CPT 21401
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
Closed tx orbit w/manipulj
Low
$287
Average
$2.3k
Median
$1.5k
High
$10.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 4.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +3 other terms | 437 | $3.0k | $3.0k | $2.1k | 68% | — | $1 – $16.8k |
| 2 | Cigna case rate · outpatient · +2 other terms | 310 | $6.3k | $7.4k | $6.3k | 85% | — | $1 – $40.7k |
| 3 | Aetna case rate · outpatient · +3 other terms | 298 | $3.5k | $4.0k | $2.3k | 59% | — | $678 – $25.2k |
| 4 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 155 | $3.6k | $3.7k | $3.3k | 89% | — | $5 – $25.0k |
| 5 | Humana case rate · outpatient · +3 other terms | 151 | $1.8k | $3.9k | $2.4k | 63% | — | $536 – $9.3k |
| 6 | Oscar case rate · outpatient · +1 other terms | 137 | $3.2k | $2.6k | $1.1k | 42% | — | $1.4k – $7.5k |
| 7 | Molina case rate · outpatient · +4 other terms | 124 | $1.9k | $2.3k | $697 | 30% | — | $305 – $4.0k |
| 8 | Anthem case rate · outpatient · +3 other terms | 116 | $3.9k | $5.0k | $2.8k | 56% | — | $305 – $29.0k |
| 9 | Healthcare Highways case rate · outpatient | 76 | $2.2k | $2.0k | $718 | 36% | — | $1.2k – $4.3k |
| 10 | WellCare facility · case rate · outpatient · +2 other terms | 48 | $1.6k | $1.6k | $486 | 31% | — | $326 – $2.7k |
| 11 | Kaiser case rate · both · +2 other terms | 43 | $2.5k | $2.8k | $1.6k | 58% | — | $267 – $5.6k |
| 12 | Ambetter case rate · outpatient · +1 other terms | 42 | $2.2k | $2.3k | $489 | 21% | — | $1.9k – $4.4k |
| 13 | Superior Healthplan case rate · outpatient · +1 other terms | 38 | $948 | $970 | $176 | 18% | — | $929 – $2.2k |
| 14 | MultiPlan case rate · outpatient · +2 other terms | 34 | $5.7k | $6.5k | $2.5k | 39% | — | $965 – $11.5k |
| 15 | Amerihealth Caritas case rate · outpatient · +1 other terms | 33 | $567 | $2.2k | $1.6k | 72% | — | $359 – $4.0k |
| 16 | Medica case rate · outpatient · +1 other terms | 28 | $2.3k | $2.3k | $712 | 31% | — | $977 – $3.2k |
| 17 | Caresource facility · case rate · outpatient · +1 other terms | 24 | $376 | $1.1k | $1.0k | 91% | — | $182 – $3.2k |
| 18 | Optum case rate · outpatient · +1 other terms | 24 | $1.4k | $1.4k | $147 | 10% | — | $1.3k – $1.7k |
| 19 | Aetna Better Health case rate · outpatient · +1 other terms | 19 | $550 | $552 | $11 | 2% | — | $536 – $567 |
| 20 | Bcbs La case rate · outpatient | 16 | $1.4k | $1.4k | $11 | 1% | — | $1.3k – $1.4k |
| 21 | Regence facility · case rate · outpatient · +2 other terms | 16 | $1.6k | $1.9k | $866 | 45% | — | $1.4k – $4.7k |
| 22 | Ucare case rate · outpatient · +1 other terms | 15 | $1.6k | $1.5k | $28 | 2% | — | $1.5k – $1.6k |
| 23 | Cigna Healthspring case rate · outpatient · +1 other terms | 12 | $1.5k | $1.4k | $297 | 22% | — | $560 – $1.5k |
| 24 | First Health case rate · outpatient · +2 other terms | 12 | $2.1k | $1.9k | $442 | 23% | — | $494 – $2.1k |
| 25 | Wellmark case rate · outpatient · +2 other terms | 11 | $1.4k | $1.4k | $71 | 5% | — | $1.4k – $1.6k |
← Hospitals reporting CPT 21401 · Snapshot 20261113T090226Z-3ce6c0b8