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
Sialolithotomy Submndblr Submax Comp Intraoral
Low
$332
Average
$3.1k
Median
$2.9k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 5.8× 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 | Aetna fee schedule · outpatient · +24 other terms | 450 | $3.5k | $4.2k | $3.7k | 88% | 1–10 | $62 – $37.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 514 | $3.2k | $3.5k | $4.5k | 129% | — | $30 – $95.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 350 | $3.3k | $3.8k | $4.3k | 113% | — | $1 – $24.5k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 342 | $3.2k | $2.5k | $1.6k | 67% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +20 other terms | 320 | $6.4k | $7.2k | $5.6k | 78% | — | $1.1k – $40.7k |
| 6 | Molina fee schedule · outpatient · +15 other terms | 219 | $1.6k | $1.4k | $1.9k | 135% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 161 | $3.3k | $3.4k | $1.4k | 42% | — | $228 – $7.6k |
| 8 | Oscar case rate · outpatient · +16 other terms | 130 | $5.6k | $5.3k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 126 | $2.2k | $2.5k | $4.0k | 162% | — | $132 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 98 | $4.1k | $4.7k | $4.1k | 88% | — | $25 – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 73 | $3.8k | $4.1k | $938 | 23% | — | $2.7k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +11 other terms | 71 | $5.8k | $4.4k | $2.8k | 63% | — | $90 – $8.0k |
| 13 | Aetna Better Health fee schedule · outpatient · +9 other terms | 69 | $319 | $471 | $528 | 112% | — | $262 – $3.0k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 67 | $3.3k | $3.0k | $996 | 33% | — | $260 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 54 | $2.6k | $2.0k | $1.7k | 88% | — | $300 – $5.7k |
| 16 | Optum fee schedule · outpatient · +17 other terms | 42 | $3.0k | $3.4k | $2.8k | 84% | — | $260 – $12.2k |
| 17 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $539 | 53% | — | $929 – $4.9k |
| 18 | Clover fee schedule · outpatient · +8 other terms | 31 | $3.5k | $3.5k | $205 | 6% | — | $3.0k – $3.8k |
| 19 | First Health fee schedule · outpatient · +19 other terms | 31 | $3.5k | $3.0k | $3.4k | 116% | — | $253 – $10.2k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $810 | $759 | $948 | 125% | — | $216 – $3.3k |
| 21 | MultiPlan fee schedule · outpatient · +18 other terms | 30 | $3.9k | $4.9k | $977 | 20% | — | $318 – $5.2k |
| 22 | Medica case rate · outpatient · +13 other terms | 28 | $2.9k | $3.3k | $1.2k | 37% | — | $1.1k – $6.3k |
| 23 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 27 | $265 | $1.6k | $1.5k | 93% | — | $265 – $3.4k |
| 24 | Tricare fee schedule · outpatient · +12 other terms | 27 | $3.0k | $3.0k | $1.3k | 44% | — | $1.6k – $5.4k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $4.7k | $4.5k | $1.1k | 24% | — | $375 – $6.9k |
← Hospitals reporting CPT 42335 · Snapshot 20261112T181611Z-3fa9fb76