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
43520 - PF Pyloromyotomy Cutting Pyloric Musc
Low
$170
Average
$3.0k
Median
$2.3k
High
$9.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 9.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +24 other terms | 373 | $4.6k | $6.2k | $4.8k | 78% | — | $1 – $30k |
| 2 | Cigna case rate · outpatient · +19 other terms | 223 | $6.8k | $11.5k | $8.4k | 73% | — | $1 – $40.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 196 | $5.3k | $8.0k | $6.6k | 82% | — | $0 – $33.7k |
| 4 | Aetna case rate · outpatient · +21 other terms | 165 | $4.2k | $5.8k | $4.0k | 69% | — | $639 – $18.7k |
| 5 | Humana fee schedule · outpatient · +21 other terms | 105 | $699 | $2.1k | $1.7k | 84% | — | $603 – $8.3k |
| 6 | Anthem fee schedule · outpatient · +18 other terms | 87 | $749 | $2.1k | $2.6k | 125% | — | $484 – $14.0k |
| 7 | Molina case rate · outpatient · +15 other terms | 84 | $2.6k | $3.9k | $4.5k | 115% | — | $264 – $20.2k |
| 8 | Oscar case rate · outpatient · +13 other terms | 57 | $3.6k | $4.4k | $1.4k | 32% | — | $3.3k – $7.3k |
| 9 | Healthcare Highways case rate · outpatient | 53 | $5.8k | $8.3k | $5.0k | 60% | — | $2.1k – $14.6k |
| 10 | WellCare facility · case rate · outpatient · +11 other terms | 45 | $12.6k | $9.9k | $6.9k | 69% | — | $633 – $19.0k |
| 11 | Kaiser fee schedule · outpatient · +14 other terms | 37 | $685 | $671 | $229 | 34% | — | $484 – $1.9k |
| 12 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 13 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $1.1k | $1.1k | $474 | 41% | — | $561 – $3.0k |
| 14 | Regence professional · fee schedule · outpatient · +6 other terms | 28 | $325 | $807 | $644 | 80% | — | $107 – $2.2k |
| 15 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $9.0k | $8.7k | $2.3k | 26% | — | $1.7k – $12.7k |
| 16 | Medica case rate · outpatient · +9 other terms | 25 | $2.3k | $1.9k | $596 | 32% | — | $671 – $2.9k |
| 17 | Devoted fee schedule · outpatient · +7 other terms | 22 | $699 | $695 | $11 | 2% | — | $677 – $732 |
| 18 | Caresource facility · case rate · outpatient · +11 other terms | 21 | $2.7k | $3.7k | $4.4k | 120% | — | $633 – $21.5k |
| 19 | Aetna Better Health fee schedule · outpatient · +9 other terms | 20 | $662 | $758 | $591 | 78% | — | $487 – $2.8k |
| 20 | Ambetter facility · case rate · outpatient · +10 other terms | 18 | $30.5k | $24.9k | $12.3k | 49% | — | $793 – $34.6k |
| 21 | Medicare fee schedule · outpatient · +8 other terms | 18 | $685 | $672 | $18 | 3% | — | $621 – $699 |
| 22 | Optum facility · case rate · outpatient · +8 other terms | 18 | $2.6k | $5.1k | $4.7k | 92% | — | $686 – $14.7k |
| 23 | Highmark fee schedule · outpatient · +9 other terms | 13 | $780 | $847 | $442 | 52% | — | $386 – $5.1k |
| 24 | MultiPlan fee schedule · both · +14 other terms | 13 | $1.3k | $1.2k | $406 | 33% | — | $503 – $2.3k |
| 25 | Wellmark fee schedule · both · +9 other terms | 13 | $1.3k | $1.3k | $372 | 30% | — | $640 – $1.6k |
← Hospitals reporting CPT 43520 · Snapshot 20261113T090226Z-3ce6c0b8