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
Lig Div&Strpg Long Saph Saphfem Junct Kne/Belw
Low
$40
Average
$1.0k
Median
$363
High
$3.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 41.4× 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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48 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $1.8k | $1.8k | $84 | 5% | — | $1.7k – $1.8k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 9 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 18 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $222 | $222 | $177 | 80% | — | $45 – $398 |
| 21 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 22 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 24 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 25 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
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