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
Pyelotomy With Removal Calculus
Low
$770
Average
$4.0k
Median
$2.9k
High
$16.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 8.1× 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 | UnitedHealthcare case rate · outpatient · +22 other terms | 369 | $4.4k | $6.3k | $4.8k | 75% | 2–20 | $1 – $30k |
| 2 | Cigna case rate · outpatient · +16 other terms | 225 | $7.1k | $11.9k | $8.4k | 71% | — | $1 – $40.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 202 | $7.5k | $10.9k | $8.6k | 79% | — | $0 – $36.5k |
| 4 | Aetna case rate · outpatient · +21 other terms | 170 | $4.2k | $6.0k | $4.1k | 68% | — | $678 – $18.7k |
| 5 | Humana fee schedule · outpatient · +16 other terms | 102 | $1.0k | $2.8k | $2.3k | 84% | — | $859 – $8.3k |
| 6 | Anthem fee schedule · outpatient · +14 other terms | 87 | $1.4k | $3.3k | $3.7k | 112% | — | $938 – $20.1k |
| 7 | Molina case rate · outpatient · +11 other terms | 84 | $2.6k | $3.9k | $4.5k | 115% | — | $264 – $20.2k |
| 8 | Oscar case rate · outpatient · +12 other terms | 57 | $3.6k | $4.5k | $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 · +10 other terms | 45 | $12.6k | $10.0k | $6.7k | 67% | — | $891 – $19.0k |
| 11 | Kaiser fee schedule · outpatient · +10 other terms | 41 | $990 | $1.1k | $366 | 35% | — | $40 – $2.3k |
| 12 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 13 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $1.7k | $1.7k | $710 | 41% | — | $840 – $4.5k |
| 14 | Medica case rate · outpatient · +8 other terms | 25 | $2.2k | $1.9k | $563 | 30% | — | $671 – $2.9k |
| 15 | Caresource facility · case rate · outpatient · +10 other terms | 21 | $1.9k | $3.2k | $4.5k | 139% | — | $938 – $21.5k |
| 16 | Devoted fee schedule · outpatient · +6 other terms | 21 | $1.0k | $1.0k | $10 | 1% | — | $990 – $1.0k |
| 17 | Regence professional · fee schedule · outpatient · +2 other terms | 21 | $827 | $863 | $571 | 66% | — | $159 – $2.5k |
| 18 | Bcbs La fee schedule · outpatient · +1 other terms | 20 | $4.2k | $4.2k | $1.4k | 33% | — | $2.6k – $10.2k |
| 19 | Aetna Better Health fee schedule · outpatient · +7 other terms | 18 | $955 | $786 | $250 | 32% | — | $541 – $1.1k |
| 20 | Ambetter facility · case rate · outpatient · +10 other terms | 18 | $30.5k | $25.0k | $12.1k | 48% | — | $1.1k – $34.6k |
| 21 | Medicare fee schedule · outpatient · +7 other terms | 18 | $990 | $971 | $23 | 2% | — | $918 – $1.0k |
| 22 | Optum facility · case rate · outpatient · +7 other terms | 18 | $1.8k | $4.6k | $4.9k | 106% | — | $1.0k – $14.7k |
| 23 | MultiPlan fee schedule · both · +10 other terms | 13 | $1.9k | $1.8k | $574 | 32% | — | $670 – $3.2k |
| 24 | Wellmark fee schedule · both · +5 other terms | 13 | $1.8k | $1.8k | $521 | 29% | — | $952 – $2.3k |
| 25 | Amerihealth Caritas fee schedule · both · +6 other terms | 12 | $871 | $871 | — | — | — | $871 – $871 |
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