Price Checker / CPT 28420
How much does Optx Calcaneal Fx W/bone Grf cost?
CPT 28420 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 10x the fair price. This is well above fair — push back or dispute it.
Fair price
$1,800–$3,650
What this should cost
With insurance
~$5,400
Typical out-of-pocket
Overcharged if over
$4,550
Push back above this
The average hospital charge of $28,465 is $25,715 over the fair price (about 10x the fair rate).
What hospitals charge for Optx Calcaneal Fx W/bone Grf
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Memorial Medical Center PORT LAVACA, NM | $120,571 | — | 9875% |
| Waldo County General Hospital Belfast, ME | — | — | 5130% |
| Wellfound Behavioral Health Hospital Tacoma, WA | — | — | 2945% |
| Doylestown Health , PA | $42,105 | — | 2512% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett, TX | — | — | 2351% |
| Park Place Surgical Hospital Lafayette, LA | $19,947 | — | 1550% |
| PAM Health Rehabilitation Hospital of Henderson Henderson, NV | — | — | 1034% |
| PAM Rehabilitation Hospital of Centennial Hills Las Vegas, NV | — | — | 1034% |
| Sanford Bagley Medical Center Bagley, MN | — | — | 989% |
| Sanford Thief River Falls Medical Center Thief River Falls, MN | — | — | 989% |
| Sanford Westbrook Hospital Westbrook, MN | — | — | 989% |
| Grand River Hospital , CO | $4,853 | — | 979% |
| Northern Cochise Community Hospital Willcox, AZ | — | — | 639% |
| Henry Ford St John Hospital Detroit, MI | — | — | 359% |
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 Fx W/bone Grf
CPT code 28420 refers to optx calcaneal fx w/bone grf (billing description: "Optx calcaneal fx w/bone grf"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,209 in a facility (hospital or surgery center) and $1,209 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.