1603907 (CDM) — raw rate rows

CDM · raw rates

1603907 — Proclaim Elite 5

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $101,120

Usually $84,372–$131,614 (25th–75th percentile) across 1 hospital · 4 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 1603907 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	United Healthcare	All Products	$821.60	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE InpatientFacility	Medica	All Products	$79,000.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	BCBS of Kansas City	Blue Select Plus	$84,372.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE BothFacility	Cigna	All Products	$86,900.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE BothFacility	BCBS of Kansas City	Medicare Advantage (exiting market 01/01/2025)	$101,120.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	BCBS of Kansas City	Blue Access	$131,614.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	BCBS of Kansas City	Freedom Network Select	$131,614.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	BCBS of Kansas City	Blue-Care	$131,614.00	$158,000.00	—	2025-12-05	MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility	BCBS of Kansas City	Preferred Care Blue	$131,614.00	$158,000.00	—	2025-12-05	MRF ↗