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
TOTAL KNEE ARTHROPLASTY
69 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 555 | $12,834 | $14,194 | $12.67 – $378,111 |
| 2 | Aetna fee schedule · outpatient · +30 other terms | 551 | $13,099 | $13,216 | $19.59 – $88,021 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 439 | $15,267 | $23,749 | $0.29 – $96,499 |
| 4 | Humana fee schedule · outpatient · +27 other terms | 375 | $12,849 | $11,590 | $1.00 – $37,095 |
| 5 | Cigna case rate · outpatient · +25 other terms | 334 | $12,475 | $19,359 | $0.70 – $88,845 |
| 6 | Devoted fee schedule · outpatient · +12 other terms | 208 | $15,396 | $14,860 | $1,207 – $17,136 |
| 7 | WellCare fee schedule · outpatient · +21 other terms | 204 | $13,370 | $13,379 | $223.25 – $30,154 |
| 8 | Molina fee schedule · outpatient · +27 other terms | 198 | $12,504 | $11,373 | $1.00 – $34,767 |
| 9 | Anthem fee schedule · outpatient · +24 other terms | 138 | $10,004 | $10,299 | $1,037 – $93,949 |
| 10 | Oscar case rate · outpatient · +22 other terms | 138 | $20,119 | $21,692 | $495.49 – $44,616 |
| 11 | Kaiser fee schedule · outpatient · +22 other terms | 102 | $15,696 | $14,726 | $297.84 – $102,623 |
| 12 | Ambetter fee schedule · outpatient · +17 other terms | 89 | $22,179 | $19,624 | $516.08 – $30,984 |
| 13 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $9,733 | $24,521 | $3,436 – $42,583 |
| 14 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 70 | $16,396 | $14,791 | $12,674 – $17,136 |
| 15 | Caresource fee schedule · outpatient · +16 other terms | 68 | $12,788 | $20,848 | $396.48 – $26,103 |
| 16 | Highmark facility · fee schedule · outpatient · +17 other terms | 68 | $13,117 | $14,697 | $9.72 – $58,259 |
| 17 | Tricare fee schedule · outpatient · +17 other terms | 55 | $12,834 | $14,490 | $1,118 – $50,000 |
| 18 | Regence professional · fee schedule · outpatient · +18 other terms | 47 | $974.81 | $1,052 | $81.99 – $4,025 |
| 19 | Optum fee schedule · outpatient · +24 other terms | 46 | $11,648 | $11,599 | $1,241 – $47,391 |
| 20 | MultiPlan fee schedule · outpatient · +19 other terms | 42 | $17,967 | $18,977 | $1,127 – $21,105 |
| 21 | Medica professional · fee schedule · outpatient · +21 other terms | 38 | $559.54 | $550.99 | $81.99 – $3,372 |
| 22 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948.00 | $1,515 | $929.00 – $19,331 |
| 23 | Ucare professional · fee schedule · outpatient · +18 other terms | 36 | $508.21 | $465.77 | $59.15 – $1,506 |
| 24 | Clover fee schedule · outpatient · +12 other terms | 34 | $14,062 | $13,740 | $11,588 – $15,485 |
| 25 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $17,381 | $17,974 | $1,138 – $49,388 |
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