Price Checker / CPT 28531
How much does Treat Sesamoid Bone Fracture cost?
CPT 28531 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$480–$970
What this should cost
With insurance
~$3,850
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $735 is $5 over the fair price.
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 |
|---|---|---|---|
| Cedar County Memorial Hospital EL DORADO SPRINGS, MO | $735 | — | 1701% |
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 28531 refers to treat sesamoid bone fracture (billing description: "Treat sesamoid bone fracture"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $175 in a facility (hospital or surgery center) and $323 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.