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
HB Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj
Rochester, NY
See all hospitals reporting CPT 28510 →Price type
Highland Hospital’s median price of $369 is 21% 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: 7 payers, 16 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 | Excellus excellus child health plus [220108] fee schedule · outpatient | $120.20 | $120.20 | $120.20 – $120.20 |
| 2 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $120.20 | $120.20 | $120.20 – $120.20 |
| 3 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $120.20 | $120.20 | $120.20 – $120.20 |
| 4 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $307.40 | $307.40 | $307.40 – $307.40 |
| 5 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $307.91 | $307.91 | $307.91 – $307.91 |
| 6 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $315.12 | $315.12 | $312.25 – $317.99 |
| 7 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $349.25 | $349.25 | $349.25 – $349.25 |
| 8 | Humana humana medicare [131201] fee schedule · outpatient | $349.74 | $349.74 | $336.14 – $363.34 |
| 9 | Aetna aetna medicare [130001] fee schedule · outpatient | $353.58 | $353.58 | $338.15 – $369.01 |
| 10 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $434.38 | $434.38 | $434.38 – $434.38 |
| 11 | Excellus excellus high performance [220103] fee schedule · outpatient | $434.38 | $434.38 | $434.38 – $434.38 |
| 12 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $529.10 | $529.10 | $120.20 – $938.00 |
| 13 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $704.44 | $704.44 | $522.93 – $885.94 |
| 14 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $938.00 | $938.00 | $938.00 – $938.00 |
| 15 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $938.00 | $938.00 | $938.00 – $938.00 |
| 16 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $938.00 | $938.00 | $938.00 – $938.00 |
Last updated: Jul 1, 2026
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