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 CLOSED TX FX PHALANX W/O MAIN EA PB
Jersey Shore, PA
See all hospitals reporting CPT 28510 →Price type
Geisinger Jersey Shore Hospital’s median price of $265 is 13% below the median hospital's median price ($305), higher than 39% 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: 9 payers, 24 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 · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield highmark freedom blue - medicare advantage percent of total billed charges · outpatientfrom % of charges | $129.57 | $116.83 | $91.35 – $129.57 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $146.29 | $131.91 | $103.14 – $146.29 |
| 6 | Aetna aetna - medicare advantage percent of total billed charges · outpatientfrom % of charges | $148.08 | $133.52 | $104.40 – $148.08 |
| 7 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $208.80 | $208.80 | $208.80 – $208.80 |
| 8 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $225.13 | $225.13 | $186.18 – $264.08 |
| 9 | Medicare medicare fee schedule · outpatient | $252.01 | $252.01 | $252.01 – $252.01 |
| 10 | Humana humana - medicare advantage fee schedule · outpatient | $254.53 | $254.53 | $254.53 – $254.53 |
| 11 | Blue Cross Blue Shield capital blue cross blue journey - medicare advantage fee schedule · outpatient | $257.05 | $257.05 | $257.05 – $257.05 |
| 12 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $392.24 | $392.24 | $324.38 – $460.10 |
| 13 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $448.56 | $404.46 | $316.25 – $448.56 |
| 14 | Blue Cross Blue Shield highmark - access care ii percent of total billed charges · outpatientfrom % of charges | $460.10 | $414.86 | $324.38 – $460.10 |
| 15 | Blue Cross Blue Shield highmark - non access care ii percent of total billed charges · outpatientfrom % of charges | $460.10 | $414.86 | $324.38 – $460.10 |
| 16 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $468.30 | $422.26 | $330.17 – $468.30 |
| 17 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $493.60 | $445.07 | $348.00 – $493.60 |
| 18 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $493.60 | $445.07 | $348.00 – $493.60 |
| 19 | Cigna cigna case rate · outpatient | $595.00 | $595.00 | $595.00 – $595.00 |
| 20 | Ambetter ambetter fee schedule · outpatient | $604.82 | $604.82 | $604.82 – $604.82 |
| 21 | Blue Cross Blue Shield first priority health case rate · outpatient | $751.00 | $751.00 | $751.00 – $751.00 |
| 22 | Blue Cross Blue Shield first priority health case rate · inpatient | $8,940 | $8,940 | $8,940 – $8,940 |
| 23 | Blue Cross Blue Shield highmark - access care ii case rate · inpatient | $15,104 | $15,104 | $15,104 – $15,104 |
| 24 | Blue Cross Blue Shield highmark - non access care ii case rate · inpatient | $15,635 | $15,635 | $15,635 – $15,635 |
Last updated: Jul 1, 2026
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