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
BRACE KNEE POST-OP T SCOPE PREMIER 17-30IN FITS 35.5IN UNIV
Troy, NY
See all hospitals reporting HCPCS L1833 →Price type
Samaritan Hospital’s median price of $128 is 76% below the median hospital's median price ($542), higher than 3% of the 1,207 hospitals reporting HCPCS L1833. 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, 30 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 aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $171 | $171 | $137 | 80% | — | $34 – $309 |
| 2 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $93 | $214 | $199 | 93% | — | $54 – $494 |
| 3 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $93 | $214 | $199 | 93% | — | $54 – $494 |
| 4 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 5 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 6 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 7 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 8 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 9 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 10 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 11 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 12 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 13 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 14 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 15 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $225 | $192 | 85% | — | $54 – $494 |
| 16 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $274 | $274 | $220 | 80% | — | $54 – $494 |
| 17 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $274 | $274 | $220 | 80% | — | $54 – $494 |
| 18 | Excellus blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | $275 | 80% | — | $68 – $617 |
| 19 | Highmark blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | $275 | 80% | — | $68 – $617 |
| 20 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $184 | $414 | $419 | 101% | — | $75 – $1.2k |
| 21 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $186 | $427 | $397 | 93% | — | $108 – $988 |
| 22 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $197 | $454 | $422 | 93% | — | $115 – $1.0k |
| 23 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $209 | $481 | $447 | 93% | — | $122 – $1.1k |
| 24 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $209 | $481 | $447 | 93% | — | $122 – $1.1k |
| 25 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $209 | $481 | $447 | 93% | — | $122 – $1.1k |
Last updated: Mar 31, 2026
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