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
$100
Median
$86
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
309 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.
Filter by billing methodology
Filter by billing class
358 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $94 | $94 | $12 | 13% | — | $82 – $106 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $416 | $416 | $0 | 0% | — | $416 – $416 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $312 | $323 | $40 | 12% | — | $286 – $381 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $162 | $162 | $56 | 34% | — | $106 – $218 |
| 9 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 10 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 13 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 14 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 15 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 16 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 17 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 18 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 19 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $52 | $15 | 29% | — | $31 – $64 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $46 | $13 | 29% | — | $28 – $57 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $52 | $15 | 29% | — | $31 – $64 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $52 | $15 | 29% | — | $31 – $64 |
← Payers reporting HCPCS L1812 · Snapshot 20261111T120946Z-9134e7f7