Price Checker / CPT 28530
How much does Treat Sesamoid Bone Fracture cost?
CPT 28530 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 27x the fair price — among the most extreme markups. Dispute this.
Fair price
$390–$460
What this should cost
With insurance
~$2,300
Typical out-of-pocket
Overcharged if over
$580
Push back above this
The average hospital charge of $11,602 is $11,172 over the fair price (about 27x the fair rate).
What hospitals charge for Treat Sesamoid Bone 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 |
|---|---|---|---|
| AnMed Health ANDERSON, SC | — | — | 9288% |
| AnMed Health Cannon ANDERSON, SC | — | — | 9288% |
| AnMed Health North Campus Anderson, SC | — | — | 9288% |
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 Treat Sesamoid Bone Fracture
CPT code 28530 refers to treat sesamoid bone fracture (billing description: "Treat sesamoid bone fracture"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $103 in a facility (hospital or surgery center) and $124 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.