RC 128
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
REPLACEMENT OF LOWER EXT JOINT; M > 28.65 & M < 37
PENSACOLA, FL
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Hca Florida West Hospital’s median price of $23.7k is 996% above the median hospital's median price ($2.2k), higher than 93% of the 806 hospitals reporting RC 128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 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 | Oscar hix per diem · inpatient | $1,868 | $1,868 | $1,868 – $1,868 |
| 2 | Blue Cross Blue Shield mbn per diem · inpatient | $1,973 | $1,973 | $1,973 – $1,973 |
| 3 | Aetna qhp per diem · inpatient | $2,103 | $2,103 | $2,103 – $2,103 |
| 4 | Blue Cross Blue Shield nwb per diem · inpatient | $2,353 | $2,353 | $2,353 – $2,353 |
| 5 | Blue Cross Blue Shield ppo per diem · inpatient | $2,353 | $2,353 | $2,353 – $2,353 |
| 6 | Blue Cross Blue Shield hmo per diem · inpatient | $2,634 | $2,634 | $2,634 – $2,634 |
| 7 | Blue Cross Blue Shield phs per diem · inpatient | $2,634 | $2,634 | $2,634 – $2,634 |
| 8 | Blue Cross Blue Shield sbn per diem · inpatient | $2,634 | $2,634 | $2,634 – $2,634 |
| 9 | Aetna hmo per diem · inpatient | $3,157 | $3,157 | $3,157 – $3,157 |
| 10 | Aetna ppo per diem · inpatient | $3,157 | $3,157 | $3,157 – $3,157 |
| 11 | Cigna nbn per diem · inpatient | $3,291 | $3,291 | $3,291 – $3,291 |
| 12 | UnitedHealthcare allpayerappendix per diem · inpatient | $4,146 | $4,146 | $4,146 – $4,146 |
| 13 | Humana hmo per diem · inpatient | $4,954 | $4,851 | $3,963 – $4,954 |
| 14 | Humana ppo per diem · inpatient | $4,954 | $4,851 | $3,963 – $4,954 |
| 15 | Cigna managedcarehmo per diem · inpatient | $7,872 | $7,872 | $7,872 – $7,872 |
| 16 | Cigna ppo per diem · inpatient | $7,872 | $7,872 | $7,872 – $7,872 |
| 17 | Humana mgmcrhmo fee schedule · inpatient | $22,040 | $23,290 | $2,861 – $51,791 |
| 18 | WellCare mcr fee schedule · inpatient | $23,200 | $24,516 | $3,012 – $54,517 |
| 19 | Humana tricare percent of total billed charges · inpatientfrom % of charges | $28,884 | $28,884 | $28,884 – $28,884 |
| 20 | Humana hmo case rate · inpatient | $57,458 | $60,616 | $13,869 – $272,653 |
| 21 | Humana ppo case rate · inpatient | $57,458 | $60,616 | $13,869 – $272,653 |
Last updated: Mar 1, 2026
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