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 2.1-3CM
Low
$10
Average
$1.2k
Median
$345
High
$20.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1254 hospitals; the 90th percentile is 20.4× 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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1,839 hospital rates
iThe hospitals that file a Aetna 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 | 1 | $106 | $106 | — | — | 7–70 | $106 – $106 |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $78 | $79 | $3 | 3% | 3–30 | $77 – $82 |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $508 | $508 | $124 | 24% | 2–20 | $384 – $632 |
| 4 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $197 | $197 | — | — | 2–20 | $197 – $197 |
| 5 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $197 | $197 | — | — | 2–20 | $197 – $197 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $604 | $592 | $120 | 20% | 2–20 | $439 – $733 |
| 7 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | 1–10 | $247 – $247 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $412 | $412 | — | — | 1–10 | $412 – $412 |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | 1–10 | $302 – $302 |
| 10 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $482 | $488 | $13 | 3% | 1–10 | $482 – $514 |
| 11 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 2 | $6.5k | $6.4k | $428 | 7% | 1–10 | $5.8k – $6.9k |
| 12 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 1–10 | $5.8k – $6.5k |
| 13 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 1–10 | $5.8k – $6.5k |
| 14 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 1–10 | $5.8k – $6.5k |
| 15 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 16 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $498 | $498 | — | — | — | $498 – $498 |
| 18 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 19 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $586 | $586 | — | — | — | $586 – $586 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 22 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $181 | $181 | $81 | 45% | — | $100 – $262 |
← Payers reporting CPT 17263 · Snapshot 20261112T181611Z-3fa9fb76