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-Add Ak or Hip Disarticulati
Ann Arbor, MI
See all hospitals reporting HCPCS L5850 →Price type
University Of Michigan Health’s median price of $187 is 9% above the median hospital's median price ($171), higher than 55% of the 855 hospitals reporting HCPCS L5850. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 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 Better Health medicaid hmo facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 2 | Ambetter medicaid hmo facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 3 | Blue Cross Blue Shield medicaid hmo facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 4 | Medicaid medicaid michigan [300106] facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 5 | Molina medicaid hmo facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 6 | UnitedHealthcare medicaid hmo facility · fee schedule · outpatient | $113.62 | $113.62 | $113.62 – $113.62 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $153.54 | $153.54 | $153.54 – $153.54 |
| 8 | Blue Cross Blue Shield bcbs medicare plus blue ppo [10000107] facility · fee schedule · outpatient | $153.54 | $153.54 | $153.54 – $153.54 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $153.54 | $153.54 | $153.54 – $153.54 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $153.54 | $153.54 | $153.54 – $153.54 |
| 11 | Aetna Better Health medicare advantage facility · fee schedule · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 13 | UnitedHealthcare snp facility · fee schedule · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 14 | UnitedHealthcare ppo nb facility · percent of total billed charges · inpatientfrom % of charges | $176.80 | $176.80 | $176.80 – $176.80 |
| 15 | UnitedHealthcare ppo nb facility · percent of total billed charges · outpatientfrom % of charges | $176.80 | $176.80 | $176.80 – $176.80 |
| 16 | Aetna aetna mi preferred apm [100309] facility · percent of total billed charges · inpatientfrom % of charges | $195.16 | $195.16 | $195.16 – $195.16 |
| 17 | Aetna aetna mi preferred apm [100309] facility · percent of total billed charges · outpatientfrom % of charges | $195.16 | $195.16 | $195.16 – $195.16 |
| 18 | Aetna aetna ppo [100307] facility · percent of total billed charges · inpatientfrom % of charges | $238.68 | $238.68 | $238.68 – $238.68 |
| 19 | Aetna aetna ppo [100307] facility · percent of total billed charges · outpatientfrom % of charges | $238.68 | $238.68 | $238.68 – $238.68 |
| 20 | UnitedHealthcare uhc [104202] facility · percent of total billed charges · inpatientfrom % of charges | $248.20 | $248.20 | $248.20 – $248.20 |
| 21 | UnitedHealthcare uhc [104202] facility · percent of total billed charges · outpatientfrom % of charges | $248.20 | $248.20 | $248.20 – $248.20 |
| 22 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $289.00 | $289.00 | $289.00 – $289.00 |
| 23 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $289.00 | $289.00 | $289.00 – $289.00 |
| 24 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $289.00 | $289.00 | $289.00 – $289.00 |
| 25 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $289.00 | $289.00 | $289.00 – $289.00 |
Last updated: Mar 31, 2026
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