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
Trnsf Tissue Sclp/Arm/Lg 10-30cm
Low
$863
Average
$2.6k
Median
$2.2k
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 2.6× 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 | Aetna fee schedule · outpatient · +35 other terms | 527 | $2.1k | $3.0k | $3.3k | 110% | 6–60 | $79 – $37.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 594 | $1.9k | $2.4k | $2.5k | 104% | 1–10 | $1 – $53.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 394 | $2.9k | $3.7k | $2.9k | 80% | 1–10 | $1 – $39.1k |
| 4 | Anthem fee schedule · outpatient · +27 other terms | 126 | $1.9k | $2.3k | $2.5k | 107% | 1–10 | $384 – $15.1k |
| 5 | Kaiser fee schedule · outpatient · +23 other terms | 101 | $2.3k | $2.9k | $2.4k | 80% | 1–10 | $27 – $13.6k |
| 6 | Humana fee schedule · outpatient · +27 other terms | 402 | $1.9k | $1.8k | $996 | 55% | — | $1 – $12.8k |
| 7 | Cigna case rate · outpatient · +29 other terms | 343 | $5.9k | $7.2k | $6.1k | 85% | — | $82 – $40.7k |
| 8 | Molina fee schedule · outpatient · +24 other terms | 239 | $1.4k | $1.4k | $1.1k | 82% | — | $1 – $7.8k |
| 9 | WellCare fee schedule · outpatient · +18 other terms | 205 | $2.0k | $2.0k | $666 | 33% | — | $533 – $4.5k |
| 10 | Oscar case rate · outpatient · +22 other terms | 137 | $4.0k | $3.1k | $1.5k | 47% | — | $1.4k – $7.5k |
| 11 | Ambetter fee schedule · outpatient · +16 other terms | 96 | $3.3k | $3.0k | $1.4k | 47% | — | $785 – $6.7k |
| 12 | Aetna Better Health fee schedule · outpatient · +17 other terms | 76 | $895 | $897 | $310 | 35% | — | $240 – $2.4k |
| 13 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $2.4k | $2.7k | $574 | 21% | — | $2k – $4.3k |
| 14 | Devoted fee schedule · outpatient · +13 other terms | 75 | $2.0k | $1.9k | $434 | 23% | — | $693 – $2.3k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 67 | $1.8k | $1.7k | $977 | 58% | — | $159 – $4.5k |
| 16 | Optum fee schedule · outpatient · +22 other terms | 64 | $1.7k | $1.9k | $1.4k | 77% | — | $632 – $7.6k |
| 17 | Highmark facility · fee schedule · outpatient · +15 other terms | 47 | $2.4k | $2.5k | $2.1k | 81% | — | $3 – $8.3k |
| 18 | MultiPlan fee schedule · outpatient · +22 other terms | 40 | $2.8k | $2.9k | $873 | 30% | — | $437 – $10.2k |
| 19 | Tricare fee schedule · outpatient · +15 other terms | 40 | $1.9k | $2.0k | $1.2k | 59% | — | $667 – $5.3k |
| 20 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $980 | $250 | 25% | — | $929 – $2.7k |
| 21 | First Health fee schedule · outpatient · +23 other terms | 36 | $2.2k | $2.7k | $3.0k | 111% | — | $709 – $10.2k |
| 22 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 34 | $744 | $1.2k | $595 | 48% | — | $632 – $2.2k |
| 23 | Bcbs Tx fee schedule · outpatient · +3 other terms | 33 | $2.0k | $2.1k | $1.2k | 60% | — | $145 – $6.7k |
| 24 | Clover fee schedule · outpatient · +9 other terms | 33 | $2.0k | $2.2k | $652 | 30% | — | $604 – $4.6k |
| 25 | Amerihealth Caritas case rate · outpatient · +13 other terms | 32 | $567 | $3.6k | $2.4k | 67% | — | $536 – $6.3k |
← Hospitals reporting CPT 14021 · Snapshot 20261112T124536Z-e251e855