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
HB Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra
Low
$412
Average
$4.0k
Median
$3.1k
High
$18.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 4.1× 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 fee schedule · outpatient · +31 other terms | 562 | $3.4k | $4.2k | $4.8k | 114% | 8–80 | $12 – $101.1k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 502 | $3.5k | $3.7k | $2.7k | 73% | 2–20 | $79 – $23.5k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 393 | $3.4k | $2.9k | $1.3k | 44% | 2–20 | $1 – $10.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 388 | $4.4k | $5.8k | $4.2k | 72% | 2–20 | $1 – $24.9k |
| 5 | Cigna case rate · outpatient · +23 other terms | 347 | $3.2k | $5.2k | $7.0k | 133% | 1–10 | $82 – $41.0k |
| 6 | Molina fee schedule · outpatient · +26 other terms | 237 | $2.5k | $2.7k | $1.5k | 55% | 1–10 | $1 – $9.2k |
| 7 | Anthem fee schedule · outpatient · +26 other terms | 131 | $2.5k | $2.8k | $4.1k | 145% | 1–10 | $195 – $25.6k |
| 8 | Highmark facility · fee schedule · outpatient · +16 other terms | 53 | $4.0k | $3.9k | $3.4k | 88% | 1–10 | $5 – $15.6k |
| 9 | Bcbs La fee schedule · outpatient · +3 other terms | 25 | $10.7k | $10.3k | $2.9k | 28% | 1–10 | $2.1k – $15.5k |
| 10 | Bcbs Al facility · other · outpatient · +5 other terms | 3 | $5.5k | $5.7k | $550 | 10% | 1–10 | $5.2k – $6.5k |
| 11 | WellCare fee schedule · outpatient · +17 other terms | 200 | $3.6k | $3.6k | $1.2k | 35% | — | $177 – $8.1k |
| 12 | Oscar case rate · outpatient · +21 other terms | 136 | $5.6k | $5.2k | $1.6k | 30% | — | $2.4k – $10.1k |
| 13 | Kaiser fee schedule · outpatient · +20 other terms | 98 | $4.4k | $4.8k | $4.5k | 95% | — | $15 – $25.5k |
| 14 | Ambetter fee schedule · outpatient · +15 other terms | 88 | $5.8k | $4.5k | $2.7k | 60% | — | $220 – $9.4k |
| 15 | Devoted fee schedule · outpatient · +12 other terms | 76 | $3.5k | $3.1k | $1.1k | 36% | — | $291 – $3.9k |
| 16 | Healthcare Highways case rate · outpatient · +3 other terms | 76 | $5.1k | $5.5k | $724 | 13% | — | $1.1k – $6.3k |
| 17 | Aetna Better Health fee schedule · outpatient · +14 other terms | 72 | $2.6k | $2.6k | $955 | 37% | — | $314 – $12.1k |
| 18 | Caresource fee schedule · outpatient · +14 other terms | 62 | $2.7k | $2.5k | $1.5k | 60% | — | $310 – $6.0k |
| 19 | Tricare fee schedule · outpatient · +15 other terms | 44 | $3.3k | $3.2k | $1.1k | 35% | — | $295 – $5.5k |
| 20 | Optum fee schedule · outpatient · +19 other terms | 43 | $3.2k | $3.1k | $3.0k | 95% | — | $291 – $12.9k |
| 21 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.1k | $724 | 68% | — | $929 – $5.2k |
| 22 | Regence professional · fee schedule · outpatient · +17 other terms | 36 | $290 | $447 | $306 | 69% | — | $134 – $1.2k |
| 23 | Amerihealth Caritas case rate · outpatient · +13 other terms | 35 | $370 | $4.4k | $4.3k | 98% | — | $350 – $10.5k |
| 24 | MultiPlan fee schedule · outpatient · +19 other terms | 35 | $5.1k | $5.2k | $934 | 18% | — | $296 – $7.3k |
| 25 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $4.6k | $4.6k | $2.1k | 46% | — | $2.1k – $13.1k |
← Hospitals reporting CPT 63688 · Snapshot 20261111T120946Z-9134e7f7