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
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot
Utica, NY
See all hospitals reporting CPT 28090 →Price type
MVHS, Inc.’s median price of $27 is 99% below the median hospital's median price ($1.9k), higher than 0% of the 1,965 hospitals reporting CPT 28090. 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, 25 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 3 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $380 | $380 | $23 | 6% | — | $357 – $403 |
| 6 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Humana humana military other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Tricare humana military other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | Excellus excellus bcbs medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Humana humana medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Medicare medicare other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Optum vaccn optum other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | UnitedHealthcare uhc medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Aetna aetna medicare advantage other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | WellCare wellcare medicare advantage other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Cigna mvp and cigna commercial other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 25 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Aug 7, 2026
See Foot tendon or capsule lesion removal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.