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 DEST LESN MLG TR/LIMB 1.1-2CM
Low
$1
Average
$514
Median
$204
High
$5.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
524 hospitals; the 90th percentile is 18.0× 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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663 hospital rates
iThe hospitals that file a Molina 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 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 7 | $439 | $711 | $467 | 66% | 2–20 | $331 – $1.6k |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $175 | $196 | $126 | 64% | 1–10 | $74 – $361 |
| 3 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $320 | $320 | $3 | 1% | 1–10 | $317 – $323 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $292 | $292 | $101 | 34% | — | $192 – $393 |
| 10 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 11 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 12 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 13 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 14 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 15 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 16 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 17 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 18 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 19 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 20 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 21 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 22 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $822 | $822 | — | — | — | $822 – $822 |
| 23 | Alexian Brothers Medical Center Village, IL other · inpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 24 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 25 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
← Payers reporting CPT 17262 · Snapshot 20261111T120946Z-9134e7f7