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
Mayfield Heights, OH
See all hospitals reporting CPT 28510 →Price type
Cleveland Clinic Health System - East Region’s median price of $436 is 43% above the median hospital's median price ($305), higher than 68% 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, 29 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 | Anthem hpn facility · fee schedule · outpatient | $222.02 | $222.02 | $222.02 – $222.02 |
| 3 | Humana medicare advantage hmo facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 4 | Optum all products va facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 5 | Optum medicare advantage transplant facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $222.38 | $222.38 | $222.38 – $222.38 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 8 | Anthem medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 9 | Devoted medicare advantage facility · fee schedule · outpatient | $233.37 | $233.37 | $233.37 – $233.37 |
| 10 | Cigna medicare advantage facility · fee schedule · outpatient | $240.37 | $240.37 | $240.37 – $240.37 |
| 11 | Optum managed medicaid transplant facility · case rate · outpatient | $251.92 | $251.92 | $251.92 – $251.92 |
| 12 | Anthem managed medicaid facility · case rate · outpatient | $278.44 | $278.44 | $278.44 – $278.44 |
| 13 | Molina managed medicaid facility · case rate · outpatient | $278.44 | $278.44 | $278.44 – $278.44 |
| 14 | Caresource managed medicaid facility · case rate · outpatient | $283.74 | $283.74 | $283.74 – $283.74 |
| 15 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $283.74 | $283.74 | $283.74 – $283.74 |
| 16 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $311.93 | $311.93 | $311.93 – $311.93 |
| 17 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $398.07 | $398.07 | $398.07 – $398.07 |
| 18 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $616.03 | $616.03 | $616.03 – $616.03 |
| 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 | $635.66 | $635.66 | $635.66 – $635.66 |
| 21 | Anthem ppo/hmo facility · fee schedule · outpatient | $673.12 | $673.12 | $673.12 – $673.12 |
| 22 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $827.25 | $827.25 | $827.25 – $827.25 |
| 23 | Humana all products facility · percent of total billed charges · outpatientfrom % of charges | $882.40 | $882.40 | $827.25 – $937.55 |
| 24 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $992.70 | $992.70 | $992.70 – $992.70 |
| 25 | Aetna qhp/ipf facility · percent of total billed charges · outpatientfrom % of charges | $1,103 | $1,103 | $1,103 – $1,103 |
Last updated: Jun 15, 2026
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