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
Dest Lesn Mal Trunk/Arm/Leg <0.5cm
Low
$1
Average
$985
Median
$399
High
$10.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1351 hospitals; the 90th percentile is 22.2× 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.
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2,099 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $205 | $223 | $39 | 18% | 2–20 | $187 – $278 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $395 | $344 | $114 | 33% | 1–10 | $90 – $395 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 5 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 6 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 7 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $484 | $484 | $276 | 57% | 1–10 | $209 – $760 |
| 9 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $601 | $795 | $610 | 77% | 1–10 | $201 – $1.9k |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $962 | $962 | — | — | — | $962 – $962 |
| 11 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 12 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $91 | $81 | $14 | 17% | — | $61 – $91 |
| 13 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $93 | $82 | $15 | 18% | — | $61 – $93 |
| 14 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $91 | $81 | $14 | 18% | — | $61 – $91 |
| 15 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $1.5k | $1.1k | $809 | 72% | — | $74 – $1.9k |
| 16 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $1.5k | $1.1k | $809 | 72% | — | $74 – $1.9k |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $241 | $180 | $103 | 57% | — | $53 – $285 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $153 | $144 | $47 | 33% | — | $67 – $209 |
| 21 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 22 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
← Payers reporting CPT 17260 · Snapshot 20261112T181611Z-3fa9fb76