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
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr|RIGHT SIDE
Low
$642
Average
$5.8k
Median
$5.1k
High
$16.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 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 | Cigna case rate · outpatient · +25 other terms | 327 | $6.4k | $7.0k | $5.0k | 72% | 2–20 | $558 – $40.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 553 | $7.0k | $7.2k | $8.5k | 118% | 1–10 | $97 – $209.9k |
| 3 | Aetna fee schedule · outpatient · +27 other terms | 493 | $7.2k | $7.1k | $5.5k | 77% | 1–10 | $79 – $48.9k |
| 4 | Medicaid fee schedule · outpatient · +8 other terms | 13 | $70 | $698 | $1.3k | 181% | 1–10 | $40 – $3.7k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 390 | $9.3k | $10.7k | $7.3k | 69% | — | $1 – $52.5k |
| 6 | Humana fee schedule · outpatient · +27 other terms | 377 | $6.9k | $5.7k | $2.9k | 51% | — | $1 – $21.0k |
| 7 | Molina fee schedule · outpatient · +23 other terms | 242 | $4.2k | $4.3k | $3.6k | 83% | — | $1 – $19.6k |
| 8 | WellCare fee schedule · outpatient · +18 other terms | 179 | $7.4k | $7.3k | $2.8k | 39% | — | $84 – $16.7k |
| 9 | Oscar case rate · outpatient · +19 other terms | 137 | $9.7k | $8.5k | $3.1k | 36% | — | $3.5k – $17.8k |
| 10 | Anthem fee schedule · outpatient · +23 other terms | 129 | $4.9k | $5.3k | $8.4k | 157% | — | $377 – $53.1k |
| 11 | Kaiser fee schedule · outpatient · +19 other terms | 98 | $9.1k | $10.5k | $9.3k | 89% | — | $66 – $52.0k |
| 12 | Ambetter fee schedule · outpatient · +13 other terms | 88 | $11.5k | $9.2k | $5.6k | 60% | — | $290 – $17.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +11 other terms | 76 | $3.0k | $3.2k | $2.1k | 65% | — | $366 – $25.1k |
| 14 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $8.5k | $8.4k | $1.4k | 17% | — | $2.0k – $9.6k |
| 15 | Devoted fee schedule · outpatient · +9 other terms | 75 | $7.2k | $6.5k | $2.3k | 35% | — | $475 – $8.1k |
| 16 | Caresource fee schedule · outpatient · +11 other terms | 60 | $5.1k | $4.5k | $3.6k | 80% | — | $407 – $12.4k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.6k | $1.3k | 51% | — | $2.3k – $10.7k |
| 18 | Tricare fee schedule · outpatient · +13 other terms | 44 | $6.8k | $6.2k | $2.4k | 40% | — | $449 – $9.3k |
| 19 | Optum fee schedule · outpatient · +18 other terms | 42 | $6.6k | $7.1k | $6.2k | 88% | — | $475 – $26.8k |
| 20 | MultiPlan fee schedule · outpatient · +20 other terms | 35 | $10.0k | $10.7k | $2.4k | 22% | — | $0 – $11.5k |
| 21 | Amerihealth Caritas case rate · outpatient · +10 other terms | 34 | $567 | $6.8k | $6.5k | 95% | — | $536 – $16.0k |
| 22 | Clover fee schedule · outpatient · +8 other terms | 34 | $7.8k | $7.7k | $513 | 7% | — | $6.5k – $8.8k |
| 23 | First Health fee schedule · outpatient · +20 other terms | 34 | $7.6k | $6.0k | $3.6k | 60% | — | $558 – $14.8k |
| 24 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $8.8k | $8.6k | $4.1k | 47% | — | $2.4k – $24.8k |
| 25 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 29 | $2.5k | $4.9k | $2.4k | 49% | — | $2.5k – $7.7k |
← Hospitals reporting CPT 28238 · Snapshot 20261112T181611Z-3fa9fb76