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 Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint(Tka) (Restricted Method II CAH)
Low
$21
Average
$12.6k
Median
$674
High
$46.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 866.9× 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.
Filter by billing methodology
Filter by billing class
22 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 2 | $32 | $54 | $57 | 106% | 2–20 | $4 – $155 |
| 2 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.4k | $196 | 14% | — | $1.2k – $1.6k |
| 5 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $53 | $53 | $2 | 5% | — | $50 – $55 |
| 6 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 7 | Mercy Medical Center - New Hampton New Hampton, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Mercy Medical Center - New Hampton New Hampton, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Mercy Medical Center - Newton Newton, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 10 | Mercy Medical Center - Newton Newton, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 12 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $46.2k | $46.2k | — | — | — | $46.2k – $46.2k |
| 14 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $46.2k | $46.2k | — | — | — | $46.2k – $46.2k |
| 15 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · outpatient | 1 | $46.2k | $46.2k | — | — | — | $46.2k – $46.2k |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $46.2k | $46.2k | — | — | — | $46.2k – $46.2k |
| 17 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Sartori Memorial Hospital Inc Cedar Falls, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Sartori Memorial Hospital Inc Cedar Falls, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 21 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 22 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting CPT 01402 · Snapshot 20261112T181611Z-3fa9fb76