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 28605 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.
Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationrequiring Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28605 |
| Medicaid Fee Schedule | View Medicaid rates for 28605 |
National average reimbursement for CPT 28605 by major payers:
$416.11
$420.74
$449.92
$489.75
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28605.
CPT 28605
5 of 25 sample ratesHigher to lower in this preview
Scott And White Hospital, Baylor Scott & White Medical Center - Taylor
Scott & White Hospital-Taylor
$1,444.00Published rateHss Palm Beach Ambulatory Surgery Center, LLC
Hss Palm Beach Ambulatory Surgery Center LLC
$566.00Published rateFertility Lab Sciences Of Orange County, LLC
Fertility Lab Sciences Of Oran
$300.00Published rateSonoran Endoscopy Center LLC
$191.00Published rateProgressive Laser Surgical Institute Ltd
$77.00Published 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 28605 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28605 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 28605 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 |
|---|---|---|
| 28600-CPT | Moderate | Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationwithout Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation |
| 28605-CPT | Moderate | Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationrequiring Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation |
| 28606-CPT | Moderate | Treat Foot Dislocation, Insertion Of Hardware To Foot Joint Dislocation With Manipulation Accessed Through The Skin Of The Midfoot (Tarsal) Bones Joint With The Forefoot (Metatarsal) Bones |
| 28615-CPT | High | Surgery On Foot Dislocation, Surgery To Repair A Dislocated Joint In The Foot (Tarsometatarsal Or Talotarsal Joint). Pins Wires Or Screws May Be Used To Hold The Joint In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28605 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 28605) and we'll show you how you compare in 15 minutes or less.