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
IMMOB KNEE 24" UNIV CUT-AWAY
Arlington, TX
See all hospitals reporting HCPCS L1830 →Price type
AMH Cath Labs LLC’s median price of $40 is 46% below the median hospital's median price ($74), higher than 17% of the 1,776 hospitals reporting HCPCS L1830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $6 | $5 | 76% | — | $4 – $25 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $6 | $5 | 76% | — | $4 – $25 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $5 | 76% | — | $4 – $26 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $5 | 76% | — | $4 – $27 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $5 | 76% | — | $4 – $28 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $15 | $22 | $17 | 76% | — | $14 – $88 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $20 | $29 | $22 | 76% | — | $18 – $116 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $24 | $36 | $27 | 76% | — | $22 – $142 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $27 | $39 | $30 | 76% | — | $24 – $155 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $27 | $40 | $30 | 76% | — | $24 – $156 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $27 | $40 | $30 | 76% | — | $24 – $157 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $27 | $40 | $30 | 76% | — | $24 – $157 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $31 | $45 | $34 | 76% | — | $28 – $178 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $32 | $48 | $36 | 76% | — | $29 – $189 |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $34 | $50 | $38 | 76% | — | $30 – $197 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $34 | $50 | $38 | 76% | — | $31 – $197 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $34 | $50 | $38 | 76% | — | $31 – $198 |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $34 | $50 | $38 | 76% | — | $31 – $198 |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $36 | $54 | $41 | 76% | — | $33 – $211 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $42 | $62 | $47 | 76% | — | $38 – $246 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $42 | $62 | $47 | 76% | — | $38 – $246 |
| 22 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 23 | Humana medicare advantage case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 24 | Humana medicare advantage ppo case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 25 | Molina medicare advantage case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
Last updated: Apr 21, 2026
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