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
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
Avon, OH
See all hospitals reporting CPT 28510 →Price type
Cleveland Clinic Avon Hospital’s median price of $256 is 16% below the median hospital's median price ($305), higher than 36% 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: 11 payers, 27 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 all products facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Humana medicare advantage hmo facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 3 | Optum all products va facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 4 | Optum medicare advantage transplant facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 6 | Aetna medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 7 | Anthem medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 8 | Devoted medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 9 | Cigna medicare advantage facility · fee schedule · outpatient | $240.37 | $240.37 | $240.37 – $240.37 |
| 10 | Anthem managed medicaid facility · case rate · outpatient | $251.22 | $251.22 | $251.22 – $251.22 |
| 11 | Molina managed medicaid facility · case rate · outpatient | $251.22 | $251.22 | $251.22 – $251.22 |
| 12 | Caresource managed medicaid facility · case rate · outpatient | $256.01 | $256.01 | $256.01 – $256.01 |
| 13 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $256.01 | $256.01 | $256.01 – $256.01 |
| 14 | Anthem ppo/hmo facility · fee schedule · outpatient | $259.92 | $259.92 | $259.92 – $259.92 |
| 15 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $311.93 | $311.93 | $311.93 – $311.93 |
| 16 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $398.07 | $398.07 | $398.07 – $398.07 |
| 17 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $520.62 | $520.62 | $520.62 – $520.62 |
| 18 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $618.23 | $618.23 | $618.23 – $618.23 |
| 19 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $624.30 | $624.30 | $624.30 – $624.30 |
| 20 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $637.98 | $637.98 | $637.98 – $637.98 |
| 21 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $827.25 | $827.25 | $827.25 – $827.25 |
| 22 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $992.70 | $992.70 | $992.70 – $992.70 |
| 23 | Aetna qhp/ipf facility · percent of total billed charges · outpatientfrom % of charges | $1,103 | $1,103 | $1,103 – $1,103 |
| 24 | Aetna acop facility · case rate · outpatient | $2,451 | $2,451 | $2,451 – $2,451 |
| 25 | Aetna asa_whirlpool_peia facility · case rate · outpatient | $2,693 | $2,693 | $2,693 – $2,693 |
Last updated: Jun 15, 2026
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