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
Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus
Utica, NY
See all hospitals reporting CPT 28122 →Price type
MVHS, Inc.’s median price of $4.5k is 28% above the median hospital's median price ($3.5k), higher than 72% of the 1,994 hospitals reporting CPT 28122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 3 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 4 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 5 | Humana humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Tricare humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | Excellus excellus bcbs medicare advantage other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | Humana humana medicare advantage other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 9 | Medicare medicare other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 10 | Optum vaccn optum other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 11 | UnitedHealthcare uhc medicare advantage other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 12 | Aetna aetna medicare advantage other · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 13 | WellCare wellcare medicare advantage other · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 14 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 15 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 16 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 18 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 22 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 23 | Cigna mvp and cigna commercial other · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
Last updated: Aug 7, 2026
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