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
Urethroplasty 1st Stg Fistula/Diverticulum/Strix
Low
$1.0k
Average
$4.7k
Median
$4.3k
High
$13.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 3.6× 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 · +24 other terms | 506 | $5.1k | $5.6k | $6.6k | 117% | 1–10 | $90 – $149.4k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 462 | $5.4k | $6.0k | $4.3k | 71% | 1–10 | $79 – $37.3k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 356 | $5.0k | $4.3k | $2.1k | 48% | 1–10 | $1 – $15.5k |
| 4 | Molina fee schedule · outpatient · +15 other terms | 216 | $2.9k | $3.1k | $2.6k | 84% | 1–10 | $1 – $12.4k |
| 5 | Carefirst fee schedule · both · +3 other terms | 7 | $8.3k | $7.1k | $1.9k | 27% | 1–10 | $3.9k – $8.4k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 344 | $7.0k | $8.6k | $5.0k | 59% | — | $1 – $39.1k |
| 7 | Cigna case rate · outpatient · +17 other terms | 312 | $6.3k | $7.1k | $5.6k | 78% | — | $1.1k – $40.7k |
| 8 | WellCare fee schedule · outpatient · +11 other terms | 169 | $5.4k | $5.4k | $2.0k | 38% | — | $137 – $11.9k |
| 9 | Oscar case rate · outpatient · +16 other terms | 137 | $7.2k | $7.1k | $2.0k | 28% | — | $3.1k – $13.8k |
| 10 | Anthem fee schedule · outpatient · +18 other terms | 125 | $4.8k | $4.7k | $6.1k | 129% | — | $484 – $39.2k |
| 11 | Kaiser fee schedule · outpatient · +13 other terms | 95 | $6.5k | $8.2k | $6.5k | 80% | — | $484 – $37.0k |
| 12 | Ambetter fee schedule · outpatient · +10 other terms | 82 | $8.5k | $6.5k | $4.2k | 65% | — | $1.0k – $13.4k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $5.1k | $5.5k | $651 | 12% | — | $2.0k – $6.3k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 70 | $2.1k | $2.1k | $553 | 26% | — | $561 – $4.8k |
| 15 | Devoted fee schedule · outpatient · +7 other terms | 69 | $5.3k | $4.9k | $1.5k | 30% | — | $772 – $6.0k |
| 16 | Caresource fee schedule · outpatient · +10 other terms | 55 | $4.1k | $3.9k | $2.3k | 60% | — | $1.9k – $9.2k |
| 17 | Optum fee schedule · outpatient · +14 other terms | 40 | $4.9k | $5.3k | $4.6k | 87% | — | $721 – $19.8k |
| 18 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.2k | $1.2k | 101% | — | $929 – $7.6k |
| 19 | MultiPlan case rate · outpatient · +18 other terms | 34 | $5.7k | $6.8k | $2.7k | 40% | — | $965 – $11.5k |
| 20 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $567 | $5.5k | $4.6k | 83% | — | $536 – $11.4k |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $6.3k | $6.1k | $2.9k | 47% | — | $1.7k – $17.6k |
| 22 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 32 | $1.8k | $2.9k | $1.8k | 62% | — | $721 – $5.3k |
| 23 | First Health fee schedule · outpatient · +17 other terms | 32 | $5.6k | $4.8k | $3.1k | 65% | — | $765 – $10.9k |
| 24 | Clover fee schedule · outpatient · +6 other terms | 31 | $5.6k | $5.5k | $290 | 5% | — | $4.8k – $6.0k |
| 25 | Medica case rate · outpatient · +11 other terms | 28 | $3.5k | $4.1k | $1.6k | 39% | — | $1.4k – $8.2k |
← Hospitals reporting CPT 53400 · Snapshot 20261112T181611Z-3fa9fb76