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
$43
Average
$845
Median
$644
High
$22k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
191 hospitals; the 90th percentile is 24.1× 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
262 hospital rates
iThe hospitals that file a Medicare 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 | Brigham and Women's Hospital Boston, MA other · both | 1 | $835 | $835 | — | — | 34 | $835 – $835 |
| 2 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 18 | $1.3k – $1.3k |
| 3 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.5k | $1.5k | — | — | 12 | $1.5k – $1.5k |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $723 | $723 | — | — | 3–30 | $723 – $723 |
| 5 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $60 | $174 | $162 | 93% | 3–30 | $60 – $403 |
| 6 | MVHS, Inc. Utica, NY other · outpatient | 1 | $884 | $884 | — | — | 2–20 | $884 – $884 |
| 7 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $239 | $239 | $74 | 31% | 2–20 | $165 – $313 |
| 8 | Nantucket Cottage Hospital Nantucket, MA other · both | 1 | $895 | $895 | — | — | 2–20 | $895 – $895 |
| 9 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $53 | $53 | — | — | 2–20 | $53 – $53 |
| 10 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 1 | $51 | $51 | — | — | 2–20 | $51 – $51 |
| 11 | Boston Medical Center Boston, MA other · both | 1 | $823 | $823 | — | — | 1–10 | $823 – $823 |
| 12 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $835 | $835 | — | — | 1–10 | $835 – $835 |
| 13 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 1 | $246 | $246 | — | — | 1–10 | $246 – $246 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $707 | $707 | — | — | 1–10 | $707 – $707 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $428 | $428 | — | — | 1–10 | $428 – $428 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $318 | $318 | — | — | 1–10 | $318 – $318 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $376 | $376 | — | — | 1–10 | $376 – $376 |
| 18 | COMMONSPIRIT KANSAS, INC. Garden City, KS other · inpatient | 1 | $130 | $130 | — | — | 1–10 | $130 – $130 |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 20 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $749 | $749 | — | — | 1–10 | $749 – $749 |
| 21 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $749 | $749 | — | — | 1–10 | $749 – $749 |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN other · outpatient | 1 | $749 | $749 | — | — | 1–10 | $749 – $749 |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 1 | $749 | $749 | — | — | 1–10 | $749 – $749 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 25 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $860 | $860 | — | — | 1–10 | $860 – $860 |
← Payers reporting CPT 11402 · Snapshot 20261111T120946Z-9134e7f7