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 AMPUTATION TOE,I-P JT
Burnsville, MN
See all hospitals reporting CPT 28825 →Price type
Fairview Health Services’s median price of $497 is 85% below the median hospital's median price ($3.3k), higher than 10% of the 2,112 hospitals reporting CPT 28825. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 45 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 | Ucare pmap fee schedule · both | $118.57 | $118.57 | $118.57 – $118.57 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $124.16 | $124.16 | $124.16 – $124.16 |
| 3 | Bcbs Mn pmap fee schedule · both | $132.85 | $132.85 | $132.85 – $132.85 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $157.93 | $157.93 | $157.93 – $157.93 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $157.93 | $157.93 | $157.93 – $157.93 |
| 6 | WellCare medicare advantage fee schedule · both | $157.93 | $157.93 | $157.93 – $157.93 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $164.25 | $164.25 | $164.25 – $164.25 |
| 8 | Medica medicare advantage non-snp fee schedule · both | $169.66 | $169.66 | $169.66 – $169.66 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $170.56 | $170.56 | $170.56 – $170.56 |
| 10 | Medica msho/medicare advantage snp fee schedule · both | $172.86 | $172.86 | $172.86 – $172.86 |
| 11 | Ucare individual and family with m health fairview fee schedule · both | $416.78 | $416.78 | $416.78 – $416.78 |
| 12 | Ucare individual and family fee schedule · both | $439.05 | $439.05 | $439.05 – $439.05 |
| 13 | Medica bold fee schedule · both | $497.49 | $497.49 | $497.49 – $497.49 |
| 14 | Medica vantage self insured fee schedule · both | $538.95 | $538.95 | $538.95 – $538.95 |
| 15 | Medica city of st. paul/essential-uplan fee schedule · both | $552.77 | $552.77 | $552.77 – $552.77 |
| 16 | Medica individual and family business (except aco) and elect fee schedule · both | $552.77 | $552.77 | $552.77 – $552.77 |
| 17 | Medica choice fee schedule · both | $572.07 | $572.07 | $572.07 – $572.07 |
| 18 | Bcbs Mn aware federal fee schedule · both | $577.44 | $577.44 | $577.44 – $577.44 |
| 19 | Bcbs Mn aware/blue plus fee schedule · both | $587.83 | $587.83 | $587.83 – $587.83 |
| 20 | Sanford Health Plan commercial percent of total billed charges · bothfrom % of charges | $991.29 | $982.30 | $943.58 – $991.29 |
| 21 | UnitedHealthcare commercial fee schedule · both | $1,103 | $1,103 | $1,103 – $1,103 |
| 22 | UnitedHealthcare core fee schedule · both | $1,103 | $1,103 | $1,103 – $1,103 |
| 23 | Medica managed medicaid/accessability case rate · outpatient | $1,124 | $1,124 | $1,124 – $1,124 |
| 24 | First Health commercial percent of total billed charges · bothfrom % of charges | $1,380 | $1,368 | $1,314 – $1,380 |
| 25 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $1,431 | $1,418 | $1,362 – $1,431 |
Last updated: Feb 6, 2026
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