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.
Generation details were not recorded for this description.
Original text from hospital filings
Replacement of lower-extremity joint M >=57.50 and M <63.50
Low
$1
Average
$211
Median
$77
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 19.9× 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 | Molina facility · case rate · outpatient · +5 other terms | 29 | $423 | $335 | $333 | 99% | — | $21 – $1.0k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $24 | $56 | $66 | 118% | — | $15 – $242 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 18 | $593 | $534 | $295 | 55% | — | $24 – $1.0k |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $604 | $660 | $155 | 23% | — | $411 – $1.0k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $615 | $661 | $151 | 23% | — | $411 – $1.0k |
| 6 | Optum facility · case rate · outpatient · +1 other terms | 13 | $546 | $533 | $253 | 47% | — | $23 – $927 |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 10 | $98 | $98 | — | — | — | $98 – $98 |
| 8 | Cigna professional · fee schedule · outpatient · +1 other terms | 8 | $81 | $81 | — | — | — | $81 – $81 |
| 9 | Humana facility · case rate · outpatient · +3 other terms | 8 | $24 | $25 | $1 | 5% | — | $24 – $26 |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $29 | $29 | $0 | 1% | — | $28 – $29 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $26 | $27 | $1 | 3% | — | $26 – $29 |
| 12 | Medica fee schedule · outpatient · +2 other terms | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Wellmark facility · case rate · outpatient | 3 | $91 | $80 | $25 | 32% | — | $37 – $101 |
| 14 | Medicaid facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs Mn fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 17 | Highmark fee schedule · outpatient | 1 | $44 | $44 | $18 | 42% | — | $31 – $70 |
| 18 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 19 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | WellCare facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
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