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
FILL CONTOUR DEFCT >10CC
Low
$131
Average
$1.0k
Median
$739
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 7.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 487 | $717 | $1.2k | $1.7k | 143% | — | $18 – $18.0k |
| 2 | Aetna fee schedule · outpatient · +26 other terms | 464 | $778 | $1.9k | $3.5k | 190% | — | $69 – $33.6k |
| 3 | Humana fee schedule · outpatient · +24 other terms | 359 | $615 | $622 | $805 | 129% | — | $60 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 348 | $795 | $1.2k | $1.9k | 152% | — | $0 – $15.6k |
| 5 | Cigna case rate · outpatient · +21 other terms | 231 | $1.8k | $4.3k | $7.1k | 165% | — | $0 – $40.7k |
| 6 | Molina fee schedule · outpatient · +20 other terms | 193 | $528 | $365 | $510 | 140% | — | $69 – $3.5k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 172 | $652 | $746 | $539 | 72% | — | $72 – $4.3k |
| 8 | Oscar case rate · outpatient · +16 other terms | 130 | $2.5k | $2.6k | $761 | 29% | — | $957 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 121 | $732 | $740 | $1.0k | 140% | — | $84 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 92 | $1.1k | $1.3k | $933 | 69% | — | $98 – $4.6k |
| 11 | Ambetter facility · fee schedule · outpatient · +12 other terms | 72 | $1.3k | $1.3k | $1.0k | 78% | — | $223 – $8.3k |
| 12 | Devoted fee schedule · outpatient · +8 other terms | 69 | $662 | $635 | $196 | 31% | — | $107 – $826 |
| 13 | Aetna Better Health fee schedule · outpatient · +17 other terms | 64 | $87 | $105 | $92 | 87% | — | $76 – $574 |
| 14 | Optum fee schedule · outpatient · +14 other terms | 57 | $563 | $659 | $515 | 78% | — | $99 – $2.7k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 43 | $713 | $656 | $982 | 150% | — | $85 – $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 | $207 | $186 | $163 | 87% | — | $67 – $631 |
| 19 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 32 | $100 | $288 | $259 | 90% | — | $72 – $643 |
| 20 | Clover fee schedule · outpatient · +8 other terms | 31 | $687 | $1.1k | $1.1k | 102% | — | $608 – $4.4k |
| 21 | Medica case rate · outpatient · +12 other terms | 28 | $1.8k | $1.8k | $728 | 40% | — | $580 – $2.9k |
| 22 | Tricare fee schedule · outpatient · +16 other terms | 28 | $671 | $1.2k | $1.7k | 143% | — | $106 – $5.1k |
| 23 | MultiPlan fee schedule · outpatient · +16 other terms | 27 | $1.0k | $956 | $167 | 17% | — | $178 – $1.0k |
| 24 | First Health fee schedule · outpatient · +16 other terms | 26 | $772 | $471 | $415 | 88% | — | $69 – $1.5k |
| 25 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $460 | $489 | $155 | 32% | — | $104 – $981 |
← Hospitals reporting CPT 11954 · Snapshot 20261113T090226Z-3ce6c0b8