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 Prtd Xtroral/Comp Intraoral
Low
$311
Average
$3.5k
Median
$2.8k
High
$39.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.1× 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 · +25 other terms | 444 | $3.4k | $3.8k | $2.8k | 74% | 1–10 | $78 – $26.6k |
| 2 | Humana fee schedule · outpatient · +21 other terms | 353 | $3.2k | $2.7k | $1.4k | 52% | 1–10 | $1 – $12.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 336 | $4.3k | $5.5k | $3.7k | 68% | 1–10 | $1 – $24.3k |
| 4 | Anthem fee schedule · outpatient · +16 other terms | 124 | $2.5k | $2.7k | $4.0k | 147% | 1–10 | $291 – $24.3k |
| 5 | Kaiser fee schedule · outpatient · +11 other terms | 94 | $4.1k | $5.0k | $4.0k | 80% | 1–10 | $291 – $22.4k |
| 6 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 494 | $3.2k | $3.2k | $3.9k | 120% | — | $1 – $95.3k |
| 7 | Cigna case rate · outpatient · +20 other terms | 313 | $3.7k | $5.5k | $6.4k | 116% | — | $488 – $40.7k |
| 8 | Molina fee schedule · outpatient · +14 other terms | 216 | $1.6k | $1.8k | $1.7k | 90% | — | $1 – $7.7k |
| 9 | WellCare fee schedule · outpatient · +12 other terms | 163 | $3.4k | $3.4k | $1.2k | 36% | — | $300 – $7.6k |
| 10 | Oscar case rate · outpatient · +14 other terms | 137 | $4.0k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 11 | Ambetter fee schedule · outpatient · +7 other terms | 82 | $5.6k | $4.3k | $2.8k | 65% | — | $113 – $11.5k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.4k | $2.7k | $576 | 21% | — | $1.6k – $4.3k |
| 13 | Devoted fee schedule · outpatient · +7 other terms | 69 | $3.4k | $3.0k | $963 | 32% | — | $339 – $3.7k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 65 | $1.1k | $1.2k | $446 | 38% | — | $346 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 51 | $2.6k | $2.3k | $1.5k | 68% | — | $1.2k – $5.7k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 17 | Optum fee schedule · outpatient · +13 other terms | 36 | $3.2k | $3.6k | $2.9k | 81% | — | $339 – $12.2k |
| 18 | MultiPlan case rate · outpatient · +19 other terms | 34 | $4.0k | $5.9k | $3.1k | 52% | — | $869 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $496 | $3.4k | $2.5k | 72% | — | $468 – $6.3k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.9k | $3.8k | $1.8k | 48% | — | $887 – $10.9k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 22 | First Health fee schedule · outpatient · +17 other terms | 29 | $3.5k | $2.9k | $2.4k | 84% | — | $359 – $7.6k |
| 23 | Medica case rate · outpatient · +10 other terms | 28 | $2.8k | $2.5k | $681 | 27% | — | $977 – $3.2k |
| 24 | Tricare fee schedule · outpatient · +11 other terms | 28 | $3.0k | $3.0k | $1.3k | 43% | — | $1.6k – $5.4k |
| 25 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $931 | $2.0k | $1.1k | 59% | — | $931 – $3.4k |
← Hospitals reporting CPT 42340 · Snapshot 20261112T181611Z-3fa9fb76