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
PR INJ FILL MATRL SUBQ 5.1-10CC
Low
$120
Average
$985
Median
$691
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 6.9× 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 · +27 other terms | 482 | $690 | $1.0k | $1.6k | 156% | — | $15 – $18.0k |
| 2 | Aetna fee schedule · outpatient · +25 other terms | 458 | $778 | $1.9k | $3.6k | 189% | — | $32 – $33.6k |
| 3 | Humana fee schedule · outpatient · +23 other terms | 355 | $614 | $618 | $820 | 133% | — | $48 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 346 | $804 | $1.2k | $1.8k | 153% | — | $0 – $15.6k |
| 5 | Cigna case rate · outpatient · +20 other terms | 232 | $1.8k | $4.8k | $7.8k | 163% | — | $0 – $40.7k |
| 6 | Molina fee schedule · outpatient · +19 other terms | 191 | $548 | $331 | $440 | 133% | — | $62 – $2.0k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 166 | $674 | $757 | $533 | 70% | — | $65 – $4.3k |
| 8 | Oscar case rate · outpatient · +16 other terms | 130 | $3.0k | $2.4k | $1.1k | 44% | — | $957 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 121 | $677 | $664 | $1.0k | 152% | — | $76 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 92 | $1.1k | $1.3k | $934 | 69% | — | $90 – $4.6k |
| 11 | Ambetter facility · fee schedule · outpatient · +10 other terms | 71 | $1.3k | $1.3k | $1.0k | 78% | — | $202 – $8.3k |
| 12 | Devoted fee schedule · outpatient · +9 other terms | 70 | $665 | $635 | $198 | 31% | — | $98 – $826 |
| 13 | Aetna Better Health fee schedule · outpatient · +16 other terms | 64 | $79 | $97 | $94 | 96% | — | $69 – $574 |
| 14 | Optum fee schedule · outpatient · +15 other terms | 53 | $564 | $725 | $551 | 76% | — | $98 – $2.7k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 44 | $713 | $657 | $957 | 146% | — | $77 – $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 | $196 | $175 | $165 | 94% | — | $60 – $631 |
| 19 | Clover fee schedule · outpatient · +8 other terms | 31 | $687 | $1.1k | $1.1k | 102% | — | $608 – $4.4k |
| 20 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $65 | $317 | $271 | 85% | — | $65 – $643 |
| 21 | Medica case rate · outpatient · +11 other terms | 28 | $951 | $1.1k | $658 | 62% | — | $320 – $2.9k |
| 22 | Tricare fee schedule · outpatient · +15 other terms | 28 | $671 | $1.3k | $1.6k | 130% | — | $414 – $5.1k |
| 23 | First Health fee schedule · outpatient · +15 other terms | 26 | $772 | $468 | $418 | 89% | — | $62 – $1.5k |
| 24 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $462 | $549 | $305 | 55% | — | $95 – $1.5k |
| 25 | Medicare fee schedule · outpatient · +8 other terms | 24 | $98 | $681 | $1.3k | 195% | — | $90 – $4.2k |
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