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
HB Rpr S/N/a/Gen/Trk12.6-20.0cm
Low
$142
Average
$953
Median
$540
High
$8.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 6.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Al facility · other · outpatient · +6 other terms | 5 | $258 | $226 | $101 | 45% | 4–40 | $31 – $322 |
| 2 | Humana fee schedule · outpatient · +33 other terms | 435 | $395 | $547 | $897 | 164% | 3–30 | $1 – $12.8k |
| 3 | Molina fee schedule · outpatient · +33 other terms | 256 | $304 | $309 | $245 | 79% | 3–30 | $1 – $1.9k |
| 4 | Anthem fee schedule · outpatient · +31 other terms | 146 | $388 | $557 | $870 | 156% | 3–30 | $37 – $6.3k |
| 5 | UnitedHealthcare fee schedule · outpatient · +42 other terms | 633 | $406 | $737 | $1.3k | 172% | 2–20 | $1 – $17.9k |
| 6 | Premera fee schedule · outpatient · +14 other terms | 15 | $1.4k | $1.1k | $486 | 44% | 2–20 | $231 – $1.8k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 466 | $530 | $1.1k | $1.9k | 173% | 1–10 | $0 – $22.1k |
| 8 | Bcbs Ar fee schedule · both · +2 other terms | 1 | $430 | $430 | — | — | 1–10 | $430 – $430 |
| 9 | Aetna fee schedule · outpatient · +39 other terms | 572 | $445 | $1.2k | $2.2k | 189% | — | $1 – $26.6k |
| 10 | Cigna case rate · outpatient · +35 other terms | 316 | $3.6k | $5.1k | $6.1k | 120% | — | $1 – $40.7k |
| 11 | WellCare fee schedule · outpatient · +24 other terms | 194 | $415 | $465 | $469 | 101% | — | $81 – $4.3k |
| 12 | Oscar case rate · outpatient · +22 other terms | 136 | $2.6k | $2.7k | $679 | 25% | — | $625 – $7.5k |
| 13 | Ambetter fee schedule · outpatient · +20 other terms | 115 | $702 | $706 | $440 | 62% | — | $45 – $2.5k |
| 14 | MultiPlan fee schedule · outpatient · +24 other terms | 108 | $639 | $938 | $972 | 104% | — | $1 – $7.3k |
| 15 | Kaiser fee schedule · outpatient · +24 other terms | 105 | $525 | $677 | $715 | 105% | — | $35 – $4.3k |
| 16 | Devoted facility · fee schedule · outpatient · +17 other terms | 104 | $388 | $486 | $676 | 139% | — | $75 – $4.9k |
| 17 | Tricare facility · fee schedule · outpatient · +21 other terms | 91 | $409 | $852 | $1.4k | 169% | — | $70 – $6.1k |
| 18 | Aetna Better Health fee schedule · outpatient · +25 other terms | 88 | $181 | $211 | $147 | 70% | — | $74 – $1.4k |
| 19 | Caresource fee schedule · outpatient · +16 other terms | 82 | $395 | $478 | $620 | 130% | — | $1 – $4.3k |
| 20 | Optum fee schedule · outpatient · +26 other terms | 71 | $368 | $489 | $383 | 78% | — | $84 – $1.8k |
| 21 | Highmark facility · fee schedule · outpatient · +19 other terms | 62 | $583 | $960 | $1.1k | 112% | — | $89 – $5.0k |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms | 48 | $222 | $410 | $1.1k | 267% | — | $92 – $9.5k |
| 23 | Medica fee schedule · outpatient · +24 other terms | 46 | $336 | $337 | $156 | 46% | — | $64 – $959 |
| 24 | First Health fee schedule · outpatient · +23 other terms | 45 | $425 | $1.2k | $2.0k | 165% | — | $102 – $7.6k |
| 25 | Medicare facility · fee schedule · outpatient · +19 other terms | 42 | $415 | $910 | $2.6k | 280% | — | $84 – $22k |
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