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
Optx tmprmand dislocation
Low
$1.0k
Average
$3.8k
Median
$3.5k
High
$9.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 472 | $3.3k | $5.0k | $5.8k | 118% | — | $2 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 432 | $3.4k | $4.3k | $3.7k | 86% | — | $79 – $37.3k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 344 | $3.2k | $2.8k | $1.4k | 51% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 332 | $4.5k | $5.7k | $3.8k | 67% | — | $1 – $39.1k |
| 5 | Cigna case rate · outpatient · +20 other terms | 308 | $6.4k | $7.2k | $5.6k | 78% | — | $1.1k – $40.7k |
| 6 | Molina fee schedule · outpatient · +14 other terms | 208 | $2.4k | $1.9k | $1.7k | 87% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +8 other terms | 156 | $3.3k | $3.4k | $1.3k | 38% | — | $133 – $7.6k |
| 8 | Oscar case rate · outpatient · +12 other terms | 137 | $8.4k | $8.3k | $3.0k | 36% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 124 | $3.2k | $3.5k | $4.0k | 115% | — | $778 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +7 other terms | 94 | $4.1k | $5.2k | $3.9k | 75% | — | $717 – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $2.0k – $8.6k |
| 12 | Ambetter fee schedule · outpatient · +7 other terms | 71 | $5.4k | $4.3k | $2.6k | 60% | — | $1.0k – $9.9k |
| 13 | Devoted fee schedule · outpatient · +5 other terms | 68 | $3.3k | $3.1k | $832 | 27% | — | $778 – $3.7k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 64 | $1.1k | $1.2k | $365 | 31% | — | $561 – $3.0k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 39 | $3.2k | $2.5k | $1.4k | 59% | — | $1.3k – $5.7k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 17 | Optum fee schedule · outpatient · +9 other terms | 35 | $3.2k | $3.8k | $2.8k | 76% | — | $778 – $12.2k |
| 18 | MultiPlan case rate · outpatient · +15 other terms | 34 | $5.7k | $6.8k | $2.7k | 40% | — | $965 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +5 other terms | 33 | $567 | $7.3k | $6.6k | 90% | — | $536 – $16.0k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.9k | $3.8k | $1.8k | 48% | — | $887 – $10.9k |
| 21 | Clover fee schedule · outpatient · +5 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 22 | Medica case rate · outpatient · +10 other terms | 28 | $3.8k | $4.6k | $2.3k | 50% | — | $1.6k – $10.6k |
| 23 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $931 | $2.0k | $1.1k | 59% | — | $931 – $3.4k |
| 24 | First Health fee schedule · outpatient · +14 other terms | 27 | $3.5k | $3.5k | $3.2k | 93% | — | $766 – $10.2k |
| 25 | Tricare fee schedule · outpatient · +9 other terms | 27 | $3.8k | $3.7k | $819 | 22% | — | $3.0k – $5.4k |
← Hospitals reporting CPT 21490 · Snapshot 20261113T090226Z-3ce6c0b8