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 Destroy L/S Facet Jnt Addl
Low
$72
Average
$1.4k
Median
$1.1k
High
$7.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 5.5× 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 | Bcbs Mt percent of total billed charges · outpatientfrom % of charges | 1 | $849 | $849 | $264 | 31% | 312 | $573 – $1.2k |
| 2 | UnitedHealthcare case rate · outpatient · +33 other terms | 423 | $1.7k | $2.0k | $1.9k | 93% | 31–310 | $1 – $22.4k |
| 3 | Cigna case rate · outpatient · +29 other terms | 149 | $6.7k | $9.3k | $8.4k | 91% | 16–160 | $1 – $40.7k |
| 4 | Anthem fee schedule · outpatient · +23 other terms | 99 | $91 | $228 | $234 | 102% | 5–50 | $21 – $2.2k |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient · +31 other terms | 145 | $716 | $1.4k | $1.4k | 102% | 3–30 | $0 – $22k |
| 6 | Aetna case rate · outpatient · +34 other terms | 301 | $2.3k | $2.9k | $1.6k | 55% | 2–20 | $203 – $16.8k |
| 7 | Humana fee schedule · outpatient · +28 other terms | 124 | $228 | $783 | $1.4k | 180% | 2–20 | $1 – $12.8k |
| 8 | Medicaid fee schedule · outpatient · +15 other terms | 26 | $51 | $1.1k | $1.5k | 136% | 1–10 | $1 – $3.7k |
| 9 | Bcbs Id fee schedule · outpatient · +7 other terms | 4 | $4.2k | $4.5k | $674 | 15% | 1–10 | $4.2k – $5.8k |
| 10 | Oscar case rate · outpatient · +21 other terms | 128 | $2.6k | $2.6k | $680 | 26% | — | $990 – $7.5k |
| 11 | Molina case rate · outpatient · +31 other terms | 86 | $2.3k | $2.3k | $807 | 36% | — | $216 – $3.2k |
| 12 | Highmark facility · fee schedule · outpatient · +19 other terms | 52 | $64 | $1.2k | $1.2k | 103% | — | $2 – $4.7k |
| 13 | Kaiser fee schedule · outpatient · +20 other terms | 51 | $68 | $423 | $831 | 197% | — | $1 – $3.9k |
| 14 | MultiPlan fee schedule · outpatient · +20 other terms | 44 | $1.5k | $1.8k | $1.3k | 71% | — | $50 – $4.6k |
| 15 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $8.2k | $5.3k | 65% | — | $2.1k – $14.6k |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 38 | $64 | $312 | $797 | 256% | — | $48 – $3.2k |
| 17 | WellCare fee schedule · both · +16 other terms | 37 | $54 | $257 | $352 | 137% | — | $0 – $1.4k |
| 18 | Optum professional · fee schedule · outpatient · +21 other terms | 36 | $152 | $146 | $103 | 70% | — | $28 – $343 |
| 19 | Superior Healthplan case rate · outpatient · +4 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 20 | Regence professional · fee schedule · outpatient · +14 other terms | 32 | $216 | $155 | $108 | 69% | — | $47 – $602 |
| 21 | Medica fee schedule · outpatient · +22 other terms | 30 | $403 | $888 | $1.1k | 128% | — | $42 – $4.6k |
| 22 | Aetna Better Health fee schedule · outpatient · +18 other terms | 27 | $203 | $347 | $405 | 117% | — | $45 – $1.6k |
| 23 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $1.2k | $1.0k | $244 | 24% | — | $249 – $1.3k |
| 24 | Ucare professional · fee schedule · outpatient · +17 other terms | 24 | $144 | $137 | $90 | 66% | — | $32 – $343 |
| 25 | First Health fee schedule · outpatient · +23 other terms | 23 | $2.5k | $2.9k | $2.5k | 85% | — | $61 – $7.2k |
← Hospitals reporting CPT 64636 · Snapshot 20261111T120946Z-9134e7f7