Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC EXC TMR SFT TISS FOOT/TOE SBFCL <1.5CM
Low
$65
Average
$968
Median
$735
High
$3.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 31.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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36 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 4 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 8 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 14 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | NYU Langone New York, NY case rate · both | 15 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | NYU Langone Mineola, NY case rate · both | 15 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | NYU Langone Brooklyn, NY case rate · both | 15 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | NYU Langone New York, NY case rate · both | 15 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | North Memorial Health Care Robbinsdale, MN professional · fee schedule · both | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 23 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 25 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · inpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
← Payers reporting CPT 28045 · Snapshot 20261112T181611Z-3fa9fb76