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
PR PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS
Boulder, CO
See all hospitals reporting CPT 28122 →Price type
Boulder Community Health’s median price of $798 is 77% below the median hospital's median price ($3.5k), higher than 12% of the 1,994 hospitals reporting CPT 28122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · case rate · both | $425 | $425 | — | — | — | $425 – $425 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 4 | Humana medicare advantage professional · fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $527 | $527 | — | — | — | $527 – $527 |
| 6 | Anthem commercial professional · fee schedule · both | $547 | $601 | $86 | 14% | — | $547 – $737 |
| 7 | Kaiser commercial professional · fee schedule · both | $671 | $671 | — | — | — | $671 – $671 |
| 8 | MultiPlan commercial professional · fee schedule · both | $694 | $694 | — | — | — | $694 – $694 |
| 9 | Phcs commercial professional · fee schedule · both | $694 | $694 | — | — | — | $694 – $694 |
| 10 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $710 | $710 | — | — | — | $710 – $710 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 12 | Anthem managed care professional · fee schedule · both | $737 | $737 | — | — | — | $737 – $737 |
| 13 | Cigna commercial professional · fee schedule · both | $752 | $752 | — | — | — | $752 – $752 |
| 14 | Aetna commercial professional · fee schedule · both | $863 | $863 | — | — | — | $863 – $863 |
| 15 | Aetna ppo professional · fee schedule · both | $863 | $863 | — | — | — | $863 – $863 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $874 | $874 | — | — | — | $874 – $874 |
| 17 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.0k | $2.0k | $1.5k | 78% | — | $425 – $3.5k |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Humana medicare advantage facility · case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $3.6k | $3.6k | $17 | 0% | — | $3.6k – $3.6k |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 25 | Kaiser commercial facility · case rate · outpatient | $7.6k | $7.6k | $921 | 12% | — | $6.7k – $8.5k |
Last updated: Sep 16, 2026
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