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
XR Knee Complete 4 V Left DR
Peru, IN
See all hospitals reporting CPT 73564 →Price type
Dukes Health System LLC’s median price of $36 is 77% below the median hospital's median price ($156), higher than 3% of the 2,635 hospitals reporting CPT 73564. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 36 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 | Tricare node tricare facility · fee schedule · outpatient | $14 | $49 | $59 | 121% | — | $6 – $137 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $15 | $52 | $63 | 121% | — | $6 – $146 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $15 | $52 | $63 | 121% | — | $6 – $146 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $15 | $52 | $63 | 121% | — | $6 – $146 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $15 | $53 | $64 | 121% | — | $6 – $148 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $15 | $53 | $64 | 121% | — | $6 – $148 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $15 | $53 | $64 | 121% | — | $6 – $148 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $15 | $53 | $64 | 121% | — | $6 – $149 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $15 | $53 | $64 | 121% | — | $6 – $149 |
| 10 | Caresource caresource in medicaid facility · other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $23 | $79 | $96 | 121% | — | $9 – $222 |
| 12 | Anthem anthem in work comp facility · other · outpatient | $25 | $84 | $102 | 121% | — | $10 – $237 |
| 13 | Anthem anthem in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 14 | Caresource caresource hhw in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 15 | Caresource caresource in hip facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 16 | Humana humana pathways in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 17 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 18 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 19 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $28 | $95 | $115 | 121% | — | $11 – $266 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $28 | $95 | $115 | 121% | — | $11 – $266 |
| 21 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $28 | $95 | $115 | 121% | — | $11 – $266 |
| 22 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $28 | $95 | $115 | 121% | — | $11 – $266 |
| 23 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $33 | $112 | $135 | 121% | — | $13 – $314 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $37 | $125 | $152 | 121% | — | $15 – $352 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $38 | $130 | $157 | 121% | — | $15 – $364 |
Last updated: Apr 1, 2026
See X-ray of knee, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.