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
Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld
Low
$124
Average
$1.4k
Median
$999
High
$8.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 14.4× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 121 | $1.6k | $3.3k | $4.7k | 142% | 1–10 | $0 – $39.1k |
| 2 | UnitedHealthcare case rate · outpatient · +27 other terms | 393 | $1.7k | $1.8k | $1.6k | 87% | — | $1 – $22.4k |
| 3 | Aetna case rate · outpatient · +26 other terms | 268 | $3.5k | $4.1k | $2.5k | 61% | — | $164 – $25.2k |
| 4 | Oscar case rate · outpatient · +19 other terms | 129 | $2.6k | $2.7k | $762 | 28% | — | $990 – $7.5k |
| 5 | Humana case rate · outpatient · +24 other terms | 112 | $3.1k | $4.1k | $2.2k | 55% | — | $165 – $9.3k |
| 6 | Cigna fee schedule · outpatient · +23 other terms | 100 | $281 | $3.0k | $3.4k | 113% | — | $96 – $20.7k |
| 7 | Anthem fee schedule · outpatient · +18 other terms | 91 | $138 | $310 | $437 | 141% | — | $58 – $4.0k |
| 8 | Molina case rate · outpatient · +20 other terms | 88 | $2.3k | $2.3k | $759 | 33% | — | $165 – $3.2k |
| 9 | Healthcare Highways case rate · outpatient | 42 | $5.8k | $8.0k | $5.3k | 66% | — | $2.0k – $14.6k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 40 | $105 | $109 | $46 | 42% | — | $50 – $183 |
| 11 | WellCare fee schedule · both · +15 other terms | 34 | $98 | $150 | $191 | 127% | — | $81 – $1.3k |
| 12 | MultiPlan case rate · outpatient · +19 other terms | 33 | $5.7k | $6.6k | $2.4k | 36% | — | $2.8k – $11.5k |
| 13 | Superior Healthplan case rate · outpatient · +3 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 14 | Optum professional · fee schedule · outpatient · +14 other terms | 32 | $145 | $144 | $53 | 36% | — | $54 – $206 |
| 15 | Amerihealth Caritas case rate · outpatient · +11 other terms | 31 | $567 | $2.1k | $1.3k | 64% | — | $536 – $4.0k |
| 16 | Regence professional · fee schedule · outpatient · +11 other terms | 28 | $143 | $152 | $52 | 34% | — | $88 – $464 |
| 17 | Medica case rate · outpatient · +19 other terms | 26 | $1.3k | $1.1k | $677 | 60% | — | $320 – $2.9k |
| 18 | Phcs fee schedule · outpatient · +14 other terms | 26 | $3.2k | $3.3k | $1.9k | 60% | — | $1.3k – $6.3k |
| 19 | Ambetter case rate · outpatient · +13 other terms | 22 | $2.2k | $2.3k | $507 | 22% | — | $251 – $4.0k |
| 20 | Devoted fee schedule · outpatient · +12 other terms | 22 | $183 | $151 | $39 | 25% | — | $105 – $201 |
| 21 | Caresource facility · case rate · outpatient · +12 other terms | 21 | $1.3k | $1.1k | $618 | 59% | — | $163 – $2.3k |
| 22 | Aetna Better Health fee schedule · outpatient · +10 other terms | 20 | $164 | $212 | $101 | 48% | — | $97 – $561 |
| 23 | Ucare professional · fee schedule · outpatient · +8 other terms | 20 | $148 | $143 | $50 | 35% | — | $68 – $226 |
| 24 | Bcbs La fee schedule · outpatient · +1 other terms | 19 | $4.8k | $4.6k | $1.2k | 27% | — | $0 – $6.6k |
| 25 | Medicare fee schedule · outpatient · +8 other terms | 18 | $105 | $103 | $3 | 3% | — | $96 – $107 |
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