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 AMPUTATION TOE,I-P JOINT
Maple Grove, MN
See all hospitals reporting CPT 28825 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.4k is 58% below the median hospital's median price ($3.3k), higher than 18% 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, 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 | Medicaid medicaid fee schedule · both | $116.34 | $116.34 | $116.34 – $116.34 |
| 2 | Ucare mhcp fee schedule · both | $118.57 | $118.57 | $118.57 – $118.57 |
| 3 | Medica accessability fee schedule · both | $124.16 | $124.16 | $124.16 – $124.16 |
| 4 | Medica medicaid fee schedule · both | $124.16 | $124.16 | $124.16 – $124.16 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $132.85 | $132.85 | $132.85 – $132.85 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $157.93 | $157.93 | $157.93 – $157.93 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $164.25 | $164.25 | $164.25 – $164.25 |
| 8 | Medica ma non-snp fee schedule · both | $169.66 | $169.66 | $169.66 – $169.66 |
| 9 | Medica ma snp fee schedule · both | $169.66 | $169.66 | $169.66 – $169.66 |
| 10 | Medica prime solution fee schedule · both | $169.66 | $169.66 | $169.66 – $169.66 |
| 11 | Medica vantage fee schedule · both | $169.66 | $169.66 | $169.66 – $169.66 |
| 12 | Ucare ifp with fairview fee schedule · both | $416.78 | $416.78 | $416.78 – $416.78 |
| 13 | Ucare ifp fee schedule · both | $439.05 | $439.05 | $439.05 – $439.05 |
| 14 | Medica bold fee schedule · both | $497.49 | $497.49 | $497.49 – $497.49 |
| 15 | Medica choice without / elect fee schedule · both | $552.77 | $552.77 | $552.77 – $552.77 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $552.77 | $552.77 | $552.77 – $552.77 |
| 17 | Medica choice with fee schedule · both | $572.07 | $572.07 | $572.07 – $572.07 |
| 18 | Blue Cross Blue Shield federal fee schedule · both | $577.44 | $577.44 | $577.44 – $577.44 |
| 19 | Blue Cross Blue Shield commercial fee schedule · both | $587.83 | $587.83 | $587.83 – $587.83 |
| 20 | Cigna commercial fee schedule · both | $747.11 | $747.11 | $682.14 – $812.08 |
| 21 | Medica accessability fee schedule · outpatient | $765.00 | $765.00 | $765.00 – $765.00 |
| 22 | Medica medicaid fee schedule · outpatient | $895.00 | $895.00 | $895.00 – $895.00 |
| 23 | UnitedHealthcare commercial fee schedule · both | $1,194 | $1,194 | $1,194 – $1,194 |
| 24 | Medica ma snp fee schedule · outpatient | $1,194 | $1,194 | $1,194 – $1,194 |
| 25 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1,237 | $1,237 | $1,237 – $1,237 |
Last updated: May 18, 2026
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