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
Litholapaxy Comp/Lg > 2.5 Cm
Low
$578
Average
$4.3k
Median
$3.2k
High
$31.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 4.4× 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 | Humana fee schedule · outpatient · +28 other terms | 412 | $3.4k | $2.9k | $1.4k | 49% | 16–160 | $1 – $12.8k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 544 | $3.6k | $4.0k | $3.0k | 73% | 11–110 | $1 – $26.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 585 | $3.4k | $3.9k | $5.2k | 133% | 3–30 | $1 – $101.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 399 | $4.5k | $6.0k | $4.0k | 66% | 3–30 | $1 – $25.6k |
| 5 | Anthem fee schedule · outpatient · +23 other terms | 133 | $3.3k | $3.1k | $4.0k | 129% | 2–20 | $81 – $25.8k |
| 6 | First Health fee schedule · outpatient · +22 other terms | 36 | $3.7k | $3.0k | $2.3k | 75% | 2–20 | $445 – $7.6k |
| 7 | Bcbs Al facility · other · outpatient · +4 other terms | 3 | $2.3k | $2.4k | $228 | 10% | 2–20 | $2.2k – $2.7k |
| 8 | Cigna case rate · outpatient · +22 other terms | 348 | $3.7k | $4.6k | $4.4k | 95% | 1–10 | $1 – $30.9k |
| 9 | Optum fee schedule · outpatient · +20 other terms | 42 | $3.2k | $3.6k | $3.1k | 86% | 1–10 | $422 – $13.0k |
| 10 | Bcbs La fee schedule · outpatient · +3 other terms | 25 | $6.4k | $6.4k | $1.5k | 24% | 1–10 | $2.0k – $9.9k |
| 11 | Molina fee schedule · outpatient · +27 other terms | 244 | $2.6k | $2.3k | $2.0k | 88% | — | $1 – $13.9k |
| 12 | WellCare fee schedule · outpatient · +18 other terms | 210 | $3.6k | $3.6k | $1.3k | 36% | — | $422 – $8.1k |
| 13 | Oscar case rate · outpatient · +20 other terms | 136 | $5.6k | $5.4k | $1.6k | 31% | — | $2.4k – $10.1k |
| 14 | Kaiser fee schedule · outpatient · +22 other terms | 99 | $4.4k | $5.1k | $4.4k | 85% | — | $30 – $25.2k |
| 15 | Ambetter fee schedule · outpatient · +13 other terms | 95 | $5.7k | $4.6k | $2.5k | 55% | — | $598 – $8.5k |
| 16 | Aetna Better Health fee schedule · outpatient · +11 other terms | 79 | $1.4k | $1.6k | $985 | 62% | — | $481 – $12.1k |
| 17 | Devoted fee schedule · outpatient · +9 other terms | 79 | $3.6k | $3.2k | $1.0k | 32% | — | $435 – $3.9k |
| 18 | Healthcare Highways case rate · outpatient · +3 other terms | 76 | $3.7k | $4.2k | $1.0k | 24% | — | $1.6k – $5.5k |
| 19 | Caresource fee schedule · outpatient · +15 other terms | 64 | $3.0k | $2.6k | $1.5k | 59% | — | $1 – $6.2k |
| 20 | Highmark facility · fee schedule · outpatient · +14 other terms | 56 | $4.0k | $3.8k | $3.0k | 80% | — | $7 – $15.6k |
| 21 | Tricare fee schedule · outpatient · +20 other terms | 55 | $3.4k | $3.5k | $1.1k | 31% | — | $402 – $5.5k |
| 22 | MultiPlan fee schedule · outpatient · +22 other terms | 42 | $5.6k | $5.4k | $1.1k | 20% | — | $407 – $7.3k |
| 23 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 40 | $2.3k | $2.4k | $1.3k | 52% | — | $422 – $3.8k |
| 24 | Superior Healthplan case rate · outpatient · +6 other terms | 38 | $948 | $1.1k | $735 | 68% | — | $929 – $5.2k |
| 25 | Amerihealth Caritas case rate · outpatient · +12 other terms | 34 | $496 | $4.6k | $4.2k | 93% | — | $468 – $10.5k |
← Hospitals reporting CPT 52318 · Snapshot 20261111T120946Z-9134e7f7