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
REMOVE/GRAFT FOOT LESION
Longview, TX
See all hospitals reporting CPT 28107 →Price type
Good Shepherd Medical Center - Longview’s median price of $6.8k is 6% below the median hospital's median price ($7.2k), higher than 39% of the 1,562 hospitals reporting CPT 28107. 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, 21 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 | UnitedHealthcare star kids km case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 2 | UnitedHealthcare star km case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 3 | Cigna new business case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Healthcare Highways ppo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Molina chip km fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 6 | Molina healthspring star plus km fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 7 | Molina star plus km fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Cigna ppo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | UnitedHealthcare hix case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 10 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 11 | Humana mm fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 12 | Aetna mm fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 13 | Blue Cross Blue Shield mm fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 14 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 15 | WellCare mm fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 16 | UnitedHealthcare mm fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 17 | Bcbs Tx heb fee schedule · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $17.4k | $17.4k | — | — | — | $17.4k – $17.4k |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 21 | Bcbs Tx traditional fee schedule · outpatient | $24.8k | $24.8k | — | — | — | $24.8k – $24.8k |
Last updated: Jan 12, 2026
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