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
HC US MAJOR JOINT INJ/ASP
Lancaster, PA
See all hospitals reporting CPT 20611 →Price type
Lancaster General Health’s median price of $345 is 25% below the median hospital's median price ($463), higher than 34% of the 2,401 hospitals reporting CPT 20611. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 38 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 | Medicaid medicaid facility · fee schedule · outpatient | $49.82 | $49.82 | $49.82 – $49.82 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $54.80 | $54.80 | $54.80 – $54.80 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $280.65 | $277.89 | $197.40 – $420.98 |
| 4 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $308.71 | $334.44 | $308.71 – $463.07 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $311.83 | $337.82 | $311.83 – $467.75 |
| 6 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $311.83 | $337.82 | $311.83 – $467.75 |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $314.95 | $341.20 | $314.95 – $472.43 |
| 8 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $316.51 | $342.89 | $316.51 – $474.77 |
| 9 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $318.07 | $344.58 | $318.07 – $477.11 |
| 10 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $318.07 | $344.58 | $318.07 – $477.11 |
| 11 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $321.18 | $347.95 | $321.18 – $481.78 |
| 12 | Devoted devoted health medicare advantage facility · other · outpatient | $327.42 | $354.71 | $327.42 – $491.14 |
| 13 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $339.43 | $380.03 | $107.58 – $713.84 |
| 14 | Highmark highmark chip facility · other · outpatient | $503.34 | $563.54 | $159.53 – $1,059 |
| 15 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $572.90 | $584.38 | $279.65 – $912.05 |
| 16 | Oscar oscar health plan facility · other · outpatient | $608.07 | $658.74 | $608.07 – $912.11 |
| 17 | Highmark highmark aca facility · other · outpatient | $604.87 | $677.22 | $191.72 – $1,272 |
| 18 | Aetna aetna commercial facility · fee schedule · outpatient | $702.73 | $702.73 | $679.03 – $726.42 |
| 19 | Highmark highmark commercial preferred facility · other · outpatient | $694.45 | $777.51 | $220.11 – $1,460 |
| 20 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $807.32 | $828.82 | $222.73 – $1,478 |
| 21 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $853.60 | $853.60 | $853.60 – $853.60 |
| 22 | UnitedHealthcare united healthcare medicaid mco facility · fee schedule · outpatient | $853.60 | $853.60 | $853.60 – $853.60 |
| 23 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $783.48 | $877.20 | $248.33 – $1,648 |
| 24 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $839.02 | $939.38 | $265.93 – $1,765 |
| 25 | Highmark highmark commercial facility · other · outpatient | $864.06 | $967.42 | $273.87 – $1,817 |
Last updated: Mar 31, 2026
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