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
Main/clean max prosthesis
Low
$32
Average
$1.3k
Median
$513
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 18.1× 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 | $1.5k | $4.9k | $19.5k | 396% | — | $39 – $111.7k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 22 | $134 | $539 | $738 | 137% | — | $32 – $2.1k |
| 3 | UnitedHealthcare facility · case rate · outpatient · +6 other terms | 18 | $1.5k | $7.2k | $24.6k | 342% | — | $69 – $111.7k |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 6 | Optum facility · case rate · outpatient · +1 other terms | 13 | $1.4k | $1.3k | $91 | 7% | — | $1.1k – $1.4k |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 11 | $467 | $427 | $286 | 67% | — | $87 – $1.1k |
| 8 | Highmark fee schedule · outpatient · +1 other terms | 11 | $188 | $185 | $18 | 10% | — | $59 – $188 |
| 9 | Humana fee schedule · outpatient · +3 other terms | 11 | $731 | $961 | $697 | 72% | — | $246 – $2.2k |
| 10 | Cigna professional · fee schedule · outpatient · +1 other terms | 10 | $180 | $173 | $10 | 6% | — | $158 – $180 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $1.4k | $1.4k | $63 | 5% | — | $1.2k – $1.4k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $1.3k | $1.3k | $41 | 3% | — | $1.3k – $1.4k |
| 13 | Medica fee schedule · outpatient · +2 other terms | 3 | $328 | $328 | — | — | — | $328 – $328 |
| 14 | Wellmark facility · case rate · outpatient | 3 | $3.8k | $3.3k | $1.0k | 32% | — | $1.5k – $4.2k |
| 15 | Medicaid facility · case rate · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Bcbs Id professional · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 17 | Bcbs Mn fee schedule · outpatient | 1 | $366 | $366 | $160 | 44% | — | $128 – $513 |
| 18 | Bcbs Nv fee schedule · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 19 | Bcbs Vt professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 21 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 22 | Regence facility · fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 23 | WellCare facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
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