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
PERI-IMPLT CAPSLC BRST COMPL
Low
$889
Average
$4.5k
Median
$3.7k
High
$40.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 4.1× 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 | Humana fee schedule · outpatient · +23 other terms | 386 | $3.8k | $3.5k | $1.7k | 50% | 9–90 | $1 – $16.7k |
| 2 | Aetna fee schedule · outpatient · +25 other terms | 496 | $4.2k | $5.0k | $4.4k | 87% | 8–80 | $79 – $48.0k |
| 3 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 562 | $3.8k | $4.5k | $5.0k | 111% | 5–50 | $1 – $112.5k |
| 4 | Molina fee schedule · outpatient · +23 other terms | 231 | $2.8k | $2.3k | $2.1k | 92% | 3–30 | $1 – $10.6k |
| 5 | Cigna case rate · outpatient · +23 other terms | 340 | $6.8k | $7.7k | $4.8k | 62% | 2–20 | $82 – $40.7k |
| 6 | Bcbs Id fee schedule · outpatient · +3 other terms | 5 | $7.9k | $10.2k | $4.6k | 46% | 2–20 | $4.4k – $19.5k |
| 7 | Bcbs Al other · outpatient · +3 other terms | 2 | $7.9k | $7.2k | $1.9k | 27% | 2–20 | $5.8k – $10.0k |
| 8 | Anthem fee schedule · outpatient · +22 other terms | 127 | $3.7k | $3.6k | $4.7k | 128% | 1–10 | $461 – $28.7k |
| 9 | First Health fee schedule · outpatient · +22 other terms | 34 | $4.1k | $4.2k | $4.7k | 111% | 1–10 | $685 – $16.3k |
| 10 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 374 | $5.2k | $6.5k | $4.5k | 70% | — | $1 – $41.4k |
| 11 | WellCare fee schedule · outpatient · +18 other terms | 187 | $4.0k | $4.0k | $1.4k | 36% | — | $544 – $9.0k |
| 12 | Oscar case rate · outpatient · +20 other terms | 137 | $7.2k | $6.8k | $1.9k | 28% | — | $3.1k – $13.8k |
| 13 | Kaiser fee schedule · outpatient · +21 other terms | 98 | $4.9k | $5.6k | $4.8k | 86% | — | $70 – $27.0k |
| 14 | Ambetter fee schedule · outpatient · +14 other terms | 85 | $6.3k | $5.5k | $2.8k | 51% | — | $422 – $12.8k |
| 15 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $5.1k | $5.4k | $589 | 11% | — | $2.7k – $6.3k |
| 16 | Aetna Better Health fee schedule · outpatient · +10 other terms | 73 | $1.2k | $1.6k | $2.7k | 169% | — | $624 – $33.6k |
| 17 | Devoted fee schedule · outpatient · +14 other terms | 70 | $3.9k | $3.5k | $1.1k | 31% | — | $674 – $4.4k |
| 18 | Caresource fee schedule · outpatient · +15 other terms | 58 | $3.6k | $3.0k | $1.6k | 55% | — | $368 – $6.7k |
| 19 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.4k | $524 | 21% | — | $2.3k – $5.8k |
| 20 | Optum fee schedule · outpatient · +17 other terms | 41 | $3.6k | $4.0k | $3.2k | 81% | — | $696 – $14.5k |
| 21 | Amerihealth Caritas case rate · outpatient · +12 other terms | 34 | $700 | $5.4k | $4.6k | 85% | — | $662 – $11.4k |
| 22 | Highmark facility · fee schedule · outpatient · +15 other terms | 34 | $5.7k | $5.6k | $2.9k | 51% | — | $262 – $13.5k |
| 23 | MultiPlan case rate · outpatient · +20 other terms | 34 | $6.4k | $7.0k | $2.5k | 35% | — | $1.1k – $11.5k |
| 24 | Regence professional · fee schedule · outpatient · +16 other terms | 34 | $764 | $884 | $491 | 56% | — | $289 – $2.2k |
| 25 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $4.5k | $4.4k | $2.1k | 48% | — | $964 – $12.6k |
← Hospitals reporting CPT 19371 · Snapshot 20261112T124536Z-e251e855