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
$23
Average
$1.2k
Median
$453
High
$16.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
373 hospitals; the 90th percentile is 19.0× 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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592 hospital rates
iThe hospitals that file a Anthem 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 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 2 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $430 | $430 | — | — | 1–10 | $430 – $430 |
| 3 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $323 | $352 | $78 | 22% | 1–10 | $274 – $458 |
| 4 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $401 | $401 | $55 | 14% | 1–10 | $345 – $456 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $478 | $410 | $159 | 39% | — | $190 – $562 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $331 | $329 | $181 | 55% | — | $100 – $641 |
| 8 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | $38 | 20% | — | $153 – $228 |
| 9 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $149 | $155 | $50 | 33% | — | $90 – $231 |
| 11 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $3.7k | $3.8k | $432 | 11% | — | $3.4k – $4.4k |
| 12 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 13 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 14 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $512 | $451 | $186 | 41% | — | $199 – $640 |
| 15 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $883 | $883 | — | — | — | $883 – $883 |
| 16 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 17 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $129 | $129 | — | — | — | $129 – $129 |
| 18 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $129 | $129 | — | — | — | $129 – $129 |
| 19 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $122 | $122 | — | — | — | $122 – $122 |
| 22 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $830 | $830 | $631 | 76% | — | $199 – $1.5k |
| 23 | Aspirus Plover Hospital Stevens Point, WI fee schedule · outpatient | 2 | $834 | $834 | $634 | 76% | — | $200 – $1.5k |
| 24 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 25 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $830 | $830 | $631 | 76% | — | $199 – $1.5k |
← Payers reporting CPT 17263 · Snapshot 20261112T181611Z-3fa9fb76