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
Reshaping of gum
Low
$384
Average
$3.2k
Median
$2.7k
High
$8.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 7.4× 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 · +23 other terms | 486 | $3.3k | $4.8k | $5.9k | 123% | — | $100 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 426 | $3.5k | $4.4k | $3.7k | 85% | — | $79 – $33.6k |
| 3 | Humana fee schedule · outpatient · +20 other terms | 337 | $3.2k | $2.4k | $1.6k | 67% | — | $100 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 333 | $3.6k | $4.0k | $4.0k | 101% | — | $0 – $24.3k |
| 5 | Cigna case rate · outpatient · +17 other terms | 221 | $6.8k | $11.9k | $8.4k | 70% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +15 other terms | 208 | $1.2k | $1.4k | $1.9k | 134% | — | $136 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +10 other terms | 160 | $3.3k | $3.3k | $1.4k | 42% | — | $261 – $7.6k |
| 8 | Oscar case rate · outpatient · +12 other terms | 130 | $9.4k | $8.5k | $3.1k | 37% | — | $3.5k – $17.8k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 121 | $2.3k | $2.5k | $4.1k | 160% | — | $197 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 94 | $4.1k | $5.0k | $4.1k | 80% | — | $197 – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $6.9k | $1.0k | 15% | — | $3.4k – $8.6k |
| 12 | Aetna Better Health fee schedule · outpatient · +10 other terms | 69 | $366 | $511 | $516 | 101% | — | $300 – $3.0k |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 68 | $3.3k | $3.0k | $979 | 32% | — | $304 – $3.7k |
| 14 | Ambetter fee schedule · outpatient · +6 other terms | 67 | $5.8k | $4.5k | $2.9k | 64% | — | $347 – $8.0k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 52 | $3.4k | $2.8k | $2.0k | 71% | — | $286 – $5.7k |
| 16 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.0k | $539 | 53% | — | $929 – $4.9k |
| 17 | Optum fee schedule · outpatient · +9 other terms | 35 | $3.2k | $3.6k | $3.0k | 82% | — | $304 – $12.2k |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $865 | $832 | $895 | 108% | — | $261 – $3.3k |
| 19 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 20 | Medica case rate · outpatient · +10 other terms | 28 | $3.8k | $4.6k | $2.3k | 50% | — | $1.6k – $10.6k |
| 21 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $304 | $1.6k | $1.5k | 91% | — | $304 – $3.4k |
| 22 | Tricare fee schedule · outpatient · +11 other terms | 27 | $3.8k | $3.7k | $819 | 22% | — | $3.0k – $5.4k |
| 23 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $4.7k | $4.5k | $1.1k | 24% | — | $402 – $6.9k |
| 24 | Medicare fee schedule · outpatient · +8 other terms | 24 | $304 | $918 | $1.2k | 131% | — | $271 – $3.3k |
| 25 | MultiPlan fee schedule · outpatient · +13 other terms | 22 | $5.2k | $5.1k | $357 | 7% | — | $3.0k – $5.2k |
← Hospitals reporting CPT 41872 · Snapshot 20261113T090226Z-3ce6c0b8