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
Mesial/distal wedge proc
Monroe, WI
See all hospitals reporting HCPCS D4274 →Price type
Monroe Clinic, Inc.’s median price of $11.5k is 786% above the median hospital's median price ($1.3k), higher than 100% of the 520 hospitals reporting HCPCS D4274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 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 medicare managed care plan fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 2 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 3 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 4 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
Last updated: Apr 1, 2026
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