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
AMPUTATION FOLLOW-UP SURGERY
Low
$411
Average
$3.7k
Median
$3.0k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.8× 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 · +19 other terms | 450 | $3.5k | $4.5k | $3.7k | 81% | — | $79 – $33.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 434 | $3.5k | $4.5k | $4.4k | 98% | — | $128 – $95.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 342 | $4.7k | $6.1k | $3.8k | 62% | — | $1 – $39.1k |
| 4 | Humana fee schedule · outpatient · +19 other terms | 316 | $3.3k | $3.3k | $1.8k | 53% | — | $1 – $13.5k |
| 5 | Cigna case rate · outpatient · +15 other terms | 221 | $6.8k | $12.3k | $8.4k | 69% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 159 | $3.3k | $3.5k | $1.2k | 33% | — | $588 – $7.6k |
| 7 | Molina fee schedule · outpatient · +13 other terms | 152 | $3.2k | $3.4k | $1.9k | 57% | — | $1 – $8.9k |
| 8 | Oscar case rate · outpatient · +12 other terms | 130 | $5.6k | $5.4k | $1.5k | 28% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +15 other terms | 123 | $3.2k | $4.1k | $4.7k | 115% | — | $484 – $28.3k |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 98 | $4.1k | $4.9k | $4.1k | 83% | — | $25 – $23.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.2k | $965 | 23% | — | $2.7k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +8 other terms | 69 | $5.7k | $4.7k | $2.3k | 50% | — | $1.0k – $7.9k |
| 13 | Devoted fee schedule · outpatient · +5 other terms | 69 | $3.3k | $3.1k | $821 | 27% | — | $783 – $3.7k |
| 14 | Caresource fee schedule · outpatient · +10 other terms | 55 | $3.2k | $2.9k | $1.2k | 43% | — | $1.5k – $5.6k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.1k | $682 | 64% | — | $929 – $4.9k |
| 16 | Optum fee schedule · outpatient · +7 other terms | 35 | $3.2k | $5.0k | $5.7k | 112% | — | $783 – $26.8k |
| 17 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $4.0k | $4.2k | $1.7k | 41% | — | $2.1k – $11.4k |
| 18 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.5k | $3.4k | $214 | 6% | — | $3.0k – $3.8k |
| 19 | Medica case rate · outpatient · +8 other terms | 28 | $2.9k | $3.3k | $1.2k | 37% | — | $1.1k – $6.3k |
| 20 | Tricare fee schedule · outpatient · +9 other terms | 27 | $3.0k | $2.9k | $1.3k | 47% | — | $1.4k – $5.4k |
| 21 | Regence professional · fee schedule · outpatient · +5 other terms | 25 | $852 | $1.2k | $636 | 52% | — | $537 – $2.5k |
| 22 | Medicare fee schedule · outpatient · +8 other terms | 24 | $783 | $1.3k | $1.0k | 78% | — | $699 – $3.3k |
| 23 | MultiPlan fee schedule · outpatient · +12 other terms | 23 | $5.2k | $5.1k | $359 | 7% | — | $1.0k – $5.2k |
| 24 | First Health fee schedule · outpatient · +11 other terms | 20 | $3.4k | $3.5k | $1.3k | 37% | — | $762 – $6.7k |
| 25 | Highmark fee schedule · outpatient · +8 other terms | 18 | $3.2k | $3.0k | $2.1k | 68% | — | $434 – $9.6k |
← Hospitals reporting CPT 25931 · Snapshot 20261113T090226Z-3ce6c0b8