Incision Of Connective Tissue And Muscle Of Sole Of Foot
What Medicare pays for 28250, what providers bill, and how the price varies across 10 states, drawn from CMS 2023 claims data.
28250 · the short answer
For incision of connective tissue and muscle of sole of foot, Medicare pays about $283.45 while providers bill $1,878.77 on average, a 6.6× markup, an above-median markup. State-level Medicare rates range 219% from lowest to highest.
- Medicare pays
- $283.45
- Providers bill
- $1,878.77
- Markup
- 6.6×
- Markup percentile
- 63th
Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.
Price Range Across States
What You Might Pay
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
How we estimate these prices
These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Musculoskeletal Surgery procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.
Where this markup sits nationally
Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate
7 Among the most affordable more affordable than 63% of 8,901 procedures
Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners · 2023
Prices by State
| State | Medicare Payment | Billed Charge |
|---|---|---|
| Florida | $475.42 | $2,232.18 |
| Wisconsin | $434.61 | $3,733.85 |
| Texas | $299.51 | $1,933.19 |
| Georgia | $287.41 | $2,265.69 |
| Ohio | $262.55 | $1,634.74 |
| Virginia | $232.57 | $1,932.92 |
| Arizona | $220.46 | $1,820.40 |
| North Carolina | $205.91 | $1,505.36 |
| Oklahoma | $190.70 | $894.61 |
| California | $149.21 | $1,618.55 |
What the Data Says About Incision Of Connective Tissue And Muscle Of Sole Of Foot
Across 10 states with reporting providers, CPT code 28250 (Incision Of Connective Tissue And Muscle Of Sole Of Foot) shows a national average Medicare payment of $283.45 against an average billed charge of $1,878.77. That gap, a 6.6x markup, or 563% above the Medicare allowed amount, is roughly in line with what most procedures show, chargemaster pricing that no major payer pays in full but that still anchors negotiations.
Musculoskeletal Surgery procedures like this one saw 364 services billed to Medicare in 2023 by 261 distinct providers, serving 257 unique beneficiaries. State-level variation is significant: California reports the lowest average payment at $149.21, while Florida reports the highest at $475.42. A 219% spread this wide is typically a GPCI story: practice-expense and malpractice-premium components of the fee formula diverge sharply by locality even though the procedure code never changes.
Applying RAND 2024 commercial-to-Medicare ratios specific to the Musculoskeletal Surgery category (2.24x), the estimated commercial insurance price lands near $803.91, with self-pay cash discounts commonly bringing the figure closer to $785.83. Within Musculoskeletal Surgery, Incision Of Connective Tissue And Muscle Of Sole Of Foot ranks #1007 of 1411 tracked procedures by national average Medicare payment.
What to do with this
If you may have incision of connective tissue and muscle of sole of foot done, these steps turn the numbers above into a real-world cost estimate.
- Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
- Compare incision of connective tissue and muscle of sole of foot costs in your state, Medicare rates vary by locality. Browse states
- Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
- Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide
Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.
Frequently Asked Questions
How much does Incision Of Connective Tissue And Muscle Of Sole Of Foot cost?
Incision Of Connective Tissue And Muscle Of Sole Of Foot (CPT 28250) shows unusually wide state-to-state pricing: Medicare pays $283.45 on average nationally, but the $149.21-$475.42 range across states spans more than double from cheapest to priciest.
Why do providers charge more than Medicare pays?
Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.
How much does Incision Of Connective Tissue And Muscle Of Sole Of Foot cost with insurance?
With commercial insurance, incision of connective tissue and muscle of sole of foot costs an estimated $803.91 on average (range: $562.74-$1,125.47), a moderate premium over Medicare's $283.45. Without insurance, the estimated cash price is $785.83.
Which state has the lowest cost for Incision Of Connective Tissue And Muscle Of Sole Of Foot?
California has by far the lowest average Medicare payment for Incision Of Connective Tissue And Muscle Of Sole Of Foot at $149.21, while Florida pays more than double at $475.42 - a $326.21 gap.
How many providers perform Incision Of Connective Tissue And Muscle Of Sole Of Foot?
Incision Of Connective Tissue And Muscle Of Sole Of Foot is comparatively uncommon: only 261 providers nationally billed Medicare for it in 2023, serving 257 beneficiaries via 364 total services.
What is the billed-to-Medicare markup for Incision Of Connective Tissue And Muscle Of Sole Of Foot?
Providers bill 6.6x what Medicare pays for Incision Of Connective Tissue And Muscle Of Sole Of Foot - an above-median markup at 563% above the Medicare rate.
Related Guides
Tips to reduce out-of-pocket costs
Your right to upfront pricing
How Medicare payments work
Decode charges and codes
Why bills exceed actual costs
Geographic pricing factors
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.