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
PR Repair Tendon Flexor Foot Secondary W/Free Graft Each Tendon
Troy, NY
See all hospitals reporting CPT 28202 →Price type
Samaritan Hospital’s median price of $6.2k is 11% below the median hospital's median price ($6.9k), higher than 42% of the 1,642 hospitals reporting CPT 28202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 34 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 | Anthem empire medicaid facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Excellus empire medicaid facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Highmark blue shield of ne new york ascend facility · other · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 7 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 8 | Carefirst blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 9 | Highmark blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 10 | Wellmark blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 11 | Cigna cigna facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 12 | Aetna aetna facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 13 | Medical Mutual aetna facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 14 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 15 | Carefirst blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 16 | Excellus blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 17 | Highmark blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 18 | Premera blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 19 | Regence blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 20 | Wellmark blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 21 | Anthem empire bcbs medicare advantage facility · other · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 22 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 23 | Aetna aetna medicare advantage facility · other · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 24 | WellCare wellcare medicare advantage facility · other · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 25 | Excellus blue shield of ne new york medicare adv facility · other · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
Last updated: Mar 31, 2026
See Secondary foot flexor tendon repair with graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.