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
Newburgh, IN
See all hospitals reporting CPT 28510 →Price type
Deaconess Hospital, Inc’s median price of $159 is 48% below the median hospital's median price ($305), higher than 11% 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: 13 payers, 43 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 | Humana managed medicaid professional · fee schedule · both | $43.76 | $43.76 | $43.76 – $43.76 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $43.76 | $43.76 | $43.76 – $43.76 |
| 3 | Aetna Better Health managed medicaid professional · fee schedule · both | $63.01 | $63.01 | $43.76 – $82.26 |
| 4 | Molina managed medicaid professional · fee schedule · both | $63.01 | $63.01 | $43.76 – $82.26 |
| 5 | UnitedHealthcare managed medicaid professional · fee schedule · both | $79.13 | $79.13 | $43.76 – $114.50 |
| 6 | Bcbs Il managed medicaid professional · fee schedule · both | $82.26 | $82.26 | $82.26 – $82.26 |
| 7 | Anthem commercial professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 8 | Anthem medicare advantage professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 9 | Caresource medicare advantage professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 10 | Humana commercial professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 11 | Humana medicare advantage professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 12 | Molina dual medicare/medicaid professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 13 | Molina medicare advantage professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $114.16 | $114.16 | $114.16 – $114.16 |
| 15 | Anthem hmo professional · fee schedule · both | $114.49 | $114.49 | $114.49 – $114.49 |
| 16 | Anthem hmo/ppo/traditional professional · fee schedule · both | $114.49 | $114.49 | $114.49 – $114.49 |
| 17 | Anthem managed medicaid professional · fee schedule · both | $114.50 | $114.50 | $114.50 – $114.50 |
| 18 | Caresource managed medicaid professional · fee schedule · both | $114.50 | $114.50 | $114.50 – $114.50 |
| 19 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $116.44 | $116.44 | $116.44 – $116.44 |
| 20 | Bcbs Il medicare advantage professional · fee schedule · both | $116.44 | $116.44 | $116.44 – $116.44 |
| 21 | Ambetter commercial professional · fee schedule · both | $131.28 | $131.28 | $131.28 – $131.28 |
| 22 | Caresource commercial professional · fee schedule · both | $148.41 | $148.41 | $148.41 – $148.41 |
| 23 | Aetna commercial professional · fee schedule · both | $159.42 | $159.42 | $159.42 – $159.42 |
| 24 | Cigna commercial professional · fee schedule · both | $159.42 | $159.42 | $159.42 – $159.42 |
| 25 | First Health commercial professional · fee schedule · both | $159.42 | $159.42 | $159.42 – $159.42 |
Last updated: Feb 13, 2026
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