Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 28305 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Incise Graft Midfoot Bones, Osteotomy Tarsal Bones Other Than Calcaneus Or Talus With Autograft Includes Obtaining Graft Eg Fowler Type
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28305 |
| Medicaid Fee Schedule | View Medicaid rates for 28305 |
National average reimbursement for CPT 28305 by major payers:
$871.63
$917.82
$919.88
$1,111.31
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28305.
CPT 28305
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$10,231.00Published rateBcc Chandler LLC
$5,846.00Published rateGolden Triangle Surgery Center, LLC, Baptist Beaumont Surgical Affiliates
Beaumont Surgical Affiliates
$3,700.00Published rateHanover Surgicenter, L.L.C.
$2,460.00Published rateNovamed Surgery Center Of Nashua, LLC, Nashua Eye Surgery Center
Novamed Surgery Center Of Nashua LLC
$1,067.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 28305 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28305 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 28305 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 |
|---|---|---|
| 28302-CPT | Moderate | Osteotomy Talus |
| 28305-CPT | Moderate | Incise Graft Midfoot Bones, Osteotomy Tarsal Bones Other Than Calcaneus Or Talus With Autograft Includes Obtaining Graft Eg Fowler Type |
| 28306-CPT | Moderate | Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal First Metatarsa L |
| 28308-CPT | Moderate | Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal Other Than Firs T Metatarsal Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28305 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 28305) and we'll show you how you compare in 15 minutes or less.