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
Exc Les Mucosa & Sbmcsl Vestibule Smpl Rpr
Low
$235
Average
$1.8k
Median
$1.5k
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 5.5× 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 | UnitedHealthcare fee schedule · outpatient · +34 other terms | 549 | $1.5k | $1.9k | $2.6k | 138% | 2–20 | $1 – $43.5k |
| 2 | Cigna case rate · outpatient · +29 other terms | 235 | $6.8k | $12.1k | $8.8k | 73% | 1–10 | $1 – $40.7k |
| 3 | Aetna fee schedule · outpatient · +35 other terms | 479 | $1.6k | $2.1k | $2.2k | 101% | — | $1 – $21.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 379 | $1.8k | $2.4k | $2.7k | 112% | — | $0 – $22.1k |
| 5 | Humana fee schedule · outpatient · +27 other terms | 360 | $1.4k | $1.1k | $930 | 81% | — | $1 – $12.8k |
| 6 | Molina fee schedule · outpatient · +26 other terms | 231 | $968 | $800 | $1.0k | 128% | — | $1 – $5.8k |
| 7 | WellCare fee schedule · outpatient · +20 other terms | 171 | $1.5k | $1.5k | $740 | 50% | — | $153 – $4.4k |
| 8 | Oscar case rate · outpatient · +20 other terms | 130 | $3.7k | $3.1k | $1.5k | 48% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +28 other terms | 128 | $1.1k | $1.3k | $1.9k | 148% | — | $99 – $11.4k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 101 | $1.9k | $2.2k | $1.9k | 89% | — | $45 – $10.9k |
| 11 | Ambetter fee schedule · outpatient · +16 other terms | 78 | $2.7k | $2.1k | $1.5k | 72% | — | $76 – $7.3k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.7k | $2.7k | $571 | 21% | — | $2k – $4.3k |
| 13 | Aetna Better Health fee schedule · outpatient · +16 other terms | 74 | $208 | $299 | $315 | 105% | — | $134 – $2.3k |
| 14 | Devoted fee schedule · outpatient · +10 other terms | 70 | $1.5k | $1.4k | $483 | 35% | — | $178 – $1.7k |
| 15 | Caresource fee schedule · outpatient · +14 other terms | 59 | $1.4k | $1.1k | $842 | 75% | — | $1 – $4.4k |
| 16 | Optum fee schedule · outpatient · +21 other terms | 49 | $1.4k | $1.8k | $2.4k | 131% | — | $163 – $12.2k |
| 17 | MultiPlan fee schedule · outpatient · +21 other terms | 43 | $2.1k | $2.3k | $723 | 31% | — | $117 – $4.3k |
| 18 | Superior Healthplan case rate · outpatient · +6 other terms | 38 | $948 | $970 | $176 | 18% | — | $929 – $2.2k |
| 19 | Tricare fee schedule · outpatient · +16 other terms | 37 | $1.6k | $1.9k | $1.2k | 65% | — | $165 – $5.2k |
| 20 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 33 | $173 | $692 | $648 | 94% | — | $163 – $1.7k |
| 21 | Amerihealth Caritas case rate · outpatient · +12 other terms | 32 | $496 | $3.3k | $2.5k | 76% | — | $468 – $6.3k |
| 22 | Clover fee schedule · outpatient · +9 other terms | 31 | $1.6k | $1.8k | $812 | 44% | — | $1.4k – $4.5k |
| 23 | Medica fee schedule · outpatient · +20 other terms | 31 | $1.1k | $1.2k | $797 | 66% | — | $69 – $2.6k |
| 24 | First Health fee schedule · outpatient · +22 other terms | 30 | $1.6k | $1.7k | $2.3k | 136% | — | $164 – $7.2k |
| 25 | Regence professional · fee schedule · outpatient · +16 other terms | 30 | $180 | $331 | $221 | 67% | — | $65 – $889 |
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