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
SLEEVE ORTHO CTI SPORT LG 15-18IN MID-PATELLA KNEE
Low
$1
Average
$120
Median
$87
High
$7.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
439 hospitals; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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557 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $42 | $66 | 157% | 68–680 | $7 – $269 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $53 | $51 | $13 | 26% | 40–400 | $16 – $63 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $216 | — | — | 21 | $216 – $216 |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $40 | $3 | 7% | 15–42 | $38 – $45 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | $19 | 21% | 2–20 | $71 – $109 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $227 | $227 | $43 | 19% | 1–10 | $184 – $270 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $47 | $60 | $15 | 26% | 1–10 | $47 – $80 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $47 | $60 | $15 | 26% | 1–10 | $47 – $80 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $178 | $178 | $6 | 3% | — | $173 – $184 |
| 11 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 12 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $87 | $87 | $1 | 1% | — | $86 – $88 |
| 13 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 14 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $68 | $56 | $29 | 51% | — | $9 – $80 |
| 15 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $147 | $155 | $50 | 33% | — | $71 – $218 |
| 16 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $68 | $56 | $29 | 51% | — | $9 – $80 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $132 | $132 | $6 | 4% | — | $127 – $138 |
| 18 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $75 | $67 | $39 | 57% | — | $9 – $110 |
| 19 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $147 | $155 | $50 | 33% | — | $71 – $218 |
| 20 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $37 | $37 | $12 | 33% | — | $22 – $52 |
| 21 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 22 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $68 | $56 | $29 | 51% | — | $9 – $80 |
| 23 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $68 | $56 | $29 | 51% | — | $9 – $80 |
| 25 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $147 | $155 | $50 | 33% | — | $71 – $218 |
← Payers reporting HCPCS L1812 · Snapshot 20261111T120946Z-9134e7f7