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 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
Burley, ID
See all hospitals reporting CPT 28510 →Price type
IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital’s median price of $559 is 83% above the median hospital's median price ($305), higher than 76% 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: 8 payers, 40 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 | Aetna medicare adv hmo professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 3 | Bcbs Id medicare id true blue professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 4 | Humana medicare choice ppo professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 5 | Molina medicare choice care hmo professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 6 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 7 | Regence idaho ut svc professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $81.07 | $81.07 | $80.85 – $81.29 |
| 9 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 10 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 11 | Bcbs Id medicare id true blue facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 12 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 13 | Molina medicare choice care hmo facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 14 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 15 | Regence idaho ut svc facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $176.68 | $176.68 | $176.68 – $176.68 |
| 17 | Bcbs Id exchange facility · percent of total billed charges · inpatientfrom % of charges | $447.58 | $447.58 | $447.58 – $447.58 |
| 18 | Bcbs Id traditional/ppo facility · percent of total billed charges · inpatientfrom % of charges | $471.14 | $471.14 | $471.14 – $471.14 |
| 19 | Bcbs Id exchange facility · percent of total billed charges · outpatientfrom % of charges | $531.50 | $531.50 | $531.50 – $531.50 |
| 20 | Regence blue shield id facility · percent of total billed charges · inpatientfrom % of charges | $535.92 | $535.92 | $535.92 – $535.92 |
| 21 | Regence blue shield id facility · percent of total billed charges · outpatientfrom % of charges | $535.92 | $535.92 | $535.92 – $535.92 |
| 22 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $559.47 | $559.47 | $559.47 – $559.47 |
| 23 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $559.47 | $559.47 | $559.47 – $559.47 |
| 24 | Bcbs Id traditional/ppo facility · percent of total billed charges · outpatientfrom % of charges | $559.47 | $559.47 | $559.47 – $559.47 |
| 25 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $559.47 | $559.47 | $559.47 – $559.47 |
Last updated: Aug 5, 2026
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