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 Tx Contour Defects 1.1-5.0cc
Low
$85
Average
$1.0k
Median
$717
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 7.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 489 | $690 | $1.0k | $1.6k | 158% | 1–10 | $1 – $18.0k |
| 2 | Aetna fee schedule · outpatient · +27 other terms | 458 | $765 | $1.9k | $3.6k | 192% | — | $1 – $33.6k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 357 | $614 | $607 | $823 | 136% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 348 | $785 | $1.1k | $1.8k | 164% | — | $0 – $15.6k |
| 5 | Cigna case rate · outpatient · +19 other terms | 240 | $1.8k | $4.8k | $7.8k | 163% | — | $0 – $40.7k |
| 6 | Molina fee schedule · outpatient · +22 other terms | 191 | $535 | $345 | $549 | 159% | — | $1 – $5.8k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 166 | $668 | $751 | $528 | 70% | — | $51 – $4.3k |
| 8 | Oscar case rate · outpatient · +15 other terms | 130 | $3.0k | $2.4k | $1.1k | 44% | — | $957 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 120 | $597 | $630 | $1.0k | 160% | — | $60 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 94 | $1.1k | $1.3k | $936 | 70% | — | $64 – $4.6k |
| 11 | Ambetter facility · fee schedule · outpatient · +12 other terms | 74 | $1.3k | $1.3k | $1.0k | 77% | — | $151 – $8.3k |
| 12 | Devoted fee schedule · outpatient · +11 other terms | 69 | $662 | $631 | $208 | 33% | — | $70 – $826 |
| 13 | Aetna Better Health fee schedule · outpatient · +16 other terms | 64 | $62 | $80 | $96 | 120% | — | $54 – $574 |
| 14 | Optum fee schedule · outpatient · +16 other terms | 53 | $564 | $719 | $556 | 77% | — | $70 – $2.7k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 46 | $665 | $623 | $961 | 154% | — | $1 – $4.3k |
| 16 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.6k | $5.1k | 78% | — | $2.1k – $14.6k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $945 | $8 | 1% | — | $920 – $948 |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $155 | $152 | $170 | 112% | — | $47 – $631 |
| 19 | Clover fee schedule · outpatient · +7 other terms | 31 | $687 | $1.1k | $1.1k | 102% | — | $608 – $4.4k |
| 20 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $51 | $310 | $278 | 90% | — | $51 – $643 |
| 21 | Medica case rate · outpatient · +13 other terms | 28 | $951 | $1.1k | $658 | 62% | — | $320 – $2.9k |
| 22 | Tricare fee schedule · outpatient · +15 other terms | 27 | $671 | $1.3k | $1.7k | 130% | — | $414 – $5.1k |
| 23 | First Health fee schedule · outpatient · +16 other terms | 26 | $772 | $461 | $425 | 92% | — | $49 – $1.5k |
| 24 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $462 | $549 | $305 | 56% | — | $74 – $1.5k |
| 25 | Medicare fee schedule · outpatient · +12 other terms | 24 | $70 | $660 | $1.3k | 203% | — | $64 – $4.2k |
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