CPT 21155
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
Lefort iii w/ lefort i
Low
$1.1k
Average
$10.2k
Median
$6.0k
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 8.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +2 other terms | 6 | $34.9k | $31.4k | $7.7k | 25% | — | $14.1k – $34.9k |
| 2 | Caresource percent of total billed charges · outpatientfrom % of charges · +1 other terms | 5 | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 3 | Humana professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $3.7k | $3.5k | $330 | 10% | — | $3.1k – $3.8k |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 5 | $3.7k | $3.7k | $2.9k | 77% | — | $1 – $8.1k |
| 5 | Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 6 | Aetna percent of total billed charges · inpatientfrom % of charges · +4 other terms | 4 | $6.2k | $6.2k | $505 | 8% | — | $5.5k – $6.6k |
| 7 | Cigna professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 4 | $2.6k | $2.6k | $560 | 22% | — | $1.8k – $3.4k |
| 8 | Molina percent of total billed charges · inpatientfrom % of charges | 4 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 9 | UnitedHealthcare percent of total billed charges · inpatientfrom % of charges · +3 other terms | 4 | $5.5k | $5.5k | $495 | 9% | — | $5.3k – $6.6k |
| 10 | Healthpartners professional · percent of total billed charges · bothfrom % of charges | 2 | $3.7k | $3.7k | $3.7k | 100% | — | $1 – $7.5k |
← Hospitals reporting CPT 21155 · Snapshot 20261113T090226Z-3ce6c0b8