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See a sample rate comparisonCPT 28750 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.
Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones.
| 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 RT - Right side of body T5 - Right foot, great toe |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28750 |
| Medicaid Fee Schedule | View Medicaid rates for 28750 |
National average reimbursement for CPT 28750 by major payers:
$1,008.72
$1,074.16
$1,122.16
$972.18
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CPT 28750
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$20,777.00Published rateCoral Ridge Outpatient Center LLC, Coral Ridge Outpatient Center
Coral Ridge Outpatient Center, LLC
$6,492.00Published rateChino Premier Surgery Center Limited Partnership
$3,600.00Published rateLake Country Endoscopy Center, LLC
Lake Country Endoscopy Center LLC
$950.00Published rateHemet Healthcare Surgicenter, Inc.
Hemet Healthcare Surgicenter
$624.00Published rate
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See a sample payer proposalCPT 28750 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28750 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 28750 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 |
|---|---|---|
| 28666-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Interphalangeal Jointdislocation With Manipulation Percutaneous Skeletal Fixation Of Interphalangeal Joint |
| 28740-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Sngle Joint, Arthrodesis Midtarsal Or Tarsometatarsal Single Joint |
| 28750-CPT | High | Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones. |
| 28755-CPT | Moderate | Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28750 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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