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
Unlisted Procedure Vestibule Mouth
Low
$0
Average
$1.4k
Median
$566
High
$9.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 14.3× 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 | UnitedHealthcare case rate · outpatient · +20 other terms | 426 | $1.5k | $1.6k | $1.5k | 91% | 2–20 | $1 – $22.4k |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 414 | $284 | $2.7k | $5.6k | 209% | — | $100 – $53.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 306 | $437 | $1.4k | $3.2k | 225% | — | $1 – $26.2k |
| 4 | Humana fee schedule · outpatient · +14 other terms | 270 | $237 | $508 | $1.1k | 208% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +15 other terms | 221 | $6.8k | $11.7k | $9.0k | 77% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +12 other terms | 139 | $242 | $363 | $594 | 164% | — | $211 – $4.3k |
| 7 | Molina fee schedule · outpatient · +15 other terms | 137 | $295 | $415 | $969 | 233% | — | $1 – $10.2k |
| 8 | Oscar case rate · outpatient · +13 other terms | 130 | $2.5k | $2.6k | $812 | 31% | — | $363 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +16 other terms | 114 | $237 | $418 | $1.5k | 350% | — | $0 – $13.1k |
| 10 | Kaiser fee schedule · outpatient · +6 other terms | 91 | $343 | $599 | $722 | 121% | — | $232 – $4.3k |
| 11 | Devoted fee schedule · outpatient · +4 other terms | 68 | $239 | $240 | $13 | 5% | — | $220 – $265 |
| 12 | Ambetter facility · fee schedule · outpatient · +10 other terms | 66 | $423 | $636 | $1.2k | 182% | — | $216 – $8.2k |
| 13 | Optum fee schedule · outpatient · +9 other terms | 53 | $230 | $283 | $143 | 50% | — | $211 – $874 |
| 14 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.8k | $5.0k | 74% | — | $2.1k – $14.6k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $925 | $103 | 11% | — | $349 – $948 |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $299 | $311 | $129 | 42% | — | $159 – $845 |
| 17 | Clover fee schedule · outpatient · +5 other terms | 31 | $259 | $805 | $1.3k | 167% | — | $214 – $4.4k |
| 18 | Caresource facility · fee schedule · outpatient · +7 other terms | 30 | $367 | $704 | $1.5k | 208% | — | $218 – $7.9k |
| 19 | Medica case rate · outpatient · +6 other terms | 28 | $914 | $1.0k | $670 | 65% | — | $220 – $2.9k |
| 20 | Tricare fee schedule · outpatient · +8 other terms | 27 | $215 | $973 | $1.8k | 184% | — | $125 – $5.1k |
| 21 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $503 | $494 | $156 | 32% | — | $154 – $762 |
| 22 | Medicare fee schedule · outpatient · +2 other terms | 24 | $237 | $867 | $1.4k | 157% | — | $202 – $4.1k |
| 23 | MultiPlan fee schedule · outpatient · +11 other terms | 22 | $392 | $386 | $23 | 6% | — | $218 – $392 |
| 24 | Regence facility · fee schedule · outpatient · +4 other terms | 21 | $249 | $352 | $199 | 57% | — | $215 – $824 |
| 25 | Highmark fee schedule · outpatient · +6 other terms | 16 | $302 | $310 | $113 | 36% | — | $104 – $694 |
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