{"procedure":{"code_type":"CPT","code":"28465","lay_name":"Open surgery for a broken midfoot bone","blurb":"Surgical incision to realign a fracture of a midfoot (tarsal) bone other than the talus or heel bone, with or without hardware to hold it; billed once for each bone treated.","slug":"cpt-28465-open-surgery-for-a-broken-midfoot-bone","description":"Open Tx Tarsal Fracture Xcp Talus & Calcaneus Ea","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"147","label":"Treatment, fracture or dislocation of lower extremity (other than hip or femur)","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":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":596,"n_usable":537,"n_not_usable":0,"n_labelled":36,"n_no_cash":20,"n_estimated":3,"n_states":47,"cash_p10":697.8,"cash_p20":1078.5,"cash_p25":1174.98,"cash_p50":2663.76,"cash_p75":8351.5,"cash_p80":9072.45,"cash_p90":19279.01,"cash_mean_trimmed":3767.93,"gross_p50":2606.0,"cash_to_gross_p50":0.65,"medicare_rate":7413.38,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.3593,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":31,"p20":1613.71,"p50":19465.6,"p80":19465.6},{"state":"CO","n":10,"p20":1136.7,"p50":1764.6,"p80":19279.01},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":4496.8,"p50":9250.74,"p80":26185.01},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":24,"p20":1197.0,"p50":1570.4,"p80":1891.8},{"state":"ID","n":15,"p20":1310.0,"p50":4172.0,"p80":12106.0},{"state":"IL","n":20,"p20":697.2,"p50":1275.62,"p80":1971.0},{"state":"IN","n":13,"p20":697.2,"p50":825.0,"p80":7639.0},{"state":"KS","n":8,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":32,"p20":1133.2,"p50":1184.0,"p80":7194.0},{"state":"MN","n":21,"p20":2028.09,"p50":2663.76,"p80":4960.8},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":1087.91,"p50":1350.0,"p80":2169.8},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":5038.59,"p50":7807.24,"p80":9214.11},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":29,"p20":1036.0,"p50":8453.6,"p80":8453.6},{"state":"OH","n":18,"p20":1038.75,"p50":2288.0,"p80":7860.6},{"state":"OK","n":13,"p20":1061.2,"p50":1061.2,"p80":13058.1},{"state":"OR","n":18,"p20":1196.0,"p50":1547.0,"p80":2124.8},{"state":"PA","n":22,"p20":419.06,"p50":1727.88,"p80":11093.08},{"state":"SC","n":7,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":32,"p20":4493.63,"p50":6192.78,"p80":9759.36},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":15,"p20":1196.0,"p50":1428.05,"p80":8591.38},{"state":"WI","n":32,"p20":3395.6,"p50":3395.6,"p80":8351.5},{"state":"WV","n":15,"p20":672.44,"p50":1101.6,"p80":2885.67},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":395,"p20":1106.0,"p50":4359.3,"p80":9977.57},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":130,"p20":969.68,"p50":1533.15,"p80":3395.6}],"ownership":[{"key":"for_profit","n":60,"p20":1293.6,"p50":6145.0,"p80":14738.0},{"key":"government","n":92,"p20":1063.2,"p50":1588.8,"p80":8453.6},{"key":"nonprofit","n":385,"p20":1061.2,"p50":2663.76,"p80":8591.38}],"affiliation":[{"key":"affiliated","n":415,"p20":1133.2,"p50":3465.0,"p80":9653.29},{"key":"independent","n":122,"p20":1013.33,"p50":1565.0,"p80":5049.62}]},"histogram":[{"lo":641.08,"hi":913.54,"n":45},{"lo":913.54,"hi":1301.79,"n":95},{"lo":1301.79,"hi":1855.05,"n":55},{"lo":1855.05,"hi":2643.45,"n":43},{"lo":2643.45,"hi":3766.92,"n":37},{"lo":3766.92,"hi":5367.86,"n":40},{"lo":5367.86,"hi":7649.19,"n":42},{"lo":7649.19,"hi":10900.1,"n":70},{"lo":10900.1,"hi":15532.64,"n":26},{"lo":15532.64,"hi":22134.0,"n":32}],"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":"2024-01-27","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":293,"n_usable":257,"n_not_usable":0,"n_labelled":14,"n_no_cash":22,"n_estimated":0,"n_states":45,"cash_p10":697.2,"cash_p20":1036.0,"cash_p25":1061.2,"cash_p50":1971.0,"cash_p75":6192.78,"cash_p80":7650.25,"cash_p90":19279.01,"cash_mean_trimmed":2862.25,"gross_p50":2170.0,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