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
HC ASC Delay Flap F/C/C/N/Ax/G/H/F
Low
$422
Average
$2.4k
Median
$1.9k
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 5.2× 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 | Aetna fee schedule · outpatient · +28 other terms | 493 | $2.1k | $3.3k | $4.1k | 122% | 1–10 | $79 – $48.0k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 371 | $2.9k | $3.8k | $3.1k | 82% | 1–10 | $0 – $41.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 537 | $1.9k | $2.3k | $2.5k | 108% | — | $50 – $53.8k |
| 4 | Humana fee schedule · outpatient · +24 other terms | 374 | $1.8k | $1.8k | $1.2k | 69% | — | $1 – $16.7k |
| 5 | Cigna case rate · outpatient · +25 other terms | 311 | $6.8k | $8.2k | $6.2k | 75% | — | $1.4k – $40.7k |
| 6 | Molina fee schedule · outpatient · +20 other terms | 227 | $1.2k | $1.2k | $975 | 78% | — | $1 – $5.6k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 177 | $2.0k | $2.0k | $734 | 36% | — | $246 – $4.5k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $4.0k | $3.4k | $1.5k | 44% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +25 other terms | 123 | $1.8k | $1.8k | $2.3k | 131% | — | $291 – $15.1k |
| 10 | Kaiser fee schedule · outpatient · +19 other terms | 100 | $2.3k | $2.9k | $2.4k | 84% | — | $35 – $13.6k |
| 11 | Ambetter fee schedule · outpatient · +13 other terms | 83 | $3.5k | $3.0k | $1.4k | 48% | — | $408 – $5.8k |
| 12 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $2.6k | $2.7k | $560 | 21% | — | $2k – $4.3k |
| 13 | Aetna Better Health fee schedule · outpatient · +10 other terms | 72 | $895 | $872 | $239 | 27% | — | $281 – $2.0k |
| 14 | Devoted fee schedule · outpatient · +10 other terms | 69 | $2.0k | $1.8k | $565 | 31% | — | $323 – $2.3k |
| 15 | Optum fee schedule · outpatient · +19 other terms | 63 | $1.7k | $1.8k | $1.5k | 82% | — | $290 – $7.6k |
| 16 | Caresource fee schedule · outpatient · +10 other terms | 55 | $2.1k | $2.1k | $791 | 37% | — | $926 – $4.5k |
| 17 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $980 | $250 | 25% | — | $929 – $2.7k |
| 18 | MultiPlan fee schedule · outpatient · +20 other terms | 35 | $2.9k | $3.0k | $1.1k | 38% | — | $407 – $13.7k |
| 19 | First Health fee schedule · outpatient · +18 other terms | 34 | $2.2k | $3.3k | $4.9k | 146% | — | $376 – $16.3k |
| 20 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $700 | $3.6k | $2.6k | 72% | — | $662 – $9.1k |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $2.4k | $2.3k | $1.1k | 47% | — | $709 – $6.7k |
| 22 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 32 | $744 | $1.1k | $600 | 56% | — | $290 – $1.9k |
| 23 | Clover fee schedule · outpatient · +6 other terms | 31 | $2.0k | $2.2k | $612 | 28% | — | $1.8k – $4.6k |
| 24 | Tricare fee schedule · outpatient · +11 other terms | 30 | $2.1k | $2.3k | $1.3k | 54% | — | $298 – $5.3k |
| 25 | Medica case rate · outpatient · +14 other terms | 28 | $2.4k | $2.3k | $669 | 29% | — | $977 – $3.2k |
← Hospitals reporting CPT 15620 · Snapshot 20261112T181611Z-3fa9fb76