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
$129
Average
$10.6k
Median
$7.6k
High
$107.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 10.4× 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 other · outpatient · +2 other terms | 36 | $5.9k | $4.5k | $2.9k | 63% | — | $123 – $14.8k |
| 2 | Blue Cross Blue Shield other · outpatient · +2 other terms | 12 | $8.3k | $19.8k | $9.8k | 49% | — | $564 – $33.3k |
| 3 | Cigna other · outpatient | 9 | $7.6k | $7.2k | $2.2k | 31% | — | $1.3k – $8.7k |
| 4 | Oscar other · both · +1 other terms | 9 | $1k | $1k | — | — | — | $1k – $1k |
| 5 | Aetna other · outpatient · +3 other terms | 7 | $9.9k | $9.3k | $2.3k | 25% | — | $123 – $11.6k |
| 6 | Anthem other · outpatient · +1 other terms | 7 | $8.3k | $8.0k | $1.2k | 15% | — | $3.4k – $8.3k |
| 7 | Ambetter other · outpatient | 6 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 8 | Amerihealth Caritas other · outpatient | 6 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 9 | Highmark other · outpatient | 6 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 10 | Tricare other · outpatient · +1 other terms | 6 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 11 | WellCare other · outpatient | 6 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 12 | Caresource other · outpatient · +1 other terms | 5 | $6.5k | $7.4k | $1.6k | 21% | — | $5.8k – $9.4k |
| 13 | Molina facility · other · outpatient | 5 | $4.3k | $5.0k | $1.3k | 26% | — | $3.8k – $7.1k |
| 14 | Phcs other · outpatient | 4 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | UnitedHealthcare facility · other · outpatient · +2 other terms | 4 | $5.1k | $5.6k | $3.2k | 57% | — | $1.9k – $11.2k |
| 16 | First Health other · outpatient | 3 | $2.0k | $1.9k | $101 | 5% | — | $1.7k – $2.0k |
| 17 | Bcbs Al other · outpatient | 1 | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 18 | Bcbs Nv other · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 19 | Magellan other · outpatient | 1 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 20 | Medicaid facility · other · outpatient | 1 | $1.7k | $1.7k | $220 | 13% | — | $1.5k – $1.9k |
| 21 | Medicare professional · other · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | MultiPlan facility · other · outpatient | 1 | $107.1k | $107.1k | $6.6k | 6% | — | $100.6k – $113.7k |
| 23 | Superior Healthplan facility · other · outpatient | 1 | $11.5k | $11.5k | $6.4k | 56% | — | $5.1k – $17.8k |
← Hospitals reporting CPT 22103 · Snapshot 20261113T090226Z-3ce6c0b8