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
$128
Average
$3.6k
Median
$2.1k
High
$21.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 39.3× 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 · +18 other terms | 370 | $1.7k | $1.9k | $2.0k | 104% | — | $1 – $25.0k |
| 2 | Aetna case rate · outpatient · +19 other terms | 261 | $2.3k | $3.3k | $3.1k | 96% | — | $209 – $24.8k |
| 3 | Oscar case rate · outpatient · +11 other terms | 120 | $2.6k | $2.6k | $746 | 29% | — | $990 – $7.3k |
| 4 | Humana fee schedule · outpatient · +16 other terms | 106 | $232 | $2.6k | $5.4k | 208% | — | $1 – $23.5k |
| 5 | Cigna case rate · outpatient · +14 other terms | 97 | $7.5k | $11.1k | $9.4k | 85% | — | $232 – $40.7k |
| 6 | Anthem fee schedule · outpatient · +14 other terms | 93 | $272 | $2.9k | $10.1k | 347% | — | $205 – $72.8k |
| 7 | Molina case rate · outpatient · +12 other terms | 87 | $4.6k | $4.5k | $3.9k | 86% | — | $205 – $25.8k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +16 other terms | 84 | $623 | $7.0k | $10.5k | 149% | — | $0 – $48.7k |
| 9 | Healthcare Highways case rate · outpatient | 42 | $5.8k | $7.7k | $5.3k | 69% | — | $2.1k – $14.6k |
| 10 | Superior Healthplan case rate · outpatient · +2 other terms | 41 | $2.4k | $2.4k | $18 | 1% | — | $2.3k – $2.4k |
| 11 | Kaiser fee schedule · outpatient · +9 other terms | 36 | $228 | $232 | $32 | 14% | — | $206 – $309 |
| 12 | Medica case rate · outpatient · +6 other terms | 26 | $1.3k | $1.3k | $1.2k | 88% | — | $320 – $4.5k |
| 13 | Regence professional · fee schedule · outpatient · +1 other terms | 25 | $92 | $282 | $243 | 86% | — | $38 – $762 |
| 14 | Devoted fee schedule · outpatient · +5 other terms | 21 | $232 | $230 | $2 | 1% | — | $225 – $232 |
| 15 | Caresource facility · case rate · outpatient · +9 other terms | 20 | $12.3k | $10.0k | $6.7k | 67% | — | $209 – $22.0k |
| 16 | Bcbs La fee schedule · outpatient · +1 other terms | 19 | $5.5k | $5.3k | $1.4k | 27% | — | $0 – $7.6k |
| 17 | WellCare fee schedule · both · +9 other terms | 19 | $205 | $484 | $1.8k | 365% | — | $0 – $10.6k |
| 18 | Medicare fee schedule · outpatient · +6 other terms | 18 | $228 | $224 | $6 | 3% | — | $206 – $232 |
| 19 | Ambetter case rate · outpatient · +8 other terms | 14 | $2.0k | $2.6k | $2.8k | 105% | — | $0 – $10.1k |
| 20 | Optum facility · case rate · outpatient · +7 other terms | 14 | $11.4k | $11.0k | $5.1k | 46% | — | $225 – $19.5k |
| 21 | Wellmark fee schedule · both · +4 other terms | 13 | $423 | $422 | $128 | 30% | — | $211 – $553 |
| 22 | Aetna Better Health fee schedule · outpatient · +6 other terms | 12 | $242 | $234 | $9 | 4% | — | $223 – $242 |
| 23 | Amerihealth Caritas case rate · outpatient · +5 other terms | 12 | $3.3k | $3.9k | $2.3k | 59% | — | $3.1k – $11.3k |
| 24 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $6.0k | $5.3k | $1.4k | 26% | — | $1.9k – $6.5k |
| 25 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $457 | $290 | $254 | 87% | — | $0 – $571 |
← Hospitals reporting CPT 22868 · Snapshot 20261113T090226Z-3ce6c0b8