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 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
Burlington, VT
See all hospitals reporting CPT 28510 →Price type
University of Vermont Medical Center Inc’s median price of $279 is 9% below the median hospital's median price ($305), higher than 44% 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: 7 payers, 25 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $87.54 | $87.54 | $87.54 – $87.54 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $97.25 | $97.25 | $97.25 – $97.25 |
| 3 | Humana tricare professional · fee schedule · both | $111.02 | $111.02 | $102.02 – $120.02 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $118.60 | $118.60 | $108.98 – $128.21 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $127.58 | $127.58 | $127.58 – $127.58 |
| 6 | Excellus medicare advantage professional · fee schedule · both | $128.21 | $128.21 | $128.21 – $128.21 |
| 7 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $196.00 | $196.00 | $196.00 – $196.00 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $229.60 | $229.60 | $210.98 – $248.21 |
| 9 | Humana tricare facility · fee schedule · outpatient | $239.88 | $239.88 | $239.88 – $239.88 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $272.01 | $272.01 | $272.01 – $272.01 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $272.01 | $272.01 | $272.01 – $272.01 |
| 12 | Excellus commercial professional · fee schedule · both | $315.29 | $315.29 | $315.29 – $315.29 |
| 13 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $336.00 | $336.00 | $336.00 – $336.00 |
| 14 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $394.71 | $394.71 | $394.71 – $394.71 |
| 15 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $420.00 | $420.00 | $420.00 – $420.00 |
| 16 | Bcbs Vt indemnity professional · fee schedule · both | $447.14 | $447.14 | $447.14 – $447.14 |
| 17 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $447.14 | $447.14 | $447.14 – $447.14 |
| 18 | Cigna commercial professional · fee schedule · both | $447.14 | $447.14 | $447.14 – $447.14 |
| 19 | Bcbs Vt the vermont health plan/vermont health partnership facility · percent of total billed charges · outpatientfrom % of charges | $536.20 | $536.20 | $536.20 – $536.20 |
| 20 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $546.00 | $546.00 | $546.00 – $546.00 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $548.82 | $548.82 | $548.82 – $548.82 |
| 22 | Bcbs Vt indemnity facility · percent of total billed charges · outpatientfrom % of charges | $607.60 | $607.60 | $607.60 – $607.60 |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $632.10 | $632.10 | $632.10 – $632.10 |
| 24 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $688.52 | $688.52 | $688.52 – $688.52 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $689.08 | $689.08 | $689.08 – $689.08 |
Last updated: Oct 12, 2026
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