rate comparisonCPT 28298 Fee Schedule
Medicare rates as of October 2026
CPT 28298 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Correction Hallux Valgus (Bunionectomy) With Sesamoidectomy When Perfomred; With Proximal Phalanx Osteotomy Any Method. (Desc Revised 1/1/2017)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 20705 |
| Common Revenue Codes | 03600960Sign up to view all 6 |
| Medicare Fee Schedule | $860.41 national non-facility rate (2026)View Medicare rates for 28298 |
| Medicaid Fee Schedule | $673.125 median of the 8 states in the free previewView Medicaid rates for 28298 |
National average reimbursement for CPT 28298 by major payers:
$991.05
BCBS / Anthem
$1,047.01
UnitedHealthcare
$1,097.49
Aetna
$858.13
Cigna
Compare published rates across providers.
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CPT 28298
5 of 25 sample ratesHigher to lower in this preview
Iu Health East Washington Ambulatory Surgery Center, LLC, East Washington Surgery Center
$6,285.00Published rateSeashore Surgical Institute, LLC
Seashore Surgical Institute
$3,350.00Published rateOrange City Surgical LLC, Adventhealth Surgery Center Blue Springs
Orange City Surgical, LLC
$2,112.00Published rateTakle Eye Surgery Center LLC
$1,543.00Published rateSurgery Center Of Eye Specialists Of Indiana, PC
Surgery Center Of Eye Specialists Of Indiana PC
$619.00Published rate
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See a sample payer proposalCPT 28298 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28298. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28296-CPT | Correction Hallux Valgus (Bun, Correction Hallux Valgus (Bunion) With Or Withoutsesamoidectomy With Metatarsal Osteotomy (Eg Mitchell Chevron Or Concentric Type Procedures) |
| 28297-CPT | Correction Hallux Valgus (Bun, Correction Hallux Valgus (Bunionectomy) With Sesamoidectomy When Performed With First Metatarsaland Medial Cuneiform Joint Arthrodesis Any Metho D |
| 28298-CPT | Correction Hallux Valgus (Bunionectomy) With Sesamoidectomy When Perfomred; With Proximal Phalanx Osteotomy Any Method. (Desc Revised 1/1/2017) |
| 28299-CPT | Cor Hlx Vlgs Double Osteot, Correction Hallux Valgus With Bunionectomy With Sesamoidectomy When Performed With Double Osteotomy Any Method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28298 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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Frequently Asked Questions
What APC is CPT 28298 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28298 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 28298 in an ambulatory surgery center?
CMS lists CPT 28298 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 28298?
CMS add-on code edits list CPT 28298 as a primary code for these add-on codes: 20705.
Which revenue codes are billed with CPT 28298?
Hospital price transparency files list CPT 28298 under these revenue codes: including 0360, 0960, 0975, 0490 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.