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
HC CL TX PHALNOTGREAT TOE
Philadelphia, PA
See all hospitals reporting CPT 28510 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $259 is 15% below the median hospital's median price ($305), higher than 37% of the 1,935 hospitals reporting CPT 28510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 50 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 | Kaiser kaiser transplant medicaid facility · fee schedule · outpatient | $51.45 | $51.45 | $51.45 – $51.45 |
| 2 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $56.70 | $56.70 | $56.70 – $56.70 |
| 3 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $84.84 | $84.84 | $84.84 – $84.84 |
| 4 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $85.68 | $85.68 | $85.68 – $85.68 |
| 5 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $99.75 | $99.75 | $99.75 – $99.75 |
| 6 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $107.10 | $107.10 | $107.10 – $107.10 |
| 7 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $111.23 | $111.23 | $47.67 – $174.79 |
| 8 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $111.23 | $111.23 | $47.67 – $174.79 |
| 9 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $128.10 | $128.10 | $128.10 – $128.10 |
| 10 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $169.74 | $169.74 | $72.74 – $266.73 |
| 11 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $198.08 | $198.08 | $168.00 – $228.16 |
| 12 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $210.00 | $210.00 | $210.00 – $210.00 |
| 13 | Cigna cigna lifesource facility · percent of total billed charges · outpatientfrom % of charges | $220.50 | $220.50 | $94.50 – $346.50 |
| 14 | Optum optum urn-transplant managed medicare facility · other · outpatient | $234.64 | $234.64 | $210.00 – $259.27 |
| 15 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $245.00 | $245.00 | $105.00 – $385.00 |
| 16 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $245.00 | $245.00 | $105.00 – $385.00 |
| 17 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $259.27 | $259.27 | $259.27 – $259.27 |
| 18 | Kaiser kaiser transplant medicare facility · fee schedule · outpatient | $259.27 | $259.27 | $259.27 – $259.27 |
| 19 | Medicare medicare facility · fee schedule · outpatient | $259.27 | $259.27 | $259.27 – $259.27 |
| 20 | Tricare tricare facility · fee schedule · outpatient | $259.27 | $259.27 | $259.27 – $259.27 |
| 21 | Highmark highmark medicare advantage facility · other · outpatient | $264.46 | $264.46 | $264.46 – $264.46 |
| 22 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $267.05 | $267.05 | $267.05 – $267.05 |
| 23 | Humana humana medicare facility · other · outpatient | $267.05 | $267.05 | $267.05 – $267.05 |
| 24 | Devoted devoted health medicare advantage facility · other · outpatient | $272.23 | $272.23 | $272.23 – $272.23 |
| 25 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $273.18 | $273.18 | $117.08 – $429.27 |
Last updated: Feb 10, 2026
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