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
Cld Tx Fx Big Toe/Phal
Utica, NY
See all hospitals reporting CPT 28490 →Price type
MVHS, Inc.’s median price of $308 is 2% below the median hospital's median price ($313), higher than 49% 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: 11 payers, 22 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 percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 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 | $107 | $107 | — | — | — | $107 – $107 |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 11 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Humana humana military other · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 14 | Tricare humana military other · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 15 | Excellus excellus bcbs medicare advantage other · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 16 | Humana humana medicare advantage other · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 17 | Medicare medicare other · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 18 | Optum vaccn optum other · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 19 | UnitedHealthcare uhc medicare advantage other · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 20 | Aetna aetna medicare advantage other · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 21 | WellCare wellcare medicare advantage other · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 22 | Cigna mvp and cigna commercial other · outpatient | $885 | $885 | — | — | — | $885 – $885 |
Last updated: Aug 7, 2026
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