PX-25019887 — Reconstruction, Knee, Acl, Pcl, Or Or Medial Collateral Ligament, Using Patellar Tendon Autograft
Cite this view
HANK Price Transparency. (n.d.). Reconstruction, Knee, Acl, Pcl, or or Medial Collateral Ligament, Using Patellar Tendon Autograft (CDM PX-25019887) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-25019887?code_type=CDM
“Reconstruction, Knee, Acl, Pcl, or or Medial Collateral Ligament, Using Patellar Tendon Autograft (CDM PX-25019887) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-25019887?code_type=CDM. Accessed .
“Reconstruction, Knee, Acl, Pcl, or or Medial Collateral Ligament, Using Patellar Tendon Autograft (CDM PX-25019887) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-25019887?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,640–$14,508 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-25019887 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $7,318.94 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Community Health Plan | $7,934.80 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Community Health Plan | $8,457.70 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Community Health Plan | $8,632.00 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS Medicare Advantage | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners MSHO | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Medicare Advantage | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Dual Solutions MSHO | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Medicare Advantage | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS MSHO | $8,640.30 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Primewest PMAP | PrimeWest Community Health Plan | $8,955.70 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $8,987.24 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Medicare Advantage | $9,061.94 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare MSHO | $9,061.94 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $9,148.26 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Commercial | $10,117.70 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Commercial | $13,562.20 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Commercial | $14,508.40 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Cigna APWU | $14,508.40 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica IFB | $14,940.00 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Commercial | $15,238.80 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Sanford | Sanford Health Plan | $15,272.00 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | America's PPO | HealthEz - America's PPO | $16,102.00 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Community Health Plan | $16,600.00 | $16,600.00 | $12,450.00 | 2024-12-30 | MRF ↗ |