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
Cl Tx Gr.Toe,Phal W/Manip
Low
$0
Average
$628
Median
$298
High
$17.7k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 294 hospitals; the 90th percentile is 7.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Baystate Franklin Medical Center Greenfield, MA | $110 | $110 | — | — | 10–100 | $110 – $110 |
| 2 | Covenant Medical Center Inc Saginaw, MI | $179 | $179 | — | — | 4–40 | $179 – $179 |
| 3 | Catholic Health Initiatives Colorado West Jordan, UT | $165 | $165 | — | — | 2–20 | $165 – $165 |
| 4 | Fairview Health Services Edina, MN | $767 | $767 | — | — | 1–10 | $767 – $767 |
| 5 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI | $505 | $505 | — | — | 1–10 | $505 – $505 |
| 6 | Self Regional Healthcare Greenwood, SC | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 7 | Froedtert Community Hospital Pewaukee Pewaukee, WI | $233 | $233 | — | — | 1–10 | $233 – $233 |
| 8 | Stony Brook University Hospital Stony Brook, NY | $306 | $356 | $96 | 27% | 1–10 | $306 – $671 |
| 9 | UConn Health, Waterbury Hospital Waterbury, CT | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 10 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY | $179 | $179 | — | — | 1–10 | $179 – $179 |
Ask Claude or any MCP client for CPT 28495 pricing at a specific hospital — see how to connect.