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
INSJ STABLJ DEV W/DCMPRN
Low
$931
Average
$14.0k
Median
$12.9k
High
$49.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.7× 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 | Aetna fee schedule · outpatient · +22 other terms | 442 | $18.1k | $18.3k | $13.2k | 72% | — | $79 – $125.8k |
| 2 | UnitedHealthcare case rate · outpatient · +23 other terms | 429 | $12.6k | $12.0k | $8.4k | 71% | — | $1 – $82.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 331 | $22.5k | $27.6k | $17.7k | 64% | — | $1 – $136.6k |
| 4 | Humana fee schedule · outpatient · +18 other terms | 309 | $17.9k | $15.2k | $7.1k | 47% | — | $478 – $50.7k |
| 5 | Cigna case rate · outpatient · +18 other terms | 234 | $7.2k | $12.3k | $8.2k | 66% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +12 other terms | 156 | $18.3k | $18.6k | $7.0k | 37% | — | $191 – $43.1k |
| 7 | Molina fee schedule · outpatient · +14 other terms | 131 | $18.4k | $17.9k | $11.1k | 62% | — | $609 – $47.5k |
| 8 | Oscar case rate · outpatient · +13 other terms | 128 | $10.6k | $9.9k | $4.2k | 42% | — | $3.5k – $28.8k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 125 | $12.3k | $13.0k | $21.0k | 162% | — | $224 – $128.3k |
| 10 | Kaiser fee schedule · outpatient · +12 other terms | 94 | $23.4k | $30.2k | $28.5k | 94% | — | $840 – $172.2k |
| 11 | Devoted fee schedule · outpatient · +5 other terms | 71 | $18.5k | $16.2k | $5.8k | 36% | — | $1.0k – $20.4k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 63 | $5.8k | $8.3k | $5.1k | 62% | — | $2.1k – $14.6k |
| 13 | Ambetter fee schedule · outpatient · +11 other terms | 62 | $30.4k | $25.5k | $12.7k | 50% | — | $1.4k – $42.3k |
| 14 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $3.0k | $3.9k | 132% | — | $2.3k – $27.6k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 44 | $17.0k | $16.8k | $4.8k | 29% | — | $597 – $30.0k |
| 16 | Optum fee schedule · outpatient · +10 other terms | 36 | $16.4k | $18.9k | $15.8k | 84% | — | $1.0k – $64.7k |
| 17 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $23.5k | $24.4k | $10.1k | 41% | — | $12.4k – $66.2k |
| 18 | Amerihealth Caritas case rate · outpatient · +8 other terms | 31 | $496 | $7.6k | $6.8k | 90% | — | $468 – $14.4k |
| 19 | Clover fee schedule · outpatient · +7 other terms | 31 | $20.1k | $19.1k | $1.5k | 8% | — | $15.8k – $21.7k |
| 20 | Medica case rate · outpatient · +7 other terms | 28 | $6.3k | $8.7k | $4.8k | 55% | — | $2.5k – $18.4k |
| 21 | Regence professional · fee schedule · outpatient · +9 other terms | 26 | $501 | $1.3k | $1.0k | 81% | — | $167 – $3.4k |
| 22 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $6.1k | $11.6k | $12.6k | 108% | — | $3.8k – $48.5k |
| 23 | Medicare fee schedule · outpatient · +10 other terms | 24 | $1.0k | $4.7k | $7.0k | 151% | — | $922 – $21.3k |
| 24 | First Health fee schedule · outpatient · +14 other terms | 23 | $18.3k | $16.5k | $8.3k | 50% | — | $1.0k – $35.7k |
| 25 | Aetna Better Health fee schedule · outpatient · +7 other terms | 20 | $11.4k | $9.1k | $5.9k | 65% | — | $491 – $17.2k |
← Hospitals reporting CPT 22867 · Snapshot 20261113T090226Z-3ce6c0b8