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
Prq tcat plmt ntrac st 1 les
Wellsville, NY
See all hospitals reporting CPT 92928 →Price type
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp’s median price of $15.4k is 23% above the median hospital's median price ($12.5k), higher than 68% of the 1,978 hospitals reporting CPT 92928. 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, 11 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 | Highmark highmark bcbs medicaid 170201 child health plus 170204 fee schedule · outpatient | $316.15 | $316.15 | $316.15 – $316.15 |
| 2 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 3 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 4 | Highmark highmark bcbs medicare 130101 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 5 | Humana humana medicare 131201 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 6 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 7 | WellCare wellcare medicare 131001 fee schedule · outpatient | $15,434 | $15,434 | $15,434 – $15,434 |
| 8 | Aetna aetna medicare 130001 fee schedule · outpatient | $16,360 | $16,360 | $16,360 – $16,360 |
| 9 | Highmark highmark bcbs 514301 hmo / pos fee schedule · outpatient | $24,765 | $24,765 | $24,765 – $24,765 |
| 10 | Highmark highmark bcbs 514301 indemnity / ppo fee schedule · outpatient | $31,156 | $31,156 | $31,156 – $31,156 |
| 11 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $37,735 | $37,735 | $37,735 – $37,735 |
Last updated: Jan 1, 2026
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