APC 05115
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
TOTAL HIP REPLACEMENT
Low
$12.9k
Average
$18.4k
Median
$14.5k
High
$43.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 86 | $12.8k | $13.0k | $345 | 3% | — | $9.4k – $13.6k |
| 2 | Caresource fee schedule · outpatient | 20 | $13.2k | $13.1k | $79 | 1% | — | $13.0k – $13.2k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 13 | $16.1k | $16.0k | $11.2k | 70% | — | $11.4k – $71.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $12.3k | $12.8k | $88 | 1% | — | $12.3k – $12.8k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 11 | $13.2k | $13.4k | $1.7k | 13% | — | $11.4k – $16.0k |
| 6 | Aetna facility · fee schedule · outpatient · +3 other terms | 9 | $13.8k | $15.3k | $3.8k | 25% | — | $11.4k – $20.3k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $17.1k | $17.0k | $2.9k | 17% | — | $13.7k – $20.6k |
| 8 | Clover fee schedule · outpatient | 5 | $13.5k | $13.4k | $82 | 1% | — | $13.3k – $13.5k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $13.2k | $13.1k | $81 | 1% | — | $13.0k – $13.2k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $13.2k | $13.1k | $81 | 1% | — | $13.0k – $13.2k |
| 11 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $14.4k | $14.5k | $792 | 5% | — | $13.1k – $15.2k |
| 12 | Ambetter facility · fee schedule · outpatient | 3 | $24.8k | $23.4k | $3.0k | 13% | — | $16.9k – $24.8k |
| 13 | Carefirst facility · fee schedule · outpatient | 3 | $15.2k | $14.5k | $850 | 6% | — | $13.4k – $15.2k |
| 14 | Cigna facility · fee schedule · outpatient · +1 other terms | 3 | $40.0k | $39.8k | $14.3k | 36% | — | $13.8k – $52.2k |
| 15 | Devoted facility · fee schedule · outpatient | 3 | $13.4k | $13.3k | $289 | 2% | — | $12.7k – $13.4k |
| 16 | Medica facility · fee schedule · outpatient | 3 | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 17 | MultiPlan facility · other · outpatient | 3 | $21.5k | $28.3k | $6.7k | 24% | — | $21.5k – $35k |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $21.1k | $21.1k | $7.7k | 37% | — | $13.4k – $28.8k |
| 19 | Bcbs Ca facility · fee schedule · outpatient | 2 | $51.1k | $43.2k | $22.8k | 53% | — | $16.4k – $62.6k |
| 20 | Optum fee schedule · both | 1 | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 21 | Oscar facility · fee schedule · outpatient | 1 | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
← Hospitals reporting APC 05115 · Snapshot 20261111T120946Z-9134e7f7