Price Checker / CPT 28485
How much does Optx Metatarsal Fx Each cost?
CPT 28485 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$810–$1,650
What this should cost
With insurance
~$4,100
Typical out-of-pocket
Overcharged if over
$2,050
Push back above this
The average hospital charge of $17,231 is $15,981 over the fair price (about 14x the fair rate).
What hospitals charge for Optx Metatarsal Fx Each
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Munster MUNSTER, IN | $90,899 | $24,270 | 16668% |
| Jackson Purchase Medical Center MAYFIELD, KY | $41,008 | — | 7465% |
| Greenbrier Valley Medical Center Ronceverte, WV | $36,239 | — | 6451% |
| Fauquier Health , VA | $23,565 | — | 4247% |
| Goodall-Witcher Hospital CLIFTON, TX | $539 | — | 4087% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 3630% |
| Conemaugh Miners Medical Center HASTINGS, PA | $19,670 | — | 3528% |
| Marshfield Medical Center Rice Lake Hospital RICE LAKE, WI | — | — | 2956% |
| Doylestown Health , PA | $21,134 | — | 2824% |
| Troy Regional Medical Center TROY, AL | $14,500 | $7,600 | 2575% |
| UPMC Green , PA | — | — | 2475% |
| Jackson Park Hospital Chicago, IL | $13,868 | — | 2458% |
| University of Michigan Health-Sparrow Carson Carson City, MI | $17,117 | — | 2426% |
| Carroll County Memorial Hospital CARROLLTON, KY | $10,851 | $6,511 | 1902% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $12,058 | — | 1902% |
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 Metatarsal Fx Each
CPT code 28485 refers to optx metatarsal fx each (billing description: "Optx metatarsal fx each"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $542 in a facility (hospital or surgery center) and $542 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.