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 DEST LESN MLG TR/LIMB 3.1-4CM
Low
$154
Average
$841
Median
$484
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 5.6× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 535 | $402 | $876 | $1.5k | 172% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +33 other terms | 493 | $442 | $1.3k | $2.2k | 164% | — | $79 – $21.3k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 373 | $395 | $479 | $796 | 166% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 368 | $649 | $1.3k | $1.8k | 134% | — | $0 – $18.0k |
| 5 | Cigna case rate · outpatient · +27 other terms | 232 | $1.8k | $4.3k | $7.1k | 165% | — | $0 – $40.7k |
| 6 | Molina fee schedule · outpatient · +26 other terms | 227 | $266 | $251 | $230 | 92% | — | $1 – $1.6k |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 177 | $404 | $486 | $533 | 110% | — | $110 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +27 other terms | 124 | $442 | $525 | $727 | 138% | — | $86 – $6.3k |
| 9 | Oscar case rate · outpatient · +19 other terms | 120 | $2.7k | $3.9k | $1.8k | 48% | — | $625 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 101 | $534 | $743 | $750 | 101% | — | $75 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +18 other terms | 82 | $706 | $611 | $368 | 60% | — | $132 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +17 other terms | 70 | $138 | $161 | $73 | 45% | — | $112 – $375 |
| 13 | Devoted fee schedule · outpatient · +13 other terms | 69 | $415 | $382 | $92 | 24% | — | $128 – $454 |
| 14 | Optum fee schedule · outpatient · +20 other terms | 57 | $367 | $406 | $289 | 71% | — | $118 – $1.5k |
| 15 | Caresource fee schedule · outpatient · +12 other terms | 56 | $429 | $500 | $724 | 145% | — | $108 – $4.3k |
| 16 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.7k | $5.1k | 77% | — | $2.1k – $14.6k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $938 | $48 | 5% | — | $600 – $948 |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $233 | $224 | $103 | 46% | — | $103 – $548 |
| 19 | First Health fee schedule · outpatient · +17 other terms | 33 | $425 | $1.2k | $2.3k | 190% | — | $109 – $7.2k |
| 20 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 32 | $118 | $222 | $138 | 62% | — | $115 – $420 |
| 21 | Clover fee schedule · outpatient · +7 other terms | 31 | $446 | $961 | $1.3k | 134% | — | $367 – $4.4k |
| 22 | Tricare fee schedule · outpatient · +16 other terms | 29 | $369 | $1.0k | $1.7k | 169% | — | $107 – $5.1k |
| 23 | Medica case rate · outpatient · +14 other terms | 28 | $881 | $1.0k | $680 | 65% | — | $320 – $2.9k |
| 24 | MultiPlan fee schedule · outpatient · +17 other terms | 28 | $596 | $620 | $80 | 13% | — | $182 – $639 |
| 25 | Medicare fee schedule · outpatient · +12 other terms | 27 | $128 | $732 | $1.3k | 178% | — | $117 – $4.2k |
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