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
Amp Leg Thru Tibia&Fibula Re-Amputation|LEFT SIDE
Low
$335
Average
$3.3k
Median
$792
High
$22k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 24.0× 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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40 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $571 | $658 | $126 | 19% | — | $566 – $837 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $314 | $402 | $161 | 40% | — | $263 – $628 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $314 | $402 | $161 | 40% | — | $263 – $628 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $489 | $489 | — | — | — | $489 – $489 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $314 | $402 | $161 | 40% | — | $263 – $628 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $314 | $402 | $161 | 40% | — | $263 – $628 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $9.3k | $9.3k | $2.0k | 21% | — | $7.3k – $11.3k |
| 8 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $5.8k | $5.4k | $532 | 10% | — | $4.6k – $5.8k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $327 | $362 | $109 | 30% | — | $250 – $509 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $327 | $357 | $102 | 29% | — | $250 – $495 |
| 11 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $22k | $22k | — | — | — | $22k – $22k |
| 12 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 3 | $292 | $335 | $138 | 41% | — | $192 – $521 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $292 | $335 | $138 | 41% | — | $192 – $521 |
| 15 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 3 | $288 | $359 | $115 | 32% | — | $268 – $520 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $288 | $359 | $115 | 32% | — | $268 – $520 |
| 17 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 3 | $267 | $382 | $178 | 47% | — | $247 – $634 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 3 | $267 | $382 | $178 | 47% | — | $247 – $634 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $267 | $382 | $178 | 47% | — | $247 – $634 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $267 | $382 | $178 | 47% | — | $247 – $634 |
| 23 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 3 | $314 | $427 | $250 | 58% | — | $195 – $773 |
| 24 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $314 | $427 | $250 | 58% | — | $195 – $773 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Payers reporting CPT 27886 · Snapshot 20261113T090226Z-3ce6c0b8