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
CLTX FX GRT TOE PHLX/PHLG W/O MANJ
Low
$2
Average
$656
Median
$303
High
$10.2k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1565 hospitals; the 90th percentile is 11.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Akron General Medical Center Akron, OH | $222 | $229 | $145 | 63% | 12 | $61 – $691 |
| 2 | Avera McKennan Hospital Sioux Falls, SD | $281 | $268 | $71 | 26% | 3–30 | $150 – $355 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $384 | $496 | $295 | 59% | 1–10 | $240 – $1.1k |
| 4 | Tufts Medical Center BOSTON, MA | $257 | $366 | $143 | 39% | 1–10 | $257 – $599 |
| 5 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $312 | $686 | $1.1k | 159% | — | $192 – $4.1k |
| 6 | Beth Israel Deaconess Hospital - Needham Needham, MA | $542 | $542 | $109 | 20% | — | $433 – $651 |
| 7 | Ingalls Memorial Hospital Harvey, IL | $1.1k | $1.4k | $1.2k | 86% | — | $264 – $3.2k |
| 8 | USA Health University Hospital Mobile, AL | $175 | $179 | $8 | 4% | — | $175 – $192 |
| 9 | Fairview Health Services Edina, MN | $242 | $342 | $263 | 77% | — | $91 – $1.4k |
| 10 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $260 | $281 | $90 | 32% | — | $79 – $533 |
Ask Claude or any MCP client for CPT 28490 pricing at a specific hospital — see how to connect.