CPT 28430 Surgery - Musculoskeletal

How Much Does Cltx Talus Fracture without Manipulation under Cost?

Also known as: Cltx talus fracture w/o mnpj (CPT 28430)

Non-surgical treatment of a talus (ankle bone) fracture.

The total estimated cost of Cltx Talus Fracture without Manipulation under (CPT 28430) is $728 to $1,365, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $217.

Total Estimated Cost of Care

$728 — $1,365

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$217
Hospital Facility Fee
$650
Anesthesia (est.)
$43
Important: The physician fee of $217 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$217
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$266
Non-facility setting

Patient Guide: Cltx Talus Fracture without Manipulation under

What you need to know before your appointment

What to Expect

The foot and ankle are immobilized in a cast or boot. Non-weight-bearing is usually required for 6-8 weeks.

How Long Does It Take?

Office visit plus 8-12 weeks healing

Common Reasons Doctors Order This

Talus fracture from fall or motor vehicle accident, non-displaced talus fracture

How to Prepare

Use crutches. Follow weight-bearing restrictions strictly. The talus has limited blood supply, so healing can be slow.

Procedures Commonly Done Together

These procedures are frequently performed alongside Cltx talus fracture w/o mnpj

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How to Reduce Your Cost for Cltx talus fracture w/o mnpj

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 ($266) differs from the facility rate ($217). 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.

2.16
Work RVU
3.96
Practice Expense RVU
0.37
Malpractice RVU
7.96
Total RVU

Payment = Total RVU (7.96) x CF ($33.40) = $266

Frequently Asked Questions

How much does Cltx talus fracture w/o mnpj cost?

The Medicare facility rate for Cltx talus fracture w/o mnpj is $217. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Cltx talus fracture w/o mnpj cost without insurance?

Without insurance, the cost of Cltx talus fracture w/o mnpj 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 talus fracture w/o mnpj?

Most commercial health insurance plans and Medicare cover Cltx talus fracture w/o mnpj 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.

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