{"procedure":{"code_type":"CPT","code":"28309","lay_name":"Surgical cutting and realignment of multiple foot bones","blurb":"Surgery that cuts several metatarsal bones of the forefoot and fixes each one in a corrected position, such as for a flattened or deformed forefoot.","slug":"cpt-28309-surgical-cutting-and-realignment-of-multiple-foot-bones","description":"Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"161","label":"Other OR therapeutic procedures on bone","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:26.750973Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":453,"n_usable":415,"n_not_usable":2,"n_labelled":24,"n_no_cash":10,"n_estimated":2,"n_states":45,"cash_p10":1078.83,"cash_p20":1525.39,"cash_p25":1673.75,"cash_p50":4081.44,"cash_p75":8412.89,"cash_p80":9057.82,"cash_p90":14841.7,"cash_mean_trimmed":4402.91,"gross_p50":4032.0,"cash_to_gross_p50":0.62,"medicare_rate":7413.38,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5506,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":29,"p20":2604.56,"p50":15943.2,"p80":15943.2},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":8,"p20":null,"p50":null,"p80":null},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":1890.72,"p50":2206.4,"p80":3379.5},{"state":"ID","n":11,"p20":5929.61,"p50":7735.0,"p80":14738.0},{"state":"IL","n":15,"p20":952.0,"p50":1725.6,"p80":2206.4},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":31,"p20":1987.2,"p50":1987.2,"p80":9977.57},{"state":"MN","n":18,"p20":1847.88,"p50":3478.5,"p80":4081.44},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":4881.0,"p50":7807.24,"p80":8415.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":1459.0,"p50":8453.6,"p80":8453.6},{"state":"OH","n":14,"p20":1766.4,"p50":3681.6,"p80":7860.6},{"state":"OK","n":14,"p20":1499.4,"p50":1499.4,"p80":13715.16},{"state":"OR","n":10,"p20":1673.75,"p50":1673.75,"p80":3084.0},{"state":"PA","n":19,"p20":563.42,"p50":6942.74,"p80":12077.48},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":23,"p20":2816.0,"p50":4896.31,"p80":5886.74},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":11,"p20":1616.81,"p50":1694.05,"p80":3828.0},{"state":"WI","n":22,"p20":4475.52,"p50":4943.25,"p80":4943.25},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":321,"p20":1513.96,"p50":4896.31,"p80":9388.33},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":83,"p20":1616.81,"p50":2952.9,"p80":4943.25}],"ownership":[{"key":"for_profit","n":55,"p20":1499.4,"p50":6942.74,"p80":11919.68},{"key":"government","n":57,"p20":1596.0,"p50":2297.0,"p80":8453.6},{"key":"nonprofit","n":303,"p20":1513.96,"p50":3986.0,"p80":8613.01}],"affiliation":[{"key":"affiliated","n":327,"p20":1499.4,"p50":4532.6,"p80":9977.57},{"key":"independent","n":88,"p20":1616.81,"p50":2297.0,"p80":7170.73}]},"histogram":[{"lo":892.5,"hi":1190.71,"n":29},{"lo":1190.71,"hi":1588.55,"n":39},{"lo":1588.55,"hi":2119.33,"n":48},{"lo":2119.33,"hi":2827.45,"n":36},{"lo":2827.45,"hi":3772.18,"n":27},{"lo":3772.18,"hi":5032.56,"n":53},{"lo":5032.56,"hi":6714.06,"n":28},{"lo":6714.06,"hi":8957.4,"n":50},{"lo":8957.4,"hi":11950.3,"n":26},{"lo":11950.3,"hi":15943.2,"n":42}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-11","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":248,"n_usable":222,"n_not_usable":0,"n_labelled":13,"n_no_cash":13,"n_estimated":0,"n_states":41,"cash_p10":952.0,"cash_p20":1459.0,"cash_p25":1499.4,"cash_p50":3264.8,"cash_p75":6979.5,"cash_p80":8971.0,"cash_p90":15943.2,"cash_mean_trimmed":3635.49,"gross_p50":4081.