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
Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0
Low
$65
Average
$1.5k
Median
$1.0k
High
$16.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
508 hospitals; the 90th percentile is 16.0× 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.
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1,083 hospital rates
iThe hospitals that file a Anthem 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 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.2k | $241 | 20% | 51 | $972 – $1.6k |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 6 | $69 | $61 | $14 | 23% | 39–93 | $30 – $73 |
| 3 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $752 | $752 | $315 | 42% | 15 | $438 – $1.1k |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $492 | $492 | $11 | 2% | 14–23 | $481 – $503 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $1.2k | $1.2k | $172 | 14% | 11 | $1.1k – $1.4k |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 3 | $1.2k | $1.1k | $652 | 59% | 6–60 | $263 – $1.8k |
| 7 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 2 | $2.8k | $2.8k | $310 | 11% | 6–60 | $2.5k – $3.1k |
| 8 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $1.9k | $1.6k | $577 | 35% | 6–60 | $710 – $2.1k |
| 9 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI fee schedule · outpatient | 1 | $179 | $179 | — | — | 3–30 | $179 – $179 |
| 10 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $2.0k | $1.8k | $658 | 37% | 3–30 | $733 – $2.3k |
| 11 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 2 | $6.8k | $6.8k | $1.5k | 22% | 2–20 | $5.3k – $8.3k |
| 12 | Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 5 | $791 | $688 | $198 | 29% | 2–20 | $387 – $879 |
| 13 | Eskenazi Health Indianapolis, IN facility · per diem · both | 2 | $648 | $648 | — | — | 2–20 | $648 – $648 |
| 14 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 2 | $648 | $648 | — | — | 2–20 | $648 – $648 |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $263 | $263 | — | — | 2–20 | $263 – $263 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $160 | 13% | 2–20 | $1.1k – $1.4k |
| 17 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $12.0k | $12.0k | $7.0k | 59% | 2–20 | $5.0k – $19.0k |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | 2–20 | $258 – $258 |
| 19 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $99 | $76 | $25 | 33% | 2–20 | $44 – $99 |
| 20 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $1.9k | $1.6k | $577 | 35% | 2–20 | $710 – $2.1k |
| 21 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT case rate · outpatient | 2 | $7.1k | $7.1k | $1.0k | 14% | 2–20 | $6.1k – $8.1k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $448 | $448 | — | — | 1–10 | $448 – $448 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $534 | $534 | — | — | 1–10 | $534 – $534 |
| 24 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.2k | $84 | 7% | 1–10 | $1.0k – $1.3k |
| 25 | Columbus Regional Hospital Columbus, IN other · both | 1 | $737 | $737 | — | — | 1–10 | $737 – $737 |
← Payers reporting CPT 11402 · Snapshot 20261111T120946Z-9134e7f7