CPT 28446 Surgery - Musculoskeletal

How Much Does Opn Osteochondrl Agrft Talus Cost?

Also known as: Opn osteochondrl agrft talus (CPT 28446)

The total estimated cost of Opn Osteochondrl Agrft Talus (CPT 28446) is $3,782 to $7,091, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,126.

Total Estimated Cost of Care

$3,782 — $7,091

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

Surgeon/Physician Fee
$1,126
Hospital Facility Fee
$3,377
Anesthesia (est.)
$225
Important: The physician fee of $1,126 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)
$1,126
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Opn osteochondrl agrft talus

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How to Reduce Your Cost for Opn osteochondrl agrft talus

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

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 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.

17.27
Work RVU
12.76
Practice Expense RVU
3.67
Malpractice RVU
33.70
Total RVU

Payment = Total RVU (33.70) x CF ($33.40) = $1,126

Frequently Asked Questions

How much does Opn osteochondrl agrft talus cost?

The Medicare facility rate for Opn osteochondrl agrft talus is $1,126. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Opn osteochondrl agrft talus cost without insurance?

Without insurance, the cost of Opn osteochondrl agrft talus 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 Opn osteochondrl agrft talus?

Most commercial health insurance plans and Medicare cover Opn osteochondrl agrft talus 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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