COTA RE-EVAL at InstituteforOrthopaedicSurgery

Suite B

Pricing by billing methodology

Price type

How this price compares nationally

InstituteforOrthopaedicSurgery’s median price of $120 is 7% above the median hospital's median price ($111), higher than 57% of the 175 hospitals reporting CPT 97004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97004 at InstituteforOrthopaedicSurgery

Negotiated rates from the hospital’s own file: 4 payers, 6 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	Aetna ppo other · outpatient	$0	$0	—	—	—	$0 – $0
2	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
3	Medical Mutual ppo percent of total billed charges · inpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
4	Medical Mutual ppo percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
5	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
6	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121

Last updated: Jun 5, 2026

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