How Much Does Cltx Metatarsal Fracture Wo Mnp Ea Cost?
Also known as: Cltx metatarsal fx wo mnp ea (CPT 28470)
Treatment of a metatarsal (foot bone) fracture without surgery.
The total estimated cost of Cltx Metatarsal Fracture Wo Mnp Ea (CPT 28470) is $702 to $1,316, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $209.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Cltx Metatarsal Fracture Wo Mnp Ea
What you need to know before your appointment
What to Expect
The doctor immobilizes the broken foot bone with a cast, boot, or rigid shoe. You may need to limit weight-bearing for several weeks.
How Long Does It Take?
Office visit plus 6-8 weeks of healing
Common Reasons Doctors Order This
Metatarsal fracture from injury or stress fracture, Jones fracture, march fracture
How to Prepare
Wear the prescribed boot or shoe consistently. Gradually increase weight-bearing as directed. Calcium and vitamin D support bone healing.
Procedures Commonly Done Together
These procedures are frequently performed alongside Cltx metatarsal fx wo mnp ea
How to Reduce Your Cost for Cltx metatarsal fx wo mnp ea
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($237) differs from the facility rate ($209). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (7.10) x CF ($33.40) = $237
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Cltx metatarsal fx wo mnp ea cost?
The Medicare facility rate for Cltx metatarsal fx wo mnp ea is $209. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Cltx metatarsal fx wo mnp ea cost without insurance?
Without insurance, the cost of Cltx metatarsal fx wo mnp ea can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Cltx metatarsal fx wo mnp ea?
Most commercial health insurance plans and Medicare cover Cltx metatarsal fx wo mnp ea when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.