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
HC TX GREAT TOE FX W/O MANIP
Enumclaw, WA
See all hospitals reporting CPT 28490 →Price type
Enumclaw Regional Hospital Association’s median price of $212 is 32% below the median hospital's median price ($313), higher than 14% of the 1,959 hospitals reporting CPT 28490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Kaiser medicare|all plans fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $200 | $200 | — | — | — | $200 – $200 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $201 | $201 | — | — | — | $201 – $201 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 14 | Aetna commercial|awh fee schedule · inpatient | $270 | $270 | — | — | — | $270 – $270 |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $324 | $324 | — | — | — | $324 – $324 |
| 16 | Cigna commercial|all plans case rate · outpatient | $465 | $465 | — | — | — | $465 – $465 |
| 17 | Aetna commercial|rental fee schedule · inpatient | $485 | $485 | — | — | — | $485 – $485 |
| 18 | Aetna commercial|rental fee schedule · outpatient | $485 | $485 | — | — | — | $485 – $485 |
| 19 | Kaiser commercial|hmo fee schedule · outpatient | $563 | $563 | — | — | — | $563 – $563 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $607 | $607 | — | — | — | $607 – $607 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $607 | $607 | — | — | — | $607 – $607 |
| 22 | Kaiser commercial|ppo fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 23 | Regence commercial|all plans case rate · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 24 | Premera commercial|all plans case rate · outpatient | $998 | $998 | — | — | — | $998 – $998 |
| 25 | UnitedHealthcare commercial|navigate case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Feb 28, 2026
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