CPT 28540
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Treat foot dislocation
Low
$166
Average
$722
Median
$523
High
$6.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 5.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 529 | $261 | $773 | $1.5k | 190% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 482 | $276 | $1.2k | $2.2k | 187% | — | $36 – $21.3k |
| 3 | Humana fee schedule · outpatient · +27 other terms | 373 | $237 | $368 | $810 | 220% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 368 | $485 | $993 | $1.5k | 156% | — | $1 – $15.6k |
| 5 | Molina fee schedule · outpatient · +19 other terms | 225 | $223 | $204 | $197 | 96% | — | $1 – $1.7k |
| 6 | Cigna case rate · outpatient · +25 other terms | 221 | $1.8k | $4.3k | $7.1k | 164% | — | $0 – $40.7k |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 170 | $247 | $344 | $539 | 157% | — | $90 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +24 other terms | 133 | $278 | $841 | $1.8k | 212% | — | $104 – $13.8k |
| 9 | Oscar case rate · outpatient · +17 other terms | 130 | $2.5k | $2.6k | $791 | 30% | — | $375 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 95 | $351 | $539 | $686 | 127% | — | $126 – $4.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +16 other terms | 86 | $465 | $815 | $1.8k | 226% | — | $181 – $14.6k |
| 12 | Devoted fee schedule · outpatient · +13 other terms | 71 | $243 | $241 | $26 | 11% | — | $179 – $276 |
| 13 | Aetna Better Health fee schedule · outpatient · +11 other terms | 65 | $108 | $115 | $25 | 22% | — | $94 – $225 |
| 14 | Optum fee schedule · outpatient · +20 other terms | 64 | $220 | $1.3k | $4.5k | 346% | — | $62 – $26.8k |
| 15 | MultiPlan fee schedule · outpatient · +19 other terms | 60 | $378 | $366 | $69 | 19% | — | $117 – $640 |
| 16 | Caresource fee schedule · outpatient · +11 other terms | 49 | $238 | $444 | $923 | 208% | — | $84 – $4.3k |
| 17 | Tricare fee schedule · outpatient · +16 other terms | 48 | $240 | $642 | $1.3k | 207% | — | $167 – $5.1k |
| 18 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $2.3k | $309 | 13% | — | $360 – $2.4k |
| 19 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $6.6k | $5.1k | 77% | — | $2.1k – $14.6k |
| 20 | First Health fee schedule · outpatient · +16 other terms | 37 | $256 | $1.0k | $2.2k | 220% | — | $85 – $7.2k |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 35 | $161 | $177 | $72 | 40% | — | $90 – $254 |
| 22 | Clover fee schedule · outpatient · +9 other terms | 33 | $268 | $784 | $1.3k | 167% | — | $223 – $4.4k |
| 23 | Medica fee schedule · outpatient · +19 other terms | 30 | $297 | $340 | $177 | 52% | — | $68 – $731 |
| 24 | Medicare fee schedule · outpatient · +12 other terms | 27 | $179 | $704 | $1.3k | 179% | — | $162 – $4.1k |
| 25 | Regence professional · fee schedule · outpatient · +14 other terms | 26 | $198 | $285 | $147 | 52% | — | $118 – $618 |
← Hospitals reporting CPT 28540 · Snapshot 20261113T090226Z-3ce6c0b8