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
Elect Anlys Implt Ithcl/Edrl Pmp W/O Reprg/Refil
Low
$30
Average
$855
Median
$471
High
$7.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 12.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark case rate · outpatient · +22 other terms | 13 | $284 | $336 | $137 | 41% | 49–58 | $115 – $645 |
| 2 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 463 | $334 | $983 | $1.7k | 169% | 14–32 | $1 – $17.9k |
| 3 | Ucare professional · fee schedule · outpatient · +16 other terms | 16 | $27 | $27 | $6 | 24% | 2–20 | $14 – $38 |
| 4 | Cigna case rate · outpatient · +29 other terms | 301 | $3.7k | $5.2k | $6.1k | 116% | 1–10 | $1 – $40.7k |
| 5 | Aetna fee schedule · outpatient · +34 other terms | 459 | $354 | $1.5k | $2.8k | 187% | — | $1 – $26.6k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 353 | $336 | $1.1k | $2.2k | 201% | — | $0 – $18.0k |
| 7 | Humana fee schedule · outpatient · +28 other terms | 327 | $300 | $422 | $958 | 227% | — | $1 – $12.8k |
| 8 | WellCare fee schedule · outpatient · +19 other terms | 163 | $303 | $375 | $545 | 145% | — | $14 – $4.3k |
| 9 | Molina fee schedule · outpatient · +26 other terms | 152 | $293 | $286 | $200 | 70% | — | $1 – $1.2k |
| 10 | Oscar case rate · outpatient · +22 other terms | 130 | $2.5k | $2.6k | $751 | 29% | — | $469 – $7.5k |
| 11 | Anthem fee schedule · outpatient · +30 other terms | 127 | $205 | $200 | $750 | 375% | — | $6 – $10.0k |
| 12 | Kaiser fee schedule · outpatient · +23 other terms | 101 | $394 | $533 | $694 | 130% | — | $10 – $4.3k |
| 13 | Ambetter facility · fee schedule · outpatient · +19 other terms | 84 | $570 | $694 | $1.0k | 145% | — | $45 – $8.2k |
| 14 | Devoted fee schedule · outpatient · +16 other terms | 60 | $314 | $274 | $102 | 37% | — | $23 – $342 |
| 15 | Caresource fee schedule · outpatient · +17 other terms | 54 | $391 | $972 | $986 | 101% | — | $1 – $4.3k |
| 16 | Optum fee schedule · outpatient · +23 other terms | 51 | $275 | $284 | $234 | 82% | — | $22 – $1.1k |
| 17 | MultiPlan fee schedule · outpatient · +18 other terms | 49 | $479 | $482 | $112 | 23% | — | $28 – $1.1k |
| 18 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $7.5k | $5.3k | 71% | — | $2.1k – $14.6k |
| 19 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $928 | $86 | 9% | — | $451 – $948 |
| 20 | Medicare facility · fee schedule · outpatient · +15 other terms | 32 | $317 | $1.6k | $3.6k | 227% | — | $29 – $22k |
| 21 | Amerihealth Caritas case rate · outpatient · +13 other terms | 31 | $482 | $1.6k | $1.4k | 83% | — | $96 – $3.3k |
| 22 | Clover fee schedule · outpatient · +11 other terms | 31 | $335 | $868 | $1.3k | 152% | — | $277 – $4.4k |
| 23 | Medica facility · fee schedule · outpatient · +20 other terms | 29 | $307 | $266 | $227 | 85% | — | $14 – $1.3k |
| 24 | Bcbs Tx fee schedule · outpatient · +5 other terms | 27 | $147 | $143 | $68 | 47% | — | $42 – $304 |
| 25 | Highmark facility · fee schedule · outpatient · +17 other terms | 26 | $505 | $987 | $1.3k | 127% | — | $19 – $5.0k |
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