HCPCS D1204
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
Osteoarthritis M <49.50 and A <74.50
Low
$19
Average
$175
Median
$24
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 22.8× 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 | Humana facility · fee schedule · outpatient | 7 | $44 | $1.0k | $5.5k | 524% | — | $30 – $31.0k |
| 2 | Aetna professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Anthem facility · fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 4 | Blue Cross Blue Shield professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | First Health professional · fee schedule · inpatient · +3 other terms | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | MultiPlan professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Hospitals reporting HCPCS D1204 · Snapshot 20261113T090226Z-3ce6c0b8