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
KNEE ORTHOSIS (KO), DOUBLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT VARUS/VALGUS ADJUSTMENT, PREFABRICATED, OFF-THE-SHELF
Low
$66
Average
$754
Median
$700
High
$3.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
372 hospitals; the 90th percentile is 1.9× 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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394 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $618 | $618 | — | — | — | $618 – $618 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 3 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $1.1k | $1.1k | $24 | 2% | — | $1.1k – $1.1k |
| 4 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $711 | $711 | $11 | 1% | — | $700 – $722 |
| 5 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $642 | $642 | — | — | — | $642 – $642 |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $846 | $846 | — | — | — | $846 – $846 |
| 8 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $846 | $846 | — | — | — | $846 – $846 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $846 | $846 | — | — | — | $846 – $846 |
| 10 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 6 | $1.1k | $1.1k | $111 | 10% | — | $964 – $1.3k |
| 11 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 9 | $964 | $981 | $179 | 18% | — | $695 – $1.3k |
| 12 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $626 | $628 | $3 | 0% | — | $626 – $632 |
| 13 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $908 | $908 | — | — | — | $908 – $908 |
| 14 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $908 | $908 | — | — | — | $908 – $908 |
| 15 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 2 | $2.8k | $2.8k | $163 | 6% | — | $2.6k – $3.0k |
| 16 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 2 | $2.8k | $2.8k | $163 | 6% | — | $2.6k – $3.0k |
| 17 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $908 | $908 | — | — | — | $908 – $908 |
| 18 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $1.4k | $1.4k | $38 | 3% | — | $1.4k – $1.4k |
| 21 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $1.7k | $1.7k | $39 | 2% | — | $1.7k – $1.8k |
| 23 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 24 | Billings Clinic Billings, MT fee schedule · outpatient | 2 | $861 | $861 | $277 | 32% | — | $584 – $1.1k |
| 25 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $514 | $514 | — | — | — | $514 – $514 |
← Payers reporting HCPCS L1852 · Snapshot 20261111T120946Z-9134e7f7