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 >4CM
Low
$180
Average
$850
Median
$530
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.7× 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 · +36 other terms | 533 | $402 | $882 | $1.5k | 171% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +31 other terms | 490 | $442 | $1.6k | $2.7k | 170% | — | $79 – $26.6k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 373 | $395 | $489 | $796 | 163% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 367 | $725 | $1.4k | $1.8k | 127% | — | $0 – $18.0k |
| 5 | Cigna case rate · outpatient · +27 other terms | 307 | $3.0k | $4.6k | $6.1k | 134% | — | $82 – $40.7k |
| 6 | Molina fee schedule · outpatient · +25 other terms | 228 | $295 | $261 | $225 | 86% | — | $1 – $1.6k |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 177 | $404 | $488 | $532 | 109% | — | $126 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +26 other terms | 124 | $442 | $549 | $728 | 133% | — | $104 – $6.3k |
| 9 | Oscar case rate · outpatient · +18 other terms | 120 | $2.7k | $3.8k | $1.8k | 48% | — | $625 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 100 | $529 | $750 | $754 | 101% | — | $90 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +18 other terms | 82 | $706 | $618 | $362 | 59% | — | $145 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +16 other terms | 70 | $152 | $174 | $68 | 39% | — | $132 – $375 |
| 13 | Devoted fee schedule · outpatient · +12 other terms | 69 | $415 | $385 | $86 | 22% | — | $149 – $454 |
| 14 | Optum fee schedule · outpatient · +21 other terms | 57 | $367 | $412 | $283 | 69% | — | $138 – $1.5k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 56 | $429 | $502 | $722 | 144% | — | $118 – $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 | $250 | $241 | $107 | 44% | — | $113 – $604 |
| 19 | First Health fee schedule · outpatient · +16 other terms | 33 | $425 | $1.3k | $2.4k | 189% | — | $120 – $7.6k |
| 20 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 32 | $138 | $231 | $131 | 57% | — | $126 – $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 | $414 | $1.1k | $1.7k | 156% | — | $125 – $5.1k |
| 23 | Medica case rate · outpatient · +14 other terms | 28 | $881 | $1.0k | $680 | 65% | — | $320 – $2.9k |
| 24 | MultiPlan fee schedule · outpatient · +18 other terms | 28 | $596 | $621 | $74 | 12% | — | $213 – $639 |
| 25 | Highmark facility · fee schedule · outpatient · +10 other terms | 27 | $468 | $658 | $530 | 81% | — | $129 – $2.3k |
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