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
Closure Salivary Fistula
Low
$443
Average
$2.9k
Median
$2.7k
High
$8.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 4.8× 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 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 487 | $3.2k | $3.2k | $3.9k | 121% | — | $134 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 437 | $3.3k | $3.6k | $2.6k | 72% | — | $79 – $22.2k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 348 | $3.2k | $2.6k | $1.4k | 53% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 330 | $4.3k | $5.4k | $3.7k | 67% | — | $1 – $24.3k |
| 5 | Cigna case rate · outpatient · +17 other terms | 308 | $3.1k | $5.0k | $6.5k | 132% | — | $678 – $40.7k |
| 6 | Molina fee schedule · outpatient · +14 other terms | 214 | $1.6k | $1.8k | $1.7k | 91% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +9 other terms | 162 | $3.4k | $3.4k | $1.2k | 35% | — | $310 – $7.6k |
| 8 | Oscar case rate · outpatient · +12 other terms | 137 | $4.0k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 125 | $2.6k | $2.7k | $4.0k | 147% | — | $226 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 94 | $4.1k | $5.1k | $4.0k | 79% | — | $318 – $22.4k |
| 11 | Ambetter fee schedule · outpatient · +8 other terms | 76 | $5.7k | $4.1k | $2.7k | 65% | — | $678 – $8.0k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.4k | $2.7k | $590 | 22% | — | $1.1k – $4.3k |
| 13 | Devoted fee schedule · outpatient · +5 other terms | 68 | $3.3k | $3.0k | $964 | 32% | — | $350 – $3.7k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 64 | $1.1k | $1.1k | $396 | 35% | — | $359 – $3.0k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 52 | $2.6k | $2.3k | $1.5k | 66% | — | $231 – $5.7k |
| 16 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 17 | Optum fee schedule · outpatient · +12 other terms | 35 | $3.2k | $3.6k | $3.0k | 81% | — | $350 – $12.2k |
| 18 | MultiPlan case rate · outpatient · +15 other terms | 34 | $2.8k | $5.3k | $3.4k | 65% | — | $700 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $370 | $3.4k | $2.5k | 74% | — | $350 – $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 | Medica case rate · outpatient · +9 other terms | 28 | $2.8k | $2.5k | $681 | 27% | — | $977 – $3.2k |
| 23 | Tricare fee schedule · outpatient · +10 other terms | 28 | $3.0k | $2.9k | $1.3k | 47% | — | $364 – $5.4k |
| 24 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $931 | $2.0k | $1.1k | 59% | — | $931 – $3.4k |
| 25 | First Health fee schedule · outpatient · +15 other terms | 27 | $3.5k | $3.0k | $2.4k | 79% | — | $516 – $7.2k |
← Hospitals reporting CPT 42600 · Snapshot 20261112T181611Z-3fa9fb76