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 CLOSED RX I-P JT,TOE DISLOC,ANESTH
Cedar Rapids, IA
See all hospitals reporting CPT 28665 →Price type
St Luke's Methodist Hospital’s median price of $255 is 36% below the median hospital's median price ($401), higher than 16% of the 1,656 hospitals reporting CPT 28665. 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 | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Molina medicare advantage fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Wellmark medicare advantage fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Humana medicare advantage fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 6 | Wellmark commercial fee schedule · both | $246 | $246 | — | — | — | $246 – $246 |
| 7 | Wellmark hmo fee schedule · both | $246 | $246 | — | — | — | $246 – $246 |
| 8 | Aetna medicare advantage case rate · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 9 | Molina medicare advantage case rate · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 10 | Wellmark medicare advantage case rate · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 11 | Humana medicare advantage case rate · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 13 | Wellmark ppo fee schedule · both | $290 | $290 | — | — | — | $290 – $290 |
| 14 | Aetna hmo fee schedule · both | $292 | $292 | — | — | — | $292 – $292 |
| 15 | Cigna commercial fee schedule · both | $312 | $312 | — | — | — | $312 – $312 |
| 16 | Aetna ppo fee schedule · both | $357 | $357 | — | — | — | $357 – $357 |
| 17 | UnitedHealthcare hmo fee schedule · both | $406 | $406 | — | — | — | $406 – $406 |
| 18 | UnitedHealthcare ppo fee schedule · both | $406 | $406 | — | — | — | $406 – $406 |
| 19 | Aetna hmo fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 20 | Aetna ppo fee schedule · outpatient | $539 | $539 | — | — | — | $539 – $539 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
Last updated: Jan 28, 2026
See Toe dislocation treatment pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.