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Non-Surgical Treatment Of A Dislocated Midfoot Joint

Pennsylvania rates for HCPCS 28540

This treats a dislocation of a joint in the midfoot without an open surgical incision, repositioning the joint and then holding the foot still with a cast, splint, or boot while it heals. It is used when the dislocated joint can be treated this way rather than requiring open surgery. Follow-up x-rays are typically used to confirm the joint is healing in good position.

Rates data updated July 2026.

How much does Non-Surgical Treatment Of A Dislocated Midfoot Joint cost?

$204

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $2,512 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$174 to $224
FacilityA hospital or hospital-owned outpatient department$2,512$1,230 to $5,370

How much rates vary

Facilitymedian $2,512 · 10th to 90th $479 to $8,318Professionalmedian $195 · 10th to 90th $162 to $302
$200$500$1K$2K$5K$10Kfacility $2,512professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$288.40
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$380.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$407.38
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$389.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,570.40
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$741.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$234.42
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$776.25
Typical High
$1,348.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$371.54

Where Pennsylvania sits

The same service costs 4.2 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 43rd of 51

$204

CA $759KY $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.