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 CLOSED RX MANDIBLE FX+MANIPULATN
Low
$636
Average
$2.2k
Median
$2.1k
High
$5.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 3.2× 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 · +28 other terms | 505 | $1.6k | $2.1k | $2.3k | 111% | — | $1 – $43.5k |
| 2 | Aetna fee schedule · outpatient · +28 other terms | 458 | $1.7k | $3.1k | $4.2k | 137% | — | $1 – $48.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 351 | $2.7k | $3.4k | $3.1k | 90% | — | $1 – $41.4k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 347 | $1.5k | $1.5k | $1.3k | 86% | — | $1 – $16.7k |
| 5 | Cigna case rate · outpatient · +25 other terms | 305 | $6.8k | $8.3k | $6.2k | 75% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 225 | $1.1k | $940 | $767 | 82% | — | $1 – $3.6k |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 161 | $1.6k | $1.6k | $639 | 40% | — | $374 – $4.4k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $4.0k | $3.4k | $1.5k | 43% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 133 | $1.5k | $1.9k | $2.0k | 108% | — | $387 – $11.4k |
| 10 | Kaiser fee schedule · outpatient · +19 other terms | 96 | $1.9k | $2.5k | $1.8k | 74% | — | $435 – $10.9k |
| 11 | Ambetter fee schedule · outpatient · +15 other terms | 75 | $2.7k | $2.3k | $1.1k | 46% | — | $653 – $4.8k |
| 12 | Healthcare Highways case rate · outpatient · +2 other terms | 72 | $2.4k | $2.7k | $534 | 20% | — | $2k – $4.3k |
| 13 | Aetna Better Health fee schedule · outpatient · +15 other terms | 71 | $531 | $558 | $157 | 28% | — | $454 – $1.4k |
| 14 | Devoted fee schedule · outpatient · +11 other terms | 64 | $1.5k | $1.4k | $309 | 21% | — | $632 – $1.7k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 55 | $1.5k | $1.3k | $972 | 73% | — | $1 – $4.4k |
| 16 | MultiPlan fee schedule · outpatient · +20 other terms | 55 | $2.4k | $2.9k | $1.6k | 56% | — | $410 – $13.7k |
| 17 | Tricare fee schedule · outpatient · +13 other terms | 46 | $1.6k | $1.9k | $1.1k | 54% | — | $654 – $5.2k |
| 18 | Optum fee schedule · outpatient · +17 other terms | 39 | $1.4k | $1.7k | $1.2k | 70% | — | $513 – $5.7k |
| 19 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $970 | $176 | 18% | — | $929 – $2.2k |
| 20 | Clover fee schedule · outpatient · +8 other terms | 34 | $1.6k | $1.8k | $779 | 42% | — | $1.4k – $4.5k |
| 21 | Amerihealth Caritas case rate · outpatient · +11 other terms | 33 | $700 | $3.7k | $2.7k | 72% | — | $359 – $9.1k |
| 22 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 29 | $442 | $1.0k | $533 | 52% | — | $442 – $1.6k |
| 23 | Medica case rate · outpatient · +16 other terms | 28 | $2.3k | $2.3k | $712 | 31% | — | $977 – $3.2k |
| 24 | First Health fee schedule · outpatient · +18 other terms | 27 | $1.6k | $3.4k | $5.4k | 156% | — | $421 – $16.3k |
| 25 | Bcbs Tx fee schedule · outpatient · +2 other terms | 26 | $2.0k | $2.0k | $1.0k | 50% | — | $421 – $5.6k |
← Hospitals reporting CPT 21451 · Snapshot 20261113T090226Z-3ce6c0b8