☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /28475
  5. /Case rate
CPT 28475

HC CL TX METATARSAL FX W MANIP

Reported by 333 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$10

Average

$2.7k

Median

$2.1k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$209$241$1.2k$3.5k$1.4k
2Northwest Iowa Hospital CorporationSioux City, IA$212$242$242$640$4
3Medical Ctiy ArgyleArgyle, TX$84$1.8k$2.0k$4.3k$485
4Medical City AllianceSAGINAW, TX$85$2.1k$2.1k$4.3k$504
5St Luke's Methodist HospitalCedar Rapids, IA$211$230$230$597$3
6Trinity Medical CenterRock Island, IL$148$263$935$3.5k$1.3k
7Trinity Medical CenterBettendorf, IA$131$232$247$616$44
8Unity HealthcareMuscatine, IA$131$232$855$3.5k$1.2k
9Trinity Regional Medical CenterFort Dodge, IA$130$229$229$630$3
10Meriter Hospital, IncMadison, WI$138$696$596$3.9k$349
Page 1 of 34

Look up this code directly

Ask Claude or any MCP client for CPT 28475 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC