Orthovisc hyaluronan knee injection, per dose

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.

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Provider: anthropic
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Max output tokens: 4096
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Generated: October 20, 2026

Original text from hospital filings

ORTHOVISC INJ PER DOSE

Medicaid pricing summary

Low

Average

$246

Median

$115

High

$1.6k

Medicaid rate distribution

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54 hospital rates

#		Plans
1	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient	1	$406	$406	—	—	—	$406 – $406
2	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$115	$115	—	—	—	$115 – $115
3	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$111	$111	—	—	—	$111 – $111
4	Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient	1	$115	$115	—	—	—	$115 – $115
5	Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient	1	$115	$115	—	—	—	$115 – $115
6	Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient	1	$115	$115	—	—	—	$115 – $115
7	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both	2	$80	$80	$4	5%	—	$76 – $84
8	BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both	2	$80	$80	$4	5%	—	$76 – $84
9	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$111	$111	—	—	—	$111 – $111
10	Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges	1	$112	$112	—	—	—	$112 – $112
11	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$78	$78	—	—	—	$78 – $78
12	Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges	1	$305	$305	—	—	—	$305 – $305
13	Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges	1	$202	$202	—	—	—	$202 – $202
14	DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both	2	$77	$77	$4	5%	—	$74 – $81
15	Eisenhower Medical Center Rancho Mirage, CA fee schedule · both	3	$125	$125	—	—	—	$125 – $125
16	FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both	2	$77	$77	$4	5%	—	$74 – $81
17	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$304	$304	—	—	—	$304 – $304
18	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$131	$131	—	—	—	$131 – $131
19	GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient	1	$482	$482	—	—	—	$482 – $482
20	Greater Baltimore Medical Center Towson, MD professional · fee schedule · both	1	$131	$131	—	—	—	$131 – $131
21	HOMESTEAD HOSPITAL Homestead, FL fee schedule · both	2	$77	$77	$4	5%	—	$74 – $81
22	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both	1	$111	$111	—	—	—	$111 – $111
23	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges	1	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
24	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$520	$520	$16	3%	—	$504 – $536
25	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$78	$78	—	—	—	$78 – $78