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
CLS TX HUMERUS FX W/MAN LT
Low
$516
Average
$2.0k
Median
$1.7k
High
$4.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 4.3× 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 | Humana fee schedule · outpatient · +25 other terms | 357 | $1.6k | $1.5k | $959 | 64% | 1–10 | $1 – $12.8k |
| 2 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 510 | $1.6k | $2.1k | $2.4k | 114% | — | $1 – $47.0k |
| 3 | Aetna fee schedule · outpatient · +26 other terms | 472 | $1.7k | $2.4k | $2.4k | 98% | — | $1 – $26.6k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 376 | $2.3k | $3.1k | $2.4k | 76% | — | $1 – $22.1k |
| 5 | Cigna case rate · outpatient · +25 other terms | 294 | $3.7k | $5.5k | $6.5k | 118% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +21 other terms | 224 | $1.2k | $1.1k | $777 | 74% | — | $1 – $4.4k |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 153 | $1.7k | $1.7k | $691 | 41% | — | $269 – $4.4k |
| 8 | Oscar case rate · outpatient · +18 other terms | 137 | $3.4k | $3.1k | $1.4k | 47% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 133 | $1.5k | $1.6k | $1.9k | 122% | — | $98 – $11.8k |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 97 | $2.1k | $2.6k | $2.0k | 77% | — | $242 – $11.3k |
| 11 | Ambetter fee schedule · outpatient · +17 other terms | 81 | $2.6k | $2.5k | $1.4k | 55% | — | $508 – $5.2k |
| 12 | Aetna Better Health fee schedule · outpatient · +11 other terms | 67 | $749 | $790 | $466 | 59% | — | $345 – $5.8k |
| 13 | Healthcare Highways case rate · outpatient · +4 other terms | 63 | $2.4k | $2.7k | $549 | 20% | — | $2.0k – $4.3k |
| 14 | Devoted fee schedule · outpatient · +11 other terms | 60 | $1.6k | $1.5k | $432 | 29% | — | $355 – $1.8k |
| 15 | MultiPlan fee schedule · outpatient · +21 other terms | 55 | $2.4k | $2.6k | $551 | 21% | — | $625 – $7.3k |
| 16 | Caresource fee schedule · outpatient · +12 other terms | 47 | $1.6k | $1.4k | $889 | 62% | — | $1 – $4.4k |
| 17 | Tricare fee schedule · outpatient · +15 other terms | 45 | $1.6k | $1.8k | $1.1k | 62% | — | $368 – $5.2k |
| 18 | Optum fee schedule · outpatient · +20 other terms | 43 | $1.5k | $1.6k | $1.2k | 78% | — | $355 – $5.9k |
| 19 | First Health fee schedule · outpatient · +20 other terms | 42 | $1.7k | $2.0k | $2.0k | 97% | — | $379 – $7.6k |
| 20 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $973 | $201 | 21% | — | $929 – $2.4k |
| 21 | Clover fee schedule · outpatient · +8 other terms | 34 | $1.8k | $1.9k | $756 | 39% | — | $1.5k – $4.5k |
| 22 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $496 | $3.3k | $2.5k | 75% | — | $359 – $6.3k |
| 23 | Medicare fee schedule · outpatient · +17 other terms | 31 | $355 | $1.1k | $937 | 83% | — | $318 – $4.3k |
| 24 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 28 | $623 | $1.1k | $491 | 44% | — | $623 – $1.7k |
| 25 | Medica case rate · outpatient · +19 other terms | 28 | $2.3k | $2.3k | $696 | 30% | — | $977 – $3.2k |
← Hospitals reporting CPT 23625 · Snapshot 20261113T090226Z-3ce6c0b8