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
PRQ SKEL FIX TARSL FX W/MNPJ
Low
$472
Average
$5.5k
Median
$5.1k
High
$17.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 6.1× 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 · +25 other terms | 457 | $7.2k | $7.2k | $5.3k | 74% | — | $79 – $48.9k |
| 2 | UnitedHealthcare case rate · outpatient · +27 other terms | 430 | $5.8k | $6.0k | $3.8k | 63% | — | $1 – $32.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 357 | $9.2k | $11.5k | $6.8k | 60% | — | $1 – $52.5k |
| 4 | Cigna case rate · outpatient · +22 other terms | 309 | $3.7k | $5.3k | $5.8k | 110% | — | $872 – $40.7k |
| 5 | Humana fee schedule · outpatient · +24 other terms | 304 | $7.1k | $5.8k | $3.0k | 52% | — | $1 – $21.0k |
| 6 | WellCare fee schedule · outpatient · +15 other terms | 155 | $7.3k | $7.6k | $2.6k | 34% | — | $148 – $16.7k |
| 7 | Molina fee schedule · outpatient · +14 other terms | 153 | $7.0k | $7.1k | $4.6k | 66% | — | $1 – $19.6k |
| 8 | Oscar case rate · outpatient · +15 other terms | 137 | $5.6k | $5.4k | $1.8k | 33% | — | $2.4k – $11.2k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 123 | $4.8k | $5.2k | $8.9k | 169% | — | $154 – $53.1k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 98 | $9.1k | $10.3k | $9.4k | 92% | — | $30 – $52.0k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.2k | $1.0k | 24% | — | $1.6k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +10 other terms | 75 | $11.2k | $8.4k | $6.1k | 72% | — | $170 – $17.5k |
| 13 | Devoted fee schedule · outpatient · +7 other terms | 69 | $7.4k | $6.6k | $2.2k | 34% | — | $374 – $8.1k |
| 14 | Caresource fee schedule · outpatient · +11 other terms | 45 | $7.1k | $5.7k | $3.0k | 52% | — | $368 – $12.4k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.2k | $1.7k | 136% | — | $929 – $10.7k |
| 16 | Optum fee schedule · outpatient · +12 other terms | 35 | $7.0k | $7.9k | $6.6k | 84% | — | $374 – $26.8k |
| 17 | MultiPlan case rate · outpatient · +17 other terms | 34 | $4.0k | $5.5k | $2.9k | 52% | — | $869 – $11.5k |
| 18 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $496 | $4.8k | $4.2k | 88% | — | $468 – $10.5k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $8.8k | $9.2k | $3.8k | 41% | — | $4.7k – $24.8k |
| 20 | Clover fee schedule · outpatient · +7 other terms | 31 | $7.8k | $7.6k | $457 | 6% | — | $6.5k – $8.4k |
| 21 | Medica case rate · outpatient · +13 other terms | 28 | $2.9k | $3.8k | $1.7k | 45% | — | $1.1k – $7.1k |
| 22 | Regence professional · fee schedule · outpatient · +12 other terms | 28 | $249 | $545 | $333 | 61% | — | $172 – $1.2k |
| 23 | Tricare fee schedule · outpatient · +10 other terms | 28 | $6.8k | $6.7k | $1.2k | 18% | — | $377 – $8.6k |
| 24 | First Health fee schedule · outpatient · +16 other terms | 26 | $7.6k | $7.2k | $3.2k | 44% | — | $361 – $14.8k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $10.7k | $10.5k | $2.6k | 25% | — | $3.9k – $17.7k |
← Hospitals reporting CPT 28456 · Snapshot 20261113T090226Z-3ce6c0b8