CDM 4027688201

HC US LMTD JT/NONVASC XTR STRUX - US KNEE LEFT LIM

National pricing summary

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Low

$119

Average

$446

Median

$462

High

$1.4k

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Prices here combine facility and professional fees. See them separately →Experimental

Rates differ by insurer. See what each payer pays for this code →Experimental

Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 59 hospitals; the 90th percentile is 3.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

Click a bar to filter the hospitals table to that price range.

Hospitals reporting CDM 4027688201

#	Hospital
1	Bexar County Hospital District San Antonio, TX	$441	$455	$249	55%	118	$233 – $1.6k
2	Grand Itasca Clinic and Hospital Grand Rapids, MN	$501	$504	$173	34%	66–390	$182 – $955
3	Range Regional Health Services Hibbing, MN	$501	$504	$172	34%	66–390	$182 – $955
4	Fairview Health Services Edina, MN	$508	$507	$139	27%	40–184	$274 – $851
5	Fairview Health Services Minneapolis, MN	$473	$491	$134	27%	32–320	$274 – $851
6	HealthEast Woodwinds Hospital Woodbury, MN	$508	$507	$139	27%	32–320	$274 – $851
7	Fairview Health Services Burnsville, MN	$508	$507	$139	27%	16–160	$274 – $851
8	HealthEast St John's Hospital Maplewood, MN	$508	$507	$139	27%	16–160	$274 – $851
9	Fairview Health Services Wyoming, MN	$508	$507	$139	27%	16–160	$274 – $851
10	Fairview Health Services Princeton, MN	$508	$507	$139	27%	16–160	$274 – $851

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