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 AMPUTATION TOE I-P JT-MAPS
Lancaster, PA
See all hospitals reporting CPT 28825 →Price type
Lancaster General Health’s median price of $800 is 76% below the median hospital's median price ($3.3k), higher than 13% of the 2,112 hospitals reporting CPT 28825. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $268.14 | $268.14 | $261.60 – $274.68 |
| 2 | Highmark highmark chip facility · other · outpatient | $397.63 | $397.63 | $387.93 – $407.32 |
| 3 | Highmark highmark aca facility · other · outpatient | $477.84 | $477.84 | $466.18 – $489.49 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $492.00 | $492.00 | $480.00 – $504.00 |
| 5 | Highmark highmark commercial preferred facility · other · outpatient | $548.60 | $548.60 | $535.21 – $561.98 |
| 6 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $555.14 | $555.14 | $541.60 – $568.68 |
| 7 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $618.94 | $618.94 | $603.84 – $634.03 |
| 8 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $662.81 | $662.81 | $646.64 – $678.97 |
| 9 | Highmark highmark commercial facility · other · outpatient | $682.59 | $682.59 | $665.94 – $699.23 |
| 10 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $686.10 | $686.10 | $669.36 – $702.83 |
| 11 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $697.00 | $697.00 | $680.00 – $714.00 |
| 12 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $697.00 | $697.00 | $680.00 – $714.00 |
| 13 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $697.00 | $697.00 | $680.00 – $714.00 |
| 14 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 15 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 16 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 17 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 18 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 19 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 20 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $820.00 | $820.00 | $800.00 – $840.00 |
| 21 | Highmark highmark commercial non-preferred facility · other · outpatient | $826.70 | $826.70 | $806.53 – $846.86 |
| 22 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $853.60 | $853.60 | $853.60 – $853.60 |
| 23 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $3,291 | $3,291 | $3,291 – $3,291 |
| 24 | Medicare medicare facility · fee schedule · outpatient | $3,324 | $3,324 | $3,324 – $3,324 |
| 25 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $3,324 | $3,324 | $3,324 – $3,324 |
Last updated: Mar 31, 2026
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