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
PROSTHESIS BOJRAB ADJ LNGTH TOTAL W INTEGRATED SHO
Wayne, IN
See all hospitals reporting HCPCS L8613 →Price type
St. Joseph Health System, LLC’s median price of $1.5k is 197% above the median hospital's median price ($513), higher than 91% of the 1,345 hospitals reporting HCPCS L8613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 18 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $655 | $886 | $287 | 32% | — | $618 – $1.2k |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $655 | $886 | $287 | 32% | — | $618 – $1.2k |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $736 | $995 | $322 | 32% | — | $694 – $1.4k |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $736 | $996 | $322 | 32% | — | $694 – $1.4k |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $736 | $996 | $322 | 32% | — | $694 – $1.4k |
| 6 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $933 | $1.3k | $409 | 32% | — | $880 – $1.8k |
| 7 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.9k | $604 | 32% | — | $1.3k – $2.6k |
| 8 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.9k | $613 | 32% | — | $1.3k – $2.7k |
| 9 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.9k | $613 | 32% | — | $1.3k – $2.7k |
| 10 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $2.1k | $666 | 32% | — | $1.4k – $2.9k |
| 11 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $2.1k | $666 | 32% | — | $1.4k – $2.9k |
| 12 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $2.1k | $693 | 32% | — | $1.5k – $3.0k |
| 13 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $2.1k | $693 | 32% | — | $1.5k – $3.0k |
| 14 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $2.2k | $711 | 32% | — | $1.5k – $3.1k |
| 15 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.7k | $888 | 32% | — | $1.9k – $3.8k |
| 16 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.7k | $888 | 32% | — | $1.9k – $3.8k |
| 17 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.7k | $888 | 32% | — | $1.9k – $3.8k |
| 18 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.7k | $888 | 32% | — | $1.9k – $3.8k |
Last updated: Apr 1, 2026
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