CPT 28305 Surgery - Musculoskeletal
Incise/graft midfoot bones Cost
Body System: Musculoskeletal
Medicare Facility Rate
$625
CMS PFS CY2026
Medicare Non-Facility Rate
$625
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
10.50
Work RVU
6.70
Facility PE RVU
1.52
Malpractice RVU
18.72
Total RVU
Frequently Asked Questions
How much does Incise/graft midfoot bones cost?
The Medicare facility rate is $625. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Incise/graft midfoot bones 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 $625.