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
TREAT TOE DISLOCATION
Low
$173
Average
$1.8k
Median
$1.8k
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.8× 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 · +32 other terms | 499 | $1.6k | $2.1k | $2.5k | 116% | — | $26 – $47.0k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 470 | $1.7k | $2.1k | $1.9k | 90% | — | $61 – $21.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 380 | $2.2k | $2.9k | $2.4k | 80% | — | $1 – $18.0k |
| 4 | Humana fee schedule · outpatient · +28 other terms | 346 | $1.6k | $1.4k | $951 | 68% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +24 other terms | 289 | $3.0k | $4.8k | $6.3k | 130% | — | $678 – $40.7k |
| 6 | Molina fee schedule · outpatient · +19 other terms | 222 | $1.2k | $1.1k | $815 | 76% | — | $1 – $4.4k |
| 7 | WellCare fee schedule · outpatient · +16 other terms | 149 | $1.7k | $1.7k | $682 | 40% | — | $112 – $4.4k |
| 8 | Oscar case rate · outpatient · +19 other terms | 137 | $3.4k | $3.1k | $1.5k | 47% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +22 other terms | 127 | $1.1k | $1.3k | $2.0k | 153% | — | $81 – $11.8k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 102 | $2.0k | $2.3k | $2.0k | 87% | — | $32 – $11.3k |
| 11 | Ambetter fee schedule · outpatient · +14 other terms | 77 | $2.5k | $2.1k | $1.2k | 56% | — | $35 – $3.9k |
| 12 | Aetna Better Health fee schedule · outpatient · +10 other terms | 66 | $749 | $734 | $230 | 31% | — | $98 – $1.6k |
| 13 | Healthcare Highways case rate · outpatient · +3 other terms | 63 | $2.4k | $2.7k | $563 | 21% | — | $2.0k – $4.3k |
| 14 | Devoted fee schedule · outpatient · +9 other terms | 60 | $1.6k | $1.5k | $505 | 35% | — | $129 – $1.8k |
| 15 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $2.4k | $19 | 1% | — | $2.3k – $2.4k |
| 16 | Caresource fee schedule · outpatient · +11 other terms | 45 | $1.6k | $1.4k | $903 | 64% | — | $81 – $4.4k |
| 17 | Tricare fee schedule · outpatient · +15 other terms | 43 | $1.5k | $1.9k | $1.1k | 61% | — | $1.1k – $5.2k |
| 18 | MultiPlan fee schedule · outpatient · +21 other terms | 42 | $2.4k | $2.5k | $522 | 21% | — | $86 – $7.3k |
| 19 | Optum fee schedule · outpatient · +15 other terms | 36 | $1.5k | $2.1k | $2.6k | 121% | — | $129 – $12.1k |
| 20 | First Health fee schedule · outpatient · +18 other terms | 34 | $1.7k | $2.0k | $2.1k | 104% | — | $151 – $7.2k |
| 21 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $370 | $3.2k | $2.6k | 79% | — | $350 – $6.3k |
| 22 | Clover fee schedule · outpatient · +8 other terms | 32 | $1.8k | $1.9k | $777 | 40% | — | $1.5k – $4.5k |
| 23 | Medica fee schedule · outpatient · +17 other terms | 32 | $253 | $833 | $804 | 97% | — | $114 – $3.7k |
| 24 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 29 | $623 | $1.1k | $479 | 42% | — | $623 – $1.7k |
| 25 | Regence professional · fee schedule · outpatient · +11 other terms | 27 | $120 | $268 | $143 | 54% | — | $62 – $555 |
← Hospitals reporting CPT 28635 · Snapshot 20261113T090226Z-3ce6c0b8