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
Arthrp Tmprmand Joint W/Prosthetic Replacement
Low
$2.0k
Average
$14.6k
Median
$12.4k
High
$50.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.1× 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 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 484 | $17.0k | $17.6k | $23.2k | 132% | — | $48 – $540.4k |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 424 | $20.6k | $21.4k | $16.1k | 75% | — | $79 – $125.8k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 343 | $17.9k | $17.8k | $9.7k | 54% | — | $1 – $78.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 325 | $27.7k | $30.2k | $19.7k | 65% | — | $1 – $186.5k |
| 5 | Cigna case rate · outpatient · +16 other terms | 312 | $7.5k | $9.1k | $5.8k | 64% | — | $1.6k – $40.7k |
| 6 | Molina fee schedule · outpatient · +15 other terms | 205 | $12.2k | $14.8k | $12.2k | 82% | — | $1 – $62.8k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 161 | $18.5k | $22.2k | $8.4k | 38% | — | $281 – $43.1k |
| 8 | Oscar case rate · outpatient · +13 other terms | 137 | $9.7k | $8.8k | $3.8k | 43% | — | $3.5k – $28.8k |
| 9 | Anthem fee schedule · outpatient · +15 other terms | 123 | $13.2k | $15.8k | $27.3k | 173% | — | $1.4k – $198.6k |
| 10 | Kaiser fee schedule · outpatient · +8 other terms | 94 | $23.4k | $36.7k | $32.4k | 88% | — | $1.4k – $172.2k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.1k | $1.2k | 16% | — | $3.3k – $8.6k |
| 12 | Ambetter fee schedule · outpatient · +7 other terms | 75 | $42.1k | $33.6k | $21.1k | 63% | — | $2.0k – $65.5k |
| 13 | Devoted fee schedule · outpatient · +5 other terms | 68 | $19.9k | $21.3k | $8.1k | 38% | — | $1.6k – $30.3k |
| 14 | Aetna Better Health fee schedule · outpatient · +8 other terms | 64 | $12.3k | $11.9k | $2.6k | 22% | — | $789 – $17.2k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 49 | $16.5k | $13.9k | $15.1k | 108% | — | $3.1k – $46.4k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.8k | $4.6k | 261% | — | $929 – $27.6k |
| 17 | MultiPlan case rate · outpatient · +14 other terms | 34 | $7.1k | $7.5k | $2.4k | 32% | — | $1.3k – $11.6k |
| 18 | Optum fee schedule · outpatient · +11 other terms | 34 | $24.6k | $28.2k | $24.5k | 87% | — | $1.6k – $100.2k |
| 19 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $797 | $8.3k | $6.6k | 79% | — | $753 – $16.0k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $23.4k | $23.2k | $10.5k | 45% | — | $9.7k – $66.2k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 29 | $20.4k | $21.7k | $3.5k | 16% | — | $18.1k – $30.5k |
| 22 | Medica case rate · outpatient · +9 other terms | 28 | $4.0k | $6.5k | $4.8k | 75% | — | $1.6k – $18.4k |
| 23 | Tricare fee schedule · outpatient · +9 other terms | 28 | $24.6k | $22.3k | $13.7k | 61% | — | $1.4k – $50k |
| 24 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $10.2k | $13.8k | $4.1k | 29% | — | $10.2k – $19.3k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $10.7k | $15.0k | $11.1k | 74% | — | $6.7k – $48.5k |
← Hospitals reporting CPT 21243 · Snapshot 20261113T090226Z-3ce6c0b8