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
Tx Spont Hip Disl W/O Ane/Man
Low
$200
Average
$820
Median
$603
High
$6.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 5.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 544 | $270 | $789 | $1.5k | 184% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +28 other terms | 496 | $285 | $1.4k | $2.6k | 188% | — | $79 – $26.6k |
| 3 | Humana fee schedule · outpatient · +27 other terms | 387 | $244 | $509 | $1.1k | 212% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 361 | $452 | $883 | $1.6k | 185% | — | $1 – $16.4k |
| 5 | Cigna case rate · outpatient · +26 other terms | 231 | $1.8k | $4.3k | $7.1k | 165% | — | $0 – $40.7k |
| 6 | Molina fee schedule · outpatient · +22 other terms | 227 | $218 | $196 | $172 | 88% | — | $1 – $1.7k |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 181 | $252 | $346 | $527 | 152% | — | $90 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +24 other terms | 134 | $318 | $1.0k | $1.8k | 175% | — | $51 – $12.8k |
| 9 | Oscar case rate · outpatient · +19 other terms | 130 | $2.5k | $2.6k | $799 | 30% | — | $375 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 96 | $331 | $539 | $673 | 125% | — | $172 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +18 other terms | 81 | $432 | $466 | $283 | 61% | — | $120 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +14 other terms | 69 | $108 | $148 | $107 | 72% | — | $94 – $487 |
| 13 | Devoted fee schedule · outpatient · +13 other terms | 69 | $243 | $247 | $15 | 6% | — | $225 – $276 |
| 14 | Caresource fee schedule · outpatient · +10 other terms | 61 | $270 | $568 | $785 | 138% | — | $84 – $4.3k |
| 15 | Optum fee schedule · outpatient · +19 other terms | 61 | $231 | $1.3k | $4.4k | 335% | — | $168 – $26.8k |
| 16 | MultiPlan fee schedule · outpatient · +20 other terms | 56 | $466 | $438 | $226 | 52% | — | $225 – $3.4k |
| 17 | Tricare fee schedule · outpatient · +12 other terms | 44 | $240 | $694 | $1.4k | 203% | — | $167 – $5.1k |
| 18 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $6.6k | $5.1k | 77% | — | $2.1k – $14.6k |
| 19 | First Health fee schedule · outpatient · +19 other terms | 38 | $281 | $1.1k | $2.3k | 211% | — | $85 – $7.6k |
| 20 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $934 | $81 | 9% | — | $360 – $948 |
| 21 | Clover fee schedule · outpatient · +9 other terms | 32 | $268 | $798 | $1.3k | 166% | — | $223 – $4.4k |
| 22 | Medicare fee schedule · outpatient · +12 other terms | 32 | $231 | $554 | $1.0k | 180% | — | $201 – $4.1k |
| 23 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 30 | $153 | $172 | $73 | 43% | — | $90 – $254 |
| 24 | Bcbs Tx fee schedule · outpatient · +3 other terms | 29 | $316 | $280 | $100 | 36% | — | $85 – $593 |
| 25 | Medica case rate · outpatient · +14 other terms | 28 | $830 | $1.0k | $701 | 68% | — | $227 – $2.9k |
← Hospitals reporting CPT 27256 · Snapshot 20261113T090226Z-3ce6c0b8