":1897.74,"p50":19465.6,"p80":19465.6},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1570.4,"p50":1570.4,"p80":1570.4},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":697.2,"p50":1206.11,"p80":1971.0},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"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":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":1184.0,"p50":1294.4,"p80":3395.6},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"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":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"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":12,"p20":731.21,"p50":1036.0,"p80":1890.0},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":1061.2,"p50":1061.2,"p80":1061.2},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":8,"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":23,"p20":4493.63,"p50":6192.78,"p80":6741.49},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":19,"p20":3395.6,"p50":3395.6,"p80":5356.8},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":194,"p20":1061.2,"p50":2266.0,"p80":10468.22},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":58,"p20":908.6,"p50":1596.7,"p80":5356.8}],"ownership":[{"key":"for_profit","n":25,"p20":697.2,"p50":2266.0,"p80":6653.0},{"key":"government","n":32,"p20":1038.0,"p50":1613.71,"p80":6564.35},{"key":"nonprofit","n":200,"p20":1036.0,"p50":2275.2,"p80":7907.11}],"affiliation":[{"key":"affiliated","n":198,"p20":1061.2,"p50":3239.6,"p80":12077.48},{"key":"independent","n":59,"p20":938.7,"p50":1413.6,"p80":2736.0}]},"histogram":[{"lo":641.08,"hi":901.88,"n":28},{"lo":901.88,"hi":1268.77,"n":42},{"lo":1268.77,"hi":1784.92,"n":39},{"lo":1784.92,"hi":2511.04,"n":20},{"lo":2511.04,"hi":3532.56,"n":22},{"lo":3532.56,"hi":4969.65,"n":15},{"lo":4969.65,"hi":6991.35,"n":25},{"lo":6991.35,"hi":9835.51,"n":9},{"lo":9835.51,"hi":13836.69,"n":8},{"lo":13836.69,"hi":19465.6,"n":33}],"previous":null}},"related":[{"code_type":"CPT","code":"27560","lay_name":"Resetting a dislocated kneecap without anesthesia","slug":"cpt-27560-resetting-a-dislocated-kneecap-without-anesthesia"},{"code_type":"CPT","code":"27818","lay_name":"Setting a three-part ankle fracture without surgery","slug":"cpt-27818-setting-a-three-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"28515","lay_name":"Setting a broken toe without surgery","slug":"cpt-28515-setting-a-broken-toe-without-surgery"},{"code_type":"CPT","code":"27810","lay_name":"Setting a two-part ankle fracture without surgery","slug":"cpt-27810-setting-a-two-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"27788","lay_name":"Setting an outer ankle bone fracture without surgery","slug":"cpt-27788-setting-an-outer-ankle-bone-fracture-without-surgery"},{"code_type":"CPT","code":"27840","lay_name":"Resetting a dislocated ankle without anesthesia","slug":"cpt-27840-resetting-a-dislocated-ankle-without-anesthesia"},{"code_type":"CPT","code":"28660","lay_name":"Setting a dislocated toe joint without anesthesia","slug":"cpt-28660-setting-a-dislocated-toe-joint-without-anesthesia"},{"code_type":"CPT","code":"27786","lay_name":"Nonsurgical care of outer ankle bone fracture, no resetting","slug":"cpt-27786-nonsurgical-care-of-outer-ankle-bone-fracture-no-resetting"},{"code_type":"CPT","code":"28630","lay_name":"Setting a dislocated toe knuckle joint without anesthesia","slug":"cpt-28630-setting-a-dislocated-toe-knuckle-joint-without-anesthesia"},{"code_type":"CPT","code":"27550","lay_name":"Putting a dislocated knee back in place without anesthesia","slug":"cpt-27550-putting-a-dislocated-knee-back-in-place-without-anesthesia"},{"code_type":"CPT","code":"28470","lay_name":"Treatment of a broken foot bone without realignment","slug":"cpt-28470-treatment-of-a-broken-foot-bone-without-realignment"},{"code_type":"CPT","code":"28495","lay_name":"Setting a broken big toe without surgery","slug":"cpt-28495-setting-a-broken-big-toe-without-surgery"}]}