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
Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<
Low
$762
Average
$2.6k
Median
$2.3k
High
$12.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 2.8× 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 · +39 other terms | 640 | $1.9k | $2.2k | $2.3k | 105% | 16–160 | $1 – $53.8k |
| 2 | Aetna fee schedule · outpatient · +35 other terms | 576 | $2.1k | $2.6k | $2.3k | 89% | 9–90 | $79 – $26.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 440 | $2.7k | $3.4k | $2.6k | 76% | 8–80 | $1 – $22.1k |
| 4 | Humana fee schedule · outpatient · +28 other terms | 441 | $1.8k | $1.8k | $899 | 51% | 6–60 | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +31 other terms | 355 | $3.7k | $5.4k | $6.4k | 118% | 2–20 | $82 – $40.7k |
| 6 | Molina fee schedule · outpatient · +30 other terms | 272 | $1.4k | $1.4k | $1.1k | 78% | 2–20 | $1 – $7.8k |
| 7 | Kaiser fee schedule · outpatient · +24 other terms | 103 | $2.3k | $2.8k | $2.4k | 86% | 2–20 | $34 – $13.6k |
| 8 | Medica fee schedule · outpatient · +22 other terms | 32 | $1.4k | $1.4k | $661 | 49% | 2–20 | $306 – $3.5k |
| 9 | Medicaid fee schedule · outpatient · +17 other terms | 30 | $423 | $682 | $682 | 100% | 2–20 | $1 – $2.1k |
| 10 | Bcbs Al facility · other · outpatient · +5 other terms | 3 | $2.9k | $3.0k | $287 | 10% | 2–20 | $2.7k – $3.4k |
| 11 | Anthem fee schedule · outpatient · +30 other terms | 146 | $1.8k | $2.1k | $2.4k | 114% | 1–10 | $65 – $15.1k |
| 12 | Ambetter fee schedule · outpatient · +19 other terms | 110 | $3.2k | $2.9k | $1.6k | 54% | 1–10 | $183 – $6.7k |
| 13 | First Health fee schedule · outpatient · +23 other terms | 40 | $2.2k | $2.2k | $2.0k | 92% | 1–10 | $582 – $7.6k |
| 14 | Bcbs In other · outpatient · +1 other terms | 6 | $7.5k | $8.5k | $2.6k | 30% | 1–10 | $5.7k – $13.6k |
| 15 | Bcbs Ms fee schedule · outpatient · +1 other terms | 6 | $2.5k | $2.6k | $1.7k | 64% | 1–10 | $879 – $5.3k |
| 16 | WellCare fee schedule · outpatient · +20 other terms | 223 | $2.1k | $2.0k | $702 | 35% | — | $300 – $4.5k |
| 17 | Oscar case rate · outpatient · +24 other terms | 136 | $3.4k | $3.1k | $1.4k | 47% | — | $1.4k – $7.5k |
| 18 | Aetna Better Health fee schedule · outpatient · +18 other terms | 81 | $895 | $1.0k | $594 | 59% | — | $458 – $6.4k |
| 19 | Devoted fee schedule · outpatient · +16 other terms | 79 | $2.0k | $1.9k | $474 | 26% | — | $577 – $2.3k |
| 20 | MultiPlan fee schedule · outpatient · +22 other terms | 77 | $2.8k | $2.9k | $782 | 27% | — | $384 – $7.3k |
| 21 | Healthcare Highways case rate · outpatient · +4 other terms | 76 | $2.4k | $2.7k | $594 | 22% | — | $1.6k – $4.3k |
| 22 | Caresource fee schedule · outpatient · +19 other terms | 71 | $1.5k | $1.5k | $985 | 64% | — | $159 – $4.5k |
| 23 | Highmark facility · fee schedule · outpatient · +20 other terms | 71 | $2.4k | $2.5k | $1.8k | 71% | — | $186 – $8.3k |
| 24 | Optum fee schedule · outpatient · +24 other terms | 66 | $1.7k | $1.9k | $1.4k | 73% | — | $557 – $7.6k |
| 25 | Tricare fee schedule · outpatient · +18 other terms | 64 | $2.1k | $2.2k | $920 | 43% | — | $535 – $5.3k |
← Hospitals reporting CPT 14040 · Snapshot 20261111T120946Z-9134e7f7