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
ER-CL TX DSLOCATE TOE RQ/ANES
Low
$149
Average
$1.1k
Median
$656
High
$5.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 9.2× 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 | Bcbs La fee schedule · outpatient · +2 other terms | 22 | $3.2k | $3.0k | $1.6k | 52% | 1–10 | $175 – $5.2k |
| 2 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 501 | $296 | $840 | $1.5k | 182% | — | $1 – $17.9k |
| 3 | Aetna fee schedule · outpatient · +29 other terms | 462 | $314 | $1.1k | $1.9k | 178% | — | $79 – $21.3k |
| 4 | Humana fee schedule · outpatient · +29 other terms | 359 | $271 | $590 | $1.2k | 199% | — | $1 – $12.8k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 355 | $513 | $1.1k | $1.8k | 168% | — | $1 – $18.0k |
| 6 | Cigna case rate · outpatient · +29 other terms | 295 | $3.0k | $4.6k | $6.2k | 134% | — | $82 – $40.7k |
| 7 | Molina fee schedule · outpatient · +23 other terms | 210 | $227 | $228 | $235 | 103% | — | $1 – $2.9k |
| 8 | WellCare fee schedule · outpatient · +18 other terms | 155 | $285 | $381 | $565 | 148% | — | $60 – $4.3k |
| 9 | Oscar case rate · outpatient · +20 other terms | 137 | $2.6k | $2.7k | $713 | 27% | — | $415 – $7.5k |
| 10 | Anthem fee schedule · outpatient · +26 other terms | 136 | $327 | $855 | $1.8k | 207% | — | $79 – $12.8k |
| 11 | Kaiser fee schedule · outpatient · +21 other terms | 95 | $398 | $586 | $700 | 119% | — | $103 – $4.3k |
| 12 | Ambetter facility · fee schedule · outpatient · +15 other terms | 87 | $523 | $876 | $1.9k | 213% | — | $154 – $14.6k |
| 13 | Aetna Better Health fee schedule · outpatient · +14 other terms | 73 | $126 | $147 | $97 | 66% | — | $94 – $1.2k |
| 14 | Devoted fee schedule · outpatient · +13 other terms | 60 | $267 | $260 | $53 | 21% | — | $124 – $312 |
| 15 | Optum fee schedule · outpatient · +22 other terms | 55 | $245 | $876 | $2.3k | 259% | — | $124 – $12.1k |
| 16 | Caresource fee schedule · outpatient · +12 other terms | 48 | $270 | $474 | $908 | 191% | — | $79 – $4.3k |
| 17 | MultiPlan fee schedule · outpatient · +22 other terms | 47 | $431 | $570 | $633 | 111% | — | $84 – $7.3k |
| 18 | Tricare fee schedule · outpatient · +18 other terms | 47 | $263 | $682 | $1.4k | 199% | — | $44 – $5.1k |
| 19 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $2.3k | $303 | 13% | — | $399 – $2.4k |
| 20 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $6.6k | $5.1k | 77% | — | $2.1k – $14.6k |
| 21 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $370 | $1.8k | $1.4k | 76% | — | $350 – $3.3k |
| 22 | Clover fee schedule · outpatient · +9 other terms | 33 | $297 | $786 | $1.3k | 164% | — | $116 – $4.4k |
| 23 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 31 | $243 | $200 | $83 | 41% | — | $105 – $298 |
| 24 | Medica case rate · outpatient · +17 other terms | 28 | $838 | $1.2k | $1.2k | 96% | — | $251 – $4.5k |
| 25 | First Health fee schedule · outpatient · +18 other terms | 27 | $292 | $1.3k | $2.5k | 192% | — | $100 – $7.2k |
← Hospitals reporting CPT 28665 · Snapshot 20261113T090226Z-3ce6c0b8