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 BX SYNOVIUM TARS/TARSOMETA JT
Cedar Rapids, IA
See all hospitals reporting CPT 28050 →Price type
St Luke's Methodist Hospital’s median price of $686 is 80% below the median hospital's median price ($3.4k), higher than 14% of the 1,517 hospitals reporting CPT 28050. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Aetna medicare advantage fee schedule · both | $259 | $259 | — | — | — | $259 – $259 |
| 2 | Molina medicare advantage fee schedule · both | $264 | $264 | — | — | — | $264 – $264 |
| 3 | Wellmark medicare advantage fee schedule · both | $264 | $264 | — | — | — | $264 – $264 |
| 4 | Humana medicare advantage fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 6 | Wellmark commercial fee schedule · both | $547 | $547 | — | — | — | $547 – $547 |
| 7 | Wellmark hmo fee schedule · both | $547 | $547 | — | — | — | $547 – $547 |
| 8 | Wellmark ppo fee schedule · both | $643 | $643 | — | — | — | $643 – $643 |
| 9 | Aetna hmo fee schedule · both | $686 | $686 | — | — | — | $686 – $686 |
| 10 | Cigna commercial fee schedule · both | $689 | $689 | — | — | — | $689 – $689 |
| 11 | Aetna ppo fee schedule · both | $836 | $836 | — | — | — | $836 – $836 |
| 12 | UnitedHealthcare hmo fee schedule · both | $884 | $884 | — | — | — | $884 – $884 |
| 13 | UnitedHealthcare ppo fee schedule · both | $884 | $884 | — | — | — | $884 – $884 |
| 14 | Aetna medicare advantage case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | Molina medicare advantage case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | Wellmark medicare advantage case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Humana medicare advantage case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | Aetna hmo fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 20 | Aetna ppo fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
Last updated: Jan 28, 2026
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