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
REMOVAL OF FOOT LESION
Low
$474
Average
$3.2k
Median
$3.0k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 4.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 550 | $3.2k | $3.5k | $4.0k | 114% | 3–30 | $1 – $95.3k |
| 2 | Humana fee schedule · outpatient · +25 other terms | 380 | $3.2k | $2.7k | $1.3k | 47% | 2–20 | $1 – $12.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 389 | $4.2k | $5.5k | $3.9k | 71% | 1–10 | $1 – $24.3k |
| 4 | Aetna fee schedule · outpatient · +26 other terms | 489 | $3.3k | $3.6k | $2.8k | 77% | — | $59 – $26.6k |
| 5 | Cigna case rate · outpatient · +22 other terms | 319 | $3.7k | $5.2k | $5.7k | 110% | — | $488 – $40.7k |
| 6 | Molina fee schedule · outpatient · +21 other terms | 235 | $2.2k | $2.0k | $1.7k | 83% | — | $1 – $9.2k |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 174 | $3.3k | $3.4k | $1.2k | 34% | — | $61 – $7.6k |
| 8 | Oscar case rate · outpatient · +21 other terms | 137 | $5.6k | $5.2k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 130 | $2.4k | $2.7k | $3.9k | 143% | — | $236 – $23.9k |
| 10 | Kaiser fee schedule · outpatient · +19 other terms | 99 | $4.1k | $4.6k | $4.2k | 90% | — | $41 – $23.4k |
| 11 | Ambetter fee schedule · outpatient · +14 other terms | 90 | $5.4k | $4.5k | $2.3k | 51% | — | $120 – $8.0k |
| 12 | Aetna Better Health fee schedule · outpatient · +10 other terms | 76 | $1.4k | $1.5k | $906 | 61% | — | $334 – $11.4k |
| 13 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $3.7k | $4.2k | $1.0k | 24% | — | $1.6k – $5.5k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 75 | $3.3k | $3.0k | $963 | 32% | — | $352 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +12 other terms | 64 | $2.9k | $2.5k | $1.5k | 61% | — | $318 – $11.9k |
| 16 | Tricare fee schedule · outpatient · +15 other terms | 47 | $3.1k | $3.0k | $1.2k | 41% | — | $332 – $5.4k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.1k | $682 | 64% | — | $929 – $4.9k |
| 18 | MultiPlan case rate · outpatient · +19 other terms | 35 | $4.0k | $5.8k | $3.1k | 53% | — | $869 – $11.5k |
| 19 | Optum fee schedule · outpatient · +19 other terms | 35 | $3.2k | $3.7k | $2.9k | 78% | — | $352 – $12.1k |
| 20 | First Health fee schedule · outpatient · +21 other terms | 34 | $3.4k | $3.0k | $2.2k | 75% | — | $416 – $7.6k |
| 21 | Amerihealth Caritas case rate · outpatient · +10 other terms | 33 | $496 | $4.7k | $4.2k | 91% | — | $468 – $10.5k |
| 22 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $4.0k | $3.9k | $1.9k | 47% | — | $1.1k – $11.4k |
| 23 | Clover fee schedule · outpatient · +7 other terms | 32 | $3.5k | $3.5k | $218 | 6% | — | $3.0k – $3.8k |
| 24 | Regence professional · fee schedule · outpatient · +15 other terms | 31 | $179 | $462 | $421 | 91% | — | $26 – $1.6k |
| 25 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 30 | $2.2k | $2.3k | $1.1k | 48% | — | $1.1k – $3.5k |
← Hospitals reporting CPT 28104 · Snapshot 20261112T181611Z-3fa9fb76