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 RX BIG TOE FRACTURE - MAPS
Lancaster, PA
See all hospitals reporting CPT 28490 →Price type
Lancaster General Health’s median price of $251 is 20% below the median hospital's median price ($313), higher than 31% of the 1,959 hospitals reporting CPT 28490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 34 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 facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $96 | $102 | $22 | 21% | — | $80 – $135 |
| 4 | Highmark highmark chip facility · other · outpatient | $142 | $151 | $32 | 21% | — | $119 – $200 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $176 | $181 | $32 | 18% | — | $147 – $226 |
| 6 | Highmark highmark aca facility · other · outpatient | $171 | $181 | $39 | 21% | — | $143 – $240 |
| 7 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | $5 | 2% | — | $198 – $208 |
| 8 | Highmark highmark commercial preferred facility · other · outpatient | $196 | $208 | $45 | 21% | — | $164 – $276 |
| 9 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $198 | $210 | $45 | 21% | — | $166 – $279 |
| 10 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $221 | $235 | $50 | 21% | — | $185 – $311 |
| 11 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 12 | Medicare medicare facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 13 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 14 | Aetna aetna medicare advantage facility · other · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 15 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 16 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 17 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 18 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 19 | Highmark highmark commercial facility · other · outpatient | $244 | $259 | $56 | 21% | — | $204 – $343 |
| 20 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $245 | $260 | $56 | 21% | — | $205 – $345 |
| 21 | Devoted devoted health medicare advantage facility · other · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 22 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $249 | $264 | $57 | 21% | — | $208 – $350 |
| 23 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $249 | $264 | $57 | 21% | — | $208 – $350 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $249 | $264 | $57 | 21% | — | $208 – $350 |
| 25 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $293 | $311 | $67 | 21% | — | $245 – $412 |
Last updated: Mar 31, 2026
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