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 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
Plattsburgh, NY
See all hospitals reporting CPT 28510 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $224 is 26% below the median hospital's median price ($305), higher than 18% of the 1,935 hospitals reporting CPT 28510. 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, 38 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $82.27 | $82.27 | $82.27 – $82.27 |
| 2 | Blue Cross Blue Shield blue access professional · fee schedule · both | $92.54 | $92.54 | $92.54 – $92.54 |
| 3 | Excellus managed medicaid/essential plans professional · fee schedule · both | $97.25 | $97.25 | $97.25 – $97.25 |
| 4 | Blue Cross Blue Shield hmo professional · fee schedule · both | $97.99 | $97.99 | $97.99 – $97.99 |
| 5 | Blue Cross Blue Shield ind professional · fee schedule · both | $103.43 | $103.43 | $103.43 – $103.43 |
| 6 | Blue Cross Blue Shield ppo professional · fee schedule · both | $108.87 | $108.87 | $108.87 – $108.87 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 8 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 9 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 10 | Excellus medicare advantage professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 11 | Humana tricare professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $117.53 | $117.53 | $117.53 – $117.53 |
| 13 | Highmark ind/fep professional · fee schedule · both | $136.02 | $136.02 | $136.02 – $136.02 |
| 14 | Highmark ppo/hmo professional · fee schedule · both | $136.02 | $136.02 | $136.02 – $136.02 |
| 15 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $141.04 | $141.04 | $141.04 – $141.04 |
| 16 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $150.91 | $150.91 | $150.91 – $150.91 |
| 17 | Excellus commercial professional · fee schedule · both | $162.96 | $162.96 | $162.96 – $162.96 |
| 18 | Aetna commercial professional · fee schedule · both | $179.82 | $179.82 | $179.82 – $179.82 |
| 19 | Blue Cross Blue Shield individual network professional · fee schedule · both | $188.05 | $188.05 | $188.05 – $188.05 |
| 20 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $207.40 | $207.40 | $190.58 – $224.21 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $276.10 | $276.10 | $276.10 – $276.10 |
| 22 | Excellus medicare advantage facility · fee schedule · outpatient | $277.09 | $277.09 | $277.09 – $277.09 |
| 23 | Humana tricare facility · fee schedule · outpatient | $278.44 | $278.44 | $278.44 – $278.44 |
| 24 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $285.95 | $285.95 | $285.95 – $285.95 |
| 25 | Aetna medicare advantage facility · fee schedule · outpatient | $293.09 | $293.09 | $293.09 – $293.09 |
Last updated: Apr 28, 2026
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