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 LUNATE DSLC W/MAN RT
Low
$247
Average
$1.9k
Median
$1.8k
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 3.8× 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 · +33 other terms | 480 | $1.7k | $2.1k | $1.9k | 88% | 1–10 | $1 – $21.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 536 | $1.6k | $2.0k | $2.6k | 131% | — | $1 – $47.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 398 | $2.2k | $2.9k | $2.3k | 77% | — | $1 – $18.0k |
| 4 | Humana fee schedule · outpatient · +28 other terms | 359 | $1.6k | $1.4k | $886 | 62% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +27 other terms | 294 | $2.9k | $4.9k | $6.2k | 127% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +23 other terms | 217 | $1.2k | $1.1k | $786 | 71% | — | $1 – $4.4k |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 155 | $1.6k | $1.7k | $683 | 41% | — | $372 – $4.4k |
| 8 | Oscar case rate · outpatient · +20 other terms | 137 | $3.4k | $3.0k | $1.5k | 48% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +25 other terms | 132 | $1.6k | $1.8k | $2.0k | 114% | — | $266 – $11.8k |
| 10 | Kaiser fee schedule · outpatient · +22 other terms | 102 | $2.0k | $2.4k | $1.9k | 80% | — | $3 – $11.3k |
| 11 | Ambetter fee schedule · outpatient · +17 other terms | 80 | $2.5k | $2.4k | $1.4k | 56% | — | $653 – $5.2k |
| 12 | Aetna Better Health fee schedule · outpatient · +12 other terms | 74 | $749 | $738 | $189 | 26% | — | $367 – $1.5k |
| 13 | MultiPlan fee schedule · outpatient · +23 other terms | 74 | $2.2k | $2.4k | $674 | 28% | — | $3 – $7.3k |
| 14 | Caresource fee schedule · outpatient · +14 other terms | 62 | $802 | $1.1k | $1.0k | 91% | — | $1 – $6.1k |
| 15 | Devoted fee schedule · outpatient · +13 other terms | 59 | $1.6k | $1.5k | $389 | 26% | — | $496 – $1.8k |
| 16 | Healthcare Highways case rate · outpatient · +3 other terms | 59 | $2.4k | $2.7k | $512 | 19% | — | $2.0k – $4.3k |
| 17 | Tricare fee schedule · outpatient · +17 other terms | 49 | $1.6k | $1.9k | $1.0k | 54% | — | $508 – $5.2k |
| 18 | Optum fee schedule · outpatient · +22 other terms | 38 | $1.5k | $1.8k | $1.3k | 71% | — | $403 – $5.9k |
| 19 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $973 | $201 | 21% | — | $929 – $2.4k |
| 20 | First Health fee schedule · outpatient · +20 other terms | 36 | $1.7k | $2.1k | $2.0k | 98% | — | $484 – $7.2k |
| 21 | Clover fee schedule · outpatient · +9 other terms | 34 | $1.8k | $1.9k | $756 | 39% | — | $1.5k – $4.5k |
| 22 | Amerihealth Caritas case rate · outpatient · +11 other terms | 33 | $370 | $3.3k | $2.6k | 77% | — | $350 – $6.3k |
| 23 | Phcs fee schedule · outpatient · +17 other terms | 31 | $991 | $1.5k | $1.4k | 94% | — | $236 – $4.1k |
| 24 | Medica fee schedule · outpatient · +23 other terms | 30 | $942 | $878 | $653 | 74% | — | $84 – $3.4k |
| 25 | Medicare fee schedule · outpatient · +17 other terms | 30 | $496 | $1.3k | $1.1k | 89% | — | $444 – $6.1k |
← Hospitals reporting CPT 25690 · Snapshot 20261112T181611Z-3fa9fb76