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
Repair Fistula Oromaxillary
Low
$569
Average
$5.3k
Median
$5.0k
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 6.3× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 355 | $7.8k | $9.3k | $5.8k | 62% | 2–20 | $0 – $42.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 528 | $5.8k | $6.5k | $7.8k | 119% | — | $156 – $173.8k |
| 3 | Aetna fee schedule · outpatient · +25 other terms | 459 | $5.9k | $6.6k | $5.2k | 78% | — | $79 – $48.0k |
| 4 | Humana fee schedule · outpatient · +22 other terms | 361 | $5.7k | $4.7k | $2.4k | 52% | — | $1 – $17.1k |
| 5 | Cigna case rate · outpatient · +22 other terms | 319 | $6.9k | $7.8k | $4.8k | 62% | — | $690 – $40.7k |
| 6 | Molina fee schedule · outpatient · +19 other terms | 223 | $3.0k | $3.5k | $2.9k | 82% | — | $1 – $13.7k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 169 | $6.0k | $6.0k | $2.4k | 40% | — | $370 – $13.9k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $9.2k | $8.2k | $3.0k | 36% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 124 | $4.1k | $4.5k | $7.0k | 155% | — | $425 – $43.3k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 100 | $7.5k | $8.7k | $7.5k | 86% | — | $25 – $42.0k |
| 11 | Ambetter fee schedule · outpatient · +12 other terms | 86 | $9.2k | $7.2k | $4.6k | 65% | — | $586 – $14.3k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $6.9k | $1.1k | 16% | — | $2.7k – $8.6k |
| 13 | Aetna Better Health fee schedule · outpatient · +10 other terms | 71 | $2.5k | $2.4k | $822 | 34% | — | $421 – $6.6k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 70 | $6.0k | $5.4k | $1.9k | 34% | — | $444 – $6.7k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 54 | $4.7k | $4.1k | $2.6k | 64% | — | $522 – $10.1k |
| 16 | Optum fee schedule · outpatient · +14 other terms | 46 | $5.4k | $5.3k | $5.2k | 98% | — | $418 – $21.9k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.5k | $1.0k | 40% | — | $2.3k – $8.9k |
| 18 | MultiPlan fee schedule · outpatient · +18 other terms | 35 | $7.7k | $8.9k | $1.9k | 22% | — | $554 – $13.7k |
| 19 | Amerihealth Caritas case rate · outpatient · +8 other terms | 33 | $700 | $7.3k | $6.5k | 89% | — | $662 – $16.0k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $7.2k | $7.0k | $3.3k | 47% | — | $2.0k – $20.1k |
| 21 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 32 | $2.1k | $3.2k | $2.1k | 66% | — | $418 – $6.2k |
| 22 | Clover fee schedule · outpatient · +7 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 23 | Medica case rate · outpatient · +14 other terms | 28 | $4.5k | $5.1k | $2.1k | 42% | — | $1.6k – $10.6k |
| 24 | Tricare fee schedule · outpatient · +10 other terms | 28 | $5.4k | $5.1k | $957 | 19% | — | $3.8k – $7.0k |
| 25 | First Health fee schedule · outpatient · +18 other terms | 27 | $6.2k | $5.8k | $5.1k | 88% | — | $512 – $16.3k |
← Hospitals reporting CPT 30580 · Snapshot 20261112T181611Z-3fa9fb76