CPT 28540

Foot joint dislocation treatment

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Treat foot dislocation

Payer pricing summary

Low

$143

Average

$446

Median

$352

High

$1.5k

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 45 Fee schedule 63 Per diem 13 Percent of billed charges 52 Other 30

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +7 other terms	529	$261	$773	$1.5k	190%	—	$1 – $17.9k
2	Aetna fee schedule · outpatient · +8 other terms	482	$276	$1.2k	$2.2k	187%	—	$36 – $21.3k
3	Humana fee schedule · outpatient · +8 other terms	373	$237	$368	$810	220%	—	$1 – $12.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	368	$485	$993	$1.5k	156%	—	$1 – $15.6k
5	Molina fee schedule · outpatient · +6 other terms	225	$223	$204	$197	96%	—	$1 – $1.7k
6	Cigna fee schedule · outpatient · +7 other terms	210	$256	$825	$1.8k	212%	—	$45 – $11.1k
7	WellCare fee schedule · outpatient · +6 other terms	170	$247	$344	$539	157%	—	$90 – $4.3k
8	Anthem fee schedule · outpatient · +5 other terms	133	$278	$841	$1.8k	212%	—	$104 – $13.8k
9	Kaiser fee schedule · outpatient · +4 other terms	95	$351	$539	$686	127%	—	$126 – $4.3k
10	Ambetter facility · fee schedule · outpatient · +5 other terms	86	$465	$815	$1.8k	226%	—	$181 – $14.6k
11	Devoted fee schedule · outpatient · +5 other terms	71	$243	$241	$26	11%	—	$179 – $276
12	Aetna Better Health fee schedule · outpatient · +6 other terms	65	$108	$115	$25	22%	—	$94 – $225
13	Optum fee schedule · outpatient · +5 other terms	64	$220	$1.3k	$4.5k	346%	—	$62 – $26.8k
14	MultiPlan fee schedule · outpatient · +6 other terms	60	$378	$366	$69	19%	—	$117 – $640
15	Caresource fee schedule · outpatient · +4 other terms	49	$238	$444	$923	208%	—	$84 – $4.3k
16	Tricare fee schedule · outpatient · +5 other terms	48	$240	$642	$1.3k	207%	—	$167 – $5.1k
17	Oscar fee schedule · outpatient · +3 other terms	41	$455	$568	$898	158%	—	$1 – $4.4k
18	First Health fee schedule · outpatient · +4 other terms	37	$256	$1.0k	$2.2k	220%	—	$85 – $7.2k
19	Cigna Healthspring fee schedule · outpatient · +2 other terms	35	$161	$177	$72	40%	—	$90 – $254
20	Clover fee schedule · outpatient · +3 other terms	33	$268	$784	$1.3k	167%	—	$223 – $4.4k
21	Medica fee schedule · outpatient · +6 other terms	30	$297	$340	$177	52%	—	$68 – $731
22	Medicare fee schedule · outpatient · +5 other terms	27	$179	$704	$1.3k	179%	—	$162 – $4.1k
23	Regence professional · fee schedule · outpatient · +4 other terms	26	$198	$285	$147	52%	—	$118 – $618
24	Baylor Scott White Health Plan facility · fee schedule · outpatient	25	$313	$312	$62	20%	—	$235 – $410
25	Bcbs Tx fee schedule · outpatient · +1 other terms	25	$168	$161	$58	36%	—	$85 – $379

Page 1 of 3 · 63 payers

← Hospitals reporting CPT 28540 · Snapshot 20261113T090226Z-3ce6c0b8