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
BRACE KNEE INTERFACE/UPPER EXT
Arlington, TX
See all hospitals reporting HCPCS L2830 →Price type
AMH Cath Labs LLC’s median price of $153 is 19% above the median hospital's median price ($129), higher than 69% of the 1,041 hospitals reporting HCPCS L2830. 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 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Humana medicare advantage case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 9 | Humana medicare advantage ppo case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Molina medicare advantage case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 14 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
Last updated: Apr 21, 2026
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