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
REMOVE/GRAFT FOOT LESION
Carmel, IN
See all hospitals reporting CPT 28103 →Price type
Carmel AmbSurg’s median price of $492 is 93% below the median hospital's median price ($7.2k), higher than 9% of the 1,604 hospitals reporting CPT 28103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 2 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 3 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 4 | UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient | $320 | $320 | $241 | 75% | — | $79 – $561 |
| 5 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $472 | $472 | $356 | 75% | — | $116 – $829 |
| 6 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $472 | $472 | $356 | 75% | — | $116 – $829 |
| 7 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 8 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 9 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 10 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 11 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 12 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 13 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 14 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 15 | Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 16 | Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 17 | Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 20 | Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 21 | Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 24 | UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 25 | WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Jan 1, 2026
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