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
AMPUTATION FOLLOW-UP SURGERY
Sacramento, CA
Negotiated rates from the hospital’s own file: 7 payers, 18 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $919 | $919 | — | — | — | $919 – $919 |
| 5 | Anthem medicare|all other plans fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Humana commercial|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Humana medicare|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | Anthem medicare|imperial fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Anthem commercial|connection epo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 14 | Aetna commercial|all other plans case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 15 | Aetna commercial|hmo case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 16 | Aetna commercial|ppo case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 17 | Anthem commercial|all other plans case rate · outpatient | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 18 | Anthem commercial|mcs case rate · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |