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
Hudson, NY
See all hospitals reporting CPT 28510 →Price type
Columbia Memorial Hospital’s median price of $142 is 53% below the median hospital's median price ($305), higher than 9% 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, 59 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 medicaid_fac professional · fee schedule · outpatient | $53.79 | $53.79 | $53.79 – $53.79 |
| 2 | UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient | $53.79 | $53.79 | $53.79 – $53.79 |
| 3 | Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 4 | Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient | $98.85 | $98.85 | $98.85 – $98.85 |
| 5 | Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient | $103.62 | $103.62 | $103.62 – $103.62 |
| 6 | Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient | $104.67 | $104.67 | $104.67 – $104.67 |
| 7 | Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient | $107.78 | $107.78 | $107.78 – $107.78 |
| 8 | Blue Cross Blue Shield ppo_fac professional · fee schedule · outpatient | $107.78 | $107.78 | $107.78 – $107.78 |
| 9 | Blue Cross Blue Shield pathway enhanced_nonfac professional · fee schedule · outpatient | $108.87 | $108.87 | $108.87 – $108.87 |
| 10 | Blue Cross Blue Shield ppo_nonfac professional · fee schedule · outpatient | $108.87 | $108.87 | $108.87 – $108.87 |
| 11 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $114.30 | $114.30 | $114.30 – $114.30 |
| 12 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $114.30 | $114.30 | $114.30 – $114.30 |
| 13 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $114.30 | $114.30 | $114.30 – $114.30 |
| 14 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $114.30 | $114.30 | $114.30 – $114.30 |
| 15 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $121.02 | $121.02 | $121.02 – $121.02 |
| 16 | UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient | $121.02 | $121.02 | $121.02 – $121.02 |
| 17 | UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient | $123.09 | $123.09 | $123.09 – $123.09 |
| 18 | UnitedHealthcare all products_nonmd_nonfac professional · fee schedule · outpatient | $125.27 | $125.27 | $125.27 – $125.27 |
| 19 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $125.73 | $125.73 | $125.73 – $125.73 |
| 20 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $125.73 | $125.73 | $125.73 – $125.73 |
| 21 | Highmark all products_without loc professional · fee schedule · outpatient | $132.94 | $132.94 | $132.94 – $132.94 |
| 22 | Highmark medicare_without loc professional · fee schedule · outpatient | $134.41 | $134.41 | $134.41 – $134.41 |
| 23 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $134.47 | $134.47 | $134.47 – $134.47 |
| 24 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient | $134.47 | $134.47 | $134.47 – $134.47 |
| 25 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $134.47 | $134.47 | $134.47 – $134.47 |
Last updated: Dec 31, 2025
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