CPT 28039 Surgery - Musculoskeletal
Exc foot/toe tum sc 1.5 cm/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$315
CMS PFS CY2026
Medicare Non-Facility Rate
$477
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.28
Work RVU
3.57
Facility PE RVU
0.59
Malpractice RVU
14.27
Total RVU
Frequently Asked Questions
How much does Exc foot/toe tum sc 1.5 cm/> cost?
The Medicare facility rate is $315. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Exc foot/toe tum sc 1.5 cm/> cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $315.