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 CLSD TX FX PHALANX W/O MAN EA (ED)
Lewistown, PA
See all hospitals reporting CPT 28510 →Price type
Geisinger Lewistown Hospital’s median price of $364 is 19% above the median hospital's median price ($305), higher than 61% 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, 23 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 capital - special network rates percent of total billed charges · outpatientfrom % of charges | $246.34 | $246.34 | $246.34 – $246.34 |
| 5 | Blue Cross Blue Shield highmark freedom blue - medicare advantage fee schedule · outpatient | $247.63 | $247.63 | $247.63 – $247.63 |
| 6 | Medicare medicare fee schedule · outpatient | $247.63 | $247.63 | $247.63 – $247.63 |
| 7 | Blue Cross Blue Shield capital blue cross blue journey - medicare advantage fee schedule · outpatient | $250.10 | $250.10 | $250.10 – $250.10 |
| 8 | Humana humana - medicare advantage fee schedule · outpatient | $250.10 | $250.10 | $250.10 – $250.10 |
| 9 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $312.02 | $312.02 | $312.02 – $312.02 |
| 10 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $314.57 | $314.57 | $314.57 – $314.57 |
| 11 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $339.95 | $339.95 | $339.95 – $339.95 |
| 12 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $351.92 | $351.92 | $351.92 – $351.92 |
| 13 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $363.89 | $363.89 | $363.89 – $363.89 |
| 14 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $363.89 | $363.89 | $363.89 – $363.89 |
| 15 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $397.24 | $397.24 | $397.24 – $397.24 |
| 16 | Ambetter ambetter fee schedule · outpatient | $594.30 | $594.30 | $594.30 – $594.30 |
| 17 | Blue Cross Blue Shield highmark bc/bs - special care fee schedule · outpatient | $674.11 | $674.11 | $674.11 – $674.11 |
| 18 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $678.30 | $678.30 | $678.30 – $678.30 |
| 19 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $678.30 | $678.30 | $678.30 – $678.30 |
| 20 | Blue Cross Blue Shield highmark bc/bs fee schedule · outpatient | $963.01 | $963.01 | $963.01 – $963.01 |
| 21 | Cigna cigna case rate · inpatient | $16,340 | $16,340 | $16,340 – $16,340 |
| 22 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $17,050 | $17,050 | $17,050 – $17,050 |
| 23 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $24,358 | $24,358 | $24,358 – $24,358 |
Last updated: Jul 1, 2026
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