CPT 28456 Surgery - Musculoskeletal

Prq skel fix tarsl fx w/mnpj Cost

Body System: Musculoskeletal

Medicare Facility Rate
$383
CMS PFS CY2026
Medicare Non-Facility Rate
$383
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

2.79
Work RVU
8.10
Facility PE RVU
0.59
Malpractice RVU
11.48
Total RVU

Frequently Asked Questions

How much does Prq skel fix tarsl fx w/mnpj cost?

The Medicare facility rate is $383. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Prq skel fix tarsl fx w/mnpj 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 $383.

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