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See a sample rate comparisonCPT 28300 Fee Schedule
Medicare rates as of October 2026
CPT 28300 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Osteotomy; Calcaneus (Eg Dwyer Or Chambers Typ Proc) W/ Or W/O, Osteotomy; Calcaneus (Eg Dwyer Or Chambers Type Procedure) With Or W
| 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 | LTLeft side of body RTRight 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 |
| Common Revenue Codes | 03600960Sign up to view all 5 |
| Medicare Fee Schedule | $611.24 national non-facility rate (2026)View Medicare rates for 28300 |
| Medicaid Fee Schedule | $491.16 median of the 8 states in the free previewView Medicaid rates for 28300 |
National average reimbursement for CPT 28300 by major payers:
$924.46
BCBS / Anthem
$899.30
UnitedHealthcare
$943.94
Aetna
$1,081.31
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28300.
CPT 28300
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$10,491.00Published rateGeorgia Interventional Pain
$4,500.00Published rateInland Outpatient Surgery Center, Inc.
$3,000.00Published rateGreat Lakes Surgical Center LLC
Great Lakes Surgical Center Ll
$1,617.00Published rateEye Center Of North Florida, P.A., The Laser & Surgery Center
Eye Center Of North Florida, P.A.
$883.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28300 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28300. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28260-CPT | Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint. |
| 28261-CPT | Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint. |
| 28300-CPT | Osteotomy; Calcaneus (Eg Dwyer Or Chambers Typ Proc) W/ Or W/O, Osteotomy; Calcaneus (Eg Dwyer Or Chambers Type Procedure) With Or W |
| 28304-CPT | Osteotomy, Midtarsal Bones, Not Calcaneu |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28300 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 28300 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28300 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 28300 in an ambulatory surgery center?
CMS lists CPT 28300 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 28300?
Hospital price transparency files list CPT 28300 under these revenue codes: 0360, 0960, 0490, 0975 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.