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
Bone replce graft each add
Low
$70
Average
$288
Median
$269
High
$541
Filter by billing methodology
Filter by billing class
6 hospital rates
iThe hospitals that file a First Health 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 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 2 | $319 | $319 | $131 | 41% | — | $188 – $450 |
| 2 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $319 | $319 | $131 | 41% | — | $188 – $450 |
| 3 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 4 | University Medical Center of Southern Nevada Las Vegas, NV fee schedule · outpatient | 1 | $220 | $220 | $32 | 15% | — | $188 – $252 |
| 5 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $541 | $541 | — | — | — | $541 – $541 |
| 6 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $541 | $541 | — | — | — | $541 – $541 |
← Payers reporting HCPCS D4264 · Snapshot 20261112T124536Z-e251e855