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
PR LEFORT I-2 PIECE WO GRFT
Rochester, MN
See all hospitals reporting CPT 21142 →Price type
Mayo Clinic’s median price of $13.1k is 111% above the median hospital's median price ($6.2k), higher than 93% of the 1,496 hospitals reporting CPT 21142. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 70 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $483 | $483 | — | — | — | $483 – $483 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $521 | $521 | — | — | — | $521 – $521 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $592 | $592 | — | — | — | $592 – $592 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $622 | $622 | — | — | — | $622 – $622 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $622 | $622 | — | — | — | $622 – $622 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $889 | $889 | — | — | — | $889 – $889 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Optum veteran affairs optum [1045] facility · other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Ucare ucare msho medicare advantage plan [621] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | Medica medica advantage solution by county medicare advantage plan [793] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 21 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 22 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 23 | Ucare ucare connect+ medicare advantage plan [1116] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 24 | UnitedHealthcare united healthcare medicare advantage plan [1249] facility · other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 25 | Medica medica advantage solution medicare advantage plan [1206] facility · other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Aug 14, 2026
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