Price Checker / CPT 28415
How much does Optx Calcaneal Fracture cost?
CPT 28415 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,550–$3,150
What this should cost
With insurance
~$4,250
Typical out-of-pocket
Overcharged if over
$3,950
Push back above this
The average hospital charge of $37,924 is $35,574 over the fair price (about 16x the fair rate).
What hospitals charge for Optx Calcaneal Fracture
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Saint Clare's Behavioral Health - Boonton Denville, NJ | $90,077 | — | 6771% |
| Saint Clare's Denville Hospital Denville, NJ | $90,077 | — | 6771% |
| Saint Clare's Dover Hospital Denville, NJ | $90,077 | — | 6771% |
| Jackson Purchase Medical Center MAYFIELD, KY | $43,800 | — | 4076% |
| Northern Light Sebasticook Valley Hospital Pittsfield, ME | $47,149 | — | 3946% |
| Troy Regional Medical Center TROY, AL | $31,000 | — | 2856% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 1828% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $17,946 | — | 1440% |
| William Newton Hospital Winfield, KS | $2,459 | — | 1423% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX | — | — | 927% |
| Wayne Healthcare Greenville, OH | $39,128 | — | 575% |
| North Carolina Specialty Hospital DURHAM, NC | $7,630 | — | 557% |
| Ashley County Medical Center Crossett, AR | $2,684 | — | 541% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Optx Calcaneal Fracture
CPT code 28415 refers to optx calcaneal fracture (billing description: "Optx calcaneal fracture"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,049 in a facility (hospital or surgery center) and $1,049 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.