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
$1
Average
$1.5k
Median
$961
High
$24.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1963 hospitals; the 90th percentile is 12.2× 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
3,727 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $1.1k | $64 | 6% | 72–720 | $945 – $1.1k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $1.7k | $1.7k | $965 | 57% | 37 | $739 – $2.7k |
| 3 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 4 | $209 | $191 | $25 | 13% | 31–40 | $157 – $215 |
| 4 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $535 | $625 | $337 | 54% | 28–280 | $212 – $1.4k |
| 5 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $428 | $428 | — | — | 18 | $428 – $428 |
| 6 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $41 | 12% | 18 | $293 – $374 |
| 7 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 17 | $1.5k – $1.5k |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $81 | $77 | $36 | 47% | 16–61 | $30 – $116 |
| 9 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $932 | $932 | — | — | 14 | $932 – $932 |
| 10 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $693 | $693 | — | — | 14 | $693 – $693 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $934 | $1.0k | $178 | 18% | 14 | $855 – $1.3k |
| 12 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $8.6k | $8.6k | — | — | 13 | $8.6k – $8.6k |
| 13 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $8.6k | $8.6k | — | — | 13 | $8.6k – $8.6k |
| 14 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 11 | $1.1k – $1.1k |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $1.0k | $942 | $405 | 43% | 10–100 | $409 – $1.5k |
| 16 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $822 | $822 | $70 | 8% | 8–80 | $752 – $892 |
| 17 | Samaritan Medical Center Watertown, NY professional · other · both | 2 | $822 | $822 | $70 | 8% | 8–80 | $752 – $892 |
| 18 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.8k | $1.8k | $164 | 9% | 6–60 | $1.5k – $2.0k |
| 19 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $80 | $82 | $30 | 36% | 6–60 | $52 – $116 |
| 20 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $2.1k | $2.3k | $1.4k | 63% | 6–60 | $710 – $4.8k |
| 21 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | 5–50 | $57 – $57 |
| 22 | HOMESTEAD HOSPITAL Homestead, FL case rate · outpatient | 2 | $539 | $539 | $270 | 50% | 4–40 | $270 – $809 |
| 23 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $892 | $892 | — | — | 4–40 | $892 – $892 |
| 24 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.1k | $2.3k | 74% | 4–40 | $767 – $5.5k |
| 25 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $680 | $561 | $281 | 50% | 4–40 | $0 – $722 |
← Payers reporting CPT 11402 · Snapshot 20261112T181611Z-3fa9fb76