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 Des Mal Le Sc,Nk,H/Ft Gtr Than 4.0
Low
$185
Average
$870
Median
$552
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 5.0× 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 · +26 other terms | 485 | $442 | $1.6k | $2.7k | 169% | 4–40 | $79 – $26.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 535 | $400 | $888 | $1.5k | 171% | — | $1 – $17.9k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 367 | $790 | $1.4k | $1.8k | 123% | — | $0 – $18.0k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 361 | $395 | $511 | $813 | 159% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +22 other terms | 311 | $3.0k | $4.6k | $6.1k | 134% | — | $82 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 227 | $295 | $277 | $220 | 80% | — | $1 – $1.6k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 166 | $403 | $500 | $541 | 108% | — | $140 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +22 other terms | 124 | $459 | $641 | $767 | 120% | — | $143 – $6.3k |
| 9 | Oscar case rate · outpatient · +19 other terms | 120 | $2.7k | $3.8k | $1.8k | 48% | — | $625 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 100 | $529 | $729 | $737 | 101% | — | $50 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +14 other terms | 72 | $706 | $646 | $363 | 56% | — | $161 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +13 other terms | 69 | $169 | $191 | $63 | 33% | — | $147 – $375 |
| 13 | Devoted fee schedule · outpatient · +11 other terms | 69 | $415 | $390 | $71 | 18% | — | $196 – $454 |
| 14 | Caresource fee schedule · outpatient · +10 other terms | 56 | $169 | $366 | $712 | 194% | — | $132 – $4.3k |
| 15 | Optum fee schedule · outpatient · +19 other terms | 53 | $368 | $448 | $270 | 60% | — | $196 – $1.5k |
| 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 | First Health fee schedule · outpatient · +18 other terms | 34 | $425 | $1.2k | $2.3k | 191% | — | $134 – $7.6k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $271 | $263 | $112 | 42% | — | $126 – $670 |
| 20 | Clover fee schedule · outpatient · +8 other terms | 31 | $446 | $961 | $1.3k | 134% | — | $367 – $4.4k |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 28 | $140 | $259 | $128 | 49% | — | $140 – $420 |
| 22 | Medica case rate · outpatient · +15 other terms | 28 | $881 | $1.0k | $680 | 65% | — | $320 – $2.9k |
| 23 | Medicare fee schedule · outpatient · +8 other terms | 27 | $196 | $777 | $1.3k | 165% | — | $180 – $4.2k |
| 24 | Regence professional · fee schedule · outpatient · +12 other terms | 27 | $188 | $372 | $225 | 60% | — | $77 – $894 |
| 25 | Tricare fee schedule · outpatient · +14 other terms | 27 | $414 | $1.1k | $1.7k | 151% | — | $369 – $5.1k |
← Hospitals reporting CPT 17276 · Snapshot 20261113T090226Z-3ce6c0b8