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":15943.2,"p50":15943.2,"p80":15943.2},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":2206.4,"p50":2206.4,"p80":2206.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"IN","n":11,"p20":761.75,"p50":952.0,"p80":2019.7},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":12,"p20":1370.4,"p50":3264.8,"p80":4943.25},{"state":"MN","n":13,"p20":2249.05,"p50":4081.44,"p80":4081.44},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":1499.4,"p50":1499.4,"p80":1499.4},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":2621.25,"p50":4896.31,"p80":5886.74},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":4943.25,"p50":4943.25,"p80":4943.25},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":170,"p20":1459.0,"p50":3127.0,"p80":10468.22},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":47,"p20":1616.81,"p50":3478.5,"p80":4943.25}],"ownership":[{"key":"for_profit","n":25,"p20":852.89,"p50":3084.0,"p80":5929.61},{"key":"government","n":26,"p20":1591.8,"p50":2128.0,"p80":7743.6},{"key":"nonprofit","n":171,"p20":1499.4,"p50":3587.19,"p80":12077.48}],"affiliation":[{"key":"affiliated","n":172,"p20":1451.61,"p50":4047.4,"p80":11619.94},{"key":"independent","n":50,"p20":1591.8,"p50":1989.0,"p80":7743.6}]},"histogram":[{"lo":892.5,"hi":1190.71,"n":23},{"lo":1190.71,"hi":1588.55,"n":27},{"lo":1588.55,"hi":2119.33,"n":23},{"lo":2119.33,"hi":2827.45,"n":22},{"lo":2827.45,"hi":3772.18,"n":15},{"lo":3772.18,"hi":5032.56,"n":34},{"lo":5032.56,"hi":6714.06,"n":13},{"lo":6714.06,"hi":8957.4,"n":11},{"lo":8957.4,"hi":11950.3,"n":5},{"lo":11950.3,"hi":15943.2,"n":32}],"previous":null}},"related":[{"code_type":"CPT","code":"20680","lay_name":"Removal of a deeply placed plate, rod, screw, or nail","slug":"cpt-20680-removal-of-a-deeply-placed-plate-rod-screw-or-nail"},{"code_type":"CPT","code":"20670","lay_name":"Removal of a pin, wire, or screw just under the skin","slug":"cpt-20670-removal-of-a-pin-wire-or-screw-just-under-the-skin"},{"code_type":"CPT","code":"28308","lay_name":"Cutting a long foot bone other than the first, each bone","slug":"cpt-28308-cutting-a-long-foot-bone-other-than-the-first-each-bone"},{"code_type":"CPT","code":"20694","lay_name":"Removal of an external bone fixator under anesthesia","slug":"cpt-20694-removal-of-an-external-bone-fixator-under-anesthesia"},{"code_type":"CPT","code":"20615","lay_name":"Draining and injecting a bone cyst","slug":"cpt-20615-draining-and-injecting-a-bone-cyst"},{"code_type":"CPT","code":"28315","lay_name":"Removal of a small sesamoid bone under the big toe","slug":"cpt-28315-removal-of-a-small-sesamoid-bone-under-the-big-toe"},{"code_type":"CPT","code":"28300","lay_name":"Cutting and realigning the heel bone","slug":"cpt-28300-cutting-and-realigning-the-heel-bone"},{"code_type":"CPT","code":"20690","lay_name":"Applying a single-plane external bone fixator","slug":"cpt-20690-applying-a-single-plane-external-bone-fixator"},{"code_type":"CPT","code":"20900","lay_name":"Small bone graft taken from the patient's own body","slug":"cpt-20900-small-bone-graft-taken-from-the-patient-s-own-body"},{"code_type":"CPT","code":"20692","lay_name":"Applying a multi-plane external bone fixator","slug":"cpt-20692-applying-a-multi-plane-external-bone-fixator"},{"code_type":"CPT","code":"28306","lay_name":"Cutting and realigning the first long foot bone","slug":"cpt-28306-cutting-and-realigning-the-first-long-foot-bone"},{"code_type":"CPT","code":"28005","lay_name":"Opening a foot bone to treat infection","slug":"cpt-28005-opening-a-foot-bone-to-treat-infection"}]}