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 28322 Fee Schedule
Last Verified: October 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.
Repair Poorly Healed Foot Bone, Surgery To Repair One Or More Bones In A Foot That Failed To Heal Completely Or Healed Incorrectly After A Break.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28322 |
| Medicaid Fee Schedule | View Medicaid rates for 28322 |
National average reimbursement for CPT 28322 by major payers:
$1,005.28
$1,037.69
$1,099.43
$963.99
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28322.
CPT 28322
5 of 25 sample ratesHigher to lower in this preview
North Florida Regional Freestanding Surgery Center Lp
$5,986.00Published rateTavares Surgery LLC
$2,388.00Published rateFakhri Dalati
Deaconess Hospital Inc
$1,391.42Published rateSt. Charles Surgery Center
St. Charles Surgery Center, LLC
$1,077.00Published rateBerkshire Cosmetic & Reconstructive Surgery Center Inc.
Berkshire Cosmetic Reconstructive Surgery Center Inc
$558.00Published 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 28322 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28322 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 28322 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 |
|---|---|---|
| 28208-CPT | Moderate | Repair Tendon Extensor Foot |
| 28238-CPT | Moderate | Revision Of Foot Tendon, Reconstruction Advancement Posterior Tibial Tendon With Excision Of Accessory Tarsal Navicular Bone Eg Kidner Type Procedure |
| 28280-CPT | Moderate | Webbing Operation For Soft Corn Kelikia |
| 28322-CPT | High | Repair Poorly Healed Foot Bone, Surgery To Repair One Or More Bones In A Foot That Failed To Heal Completely Or Healed Incorrectly After A Break. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28322 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 28322) and we'll show you how you compare in 15 minutes or less.