CPT 22103
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
Remove extra spine segment
Low
$61
Average
$3.3k
Median
$1.7k
High
$48.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
41 payers; the 90th percentile is 58.2× 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 case rate · outpatient · +3 other terms | 375 | $1.7k | $1.9k | $1.6k | 87% | — | $1 – $22.4k |
| 2 | Cigna case rate · outpatient · +2 other terms | 320 | $9.2k | $11.0k | $7.2k | 65% | — | $127 – $40.8k |
| 3 | Aetna case rate · outpatient · +3 other terms | 262 | $3.9k | $4.2k | $2.5k | 60% | — | $118 – $25.2k |
| 4 | Oscar case rate · outpatient · +1 other terms | 122 | $2.6k | $2.6k | $715 | 27% | — | $990 – $7.5k |
| 5 | Molina case rate · outpatient · +3 other terms | 88 | $2.3k | $2.6k | $1.9k | 71% | — | $115 – $15.7k |
| 6 | Humana case rate · outpatient · +3 other terms | 70 | $4k | $4.4k | $1.5k | 34% | — | $115 – $6.0k |
| 7 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 55 | $3.4k | $3.7k | $8.2k | 218% | — | $5 – $48.7k |
| 8 | Anthem case rate · outpatient · +3 other terms | 51 | $9.6k | $9.2k | $4.5k | 49% | — | $115 – $29.0k |
| 9 | Healthcare Highways case rate · outpatient | 42 | $5.8k | $8.1k | $5.3k | 66% | — | $2.1k – $14.6k |
| 10 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 11 | Medica case rate · outpatient · +1 other terms | 26 | $1.3k | $1.1k | $677 | 60% | — | $320 – $2.9k |
| 12 | Caresource facility · case rate · outpatient · +1 other terms | 20 | $3.3k | $2.8k | $1.8k | 65% | — | $117 – $6.0k |
| 13 | WellCare case rate · outpatient · +2 other terms | 16 | $123 | $225 | $308 | 137% | — | $118 – $1.1k |
| 14 | Ambetter case rate · outpatient · +1 other terms | 14 | $3.3k | $3.6k | $2.6k | 73% | — | $0 – $10.1k |
| 15 | Optum facility · case rate · outpatient | 14 | $3.1k | $3.1k | $1.3k | 44% | — | $125 – $5.3k |
| 16 | Amerihealth Caritas case rate · outpatient · +1 other terms | 12 | $3.3k | $3.2k | $141 | 4% | — | $3.1k – $3.6k |
| 17 | Aetna Better Health facility · case rate · outpatient | 9 | $3.9k | $3.4k | $1.2k | 36% | — | $119 – $3.9k |
| 18 | Kaiser facility · case rate · outpatient · +1 other terms | 7 | $4.2k | $4.4k | $2.7k | 63% | — | $112 – $7.5k |
| 19 | Medical Mutual facility · case rate · outpatient · +1 other terms | 6 | $2.8k | $2.7k | $598 | 22% | — | $1.5k – $3.6k |
| 20 | MultiPlan case rate · both · +1 other terms | 6 | $49.9k | $49.9k | — | — | — | $49.9k – $49.9k |
| 21 | Sanford Health Plan case rate · outpatient | 6 | $112 | $112 | $1 | 1% | — | $111 – $114 |
| 22 | Ucare case rate · outpatient | 6 | $120 | $120 | $1 | 1% | — | $120 – $123 |
| 23 | Bcbs Mn case rate · outpatient | 4 | $121 | $121 | $0 | 0% | — | $121 – $121 |
| 24 | Devoted facility · case rate · outpatient | 4 | $117 | $118 | $3 | 2% | — | $116 – $122 |
| 25 | Highmark facility · case rate · outpatient · +1 other terms | 4 | $108 | $112 | $10 | 9% | — | $105 – $129 |
← Hospitals reporting CPT 22103 · Snapshot 20261113T090226Z-3ce6c0b8