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 Sutr Prph Nvr Arm/Leg Xcp Sciatic W/O Trpos
Low
$1.2k
Average
$5.1k
Median
$4.3k
High
$14.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 3.9× 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 · +28 other terms | 508 | $5.4k | $5.9k | $7.5k | 126% | — | $96 – $188.2k |
| 2 | Aetna fee schedule · outpatient · +26 other terms | 451 | $4.2k | $5.2k | $4.6k | 89% | — | $1 – $43.8k |
| 3 | Humana fee schedule · outpatient · +24 other terms | 352 | $3.8k | $4.2k | $2.2k | 51% | — | $1 – $14.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 350 | $7.3k | $9.2k | $5.9k | 64% | — | $1 – $48.8k |
| 5 | Cigna case rate · outpatient · +21 other terms | 312 | $3.7k | $5.3k | $5.7k | 108% | — | $488 – $40.7k |
| 6 | Molina fee schedule · outpatient · +17 other terms | 216 | $3.2k | $3.1k | $1.9k | 62% | — | $1 – $10.3k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 170 | $4.2k | $4.7k | $2.7k | 57% | — | $183 – $15.0k |
| 8 | Oscar case rate · outpatient · +15 other terms | 137 | $7.2k | $7.0k | $2.2k | 32% | — | $3.1k – $13.8k |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 129 | $5.8k | $5.2k | $5.8k | 111% | — | $743 – $38.3k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 98 | $6.4k | $7.5k | $7.6k | 101% | — | $156 – $48.6k |
| 11 | Ambetter fee schedule · outpatient · +10 other terms | 79 | $5.7k | $5.2k | $3.2k | 61% | — | $1.2k – $14.7k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.2k | 17% | — | $1.6k – $8.6k |
| 13 | Aetna Better Health fee schedule · outpatient · +9 other terms | 71 | $2.5k | $2.5k | $705 | 28% | — | $491 – $6.0k |
| 14 | Devoted fee schedule · outpatient · +6 other terms | 68 | $3.7k | $4.4k | $2.0k | 44% | — | $1.0k – $7.2k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 54 | $3.0k | $3.0k | $1.4k | 48% | — | $522 – $6.5k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.2k | $1.5k | 124% | — | $929 – $9.6k |
| 17 | Optum fee schedule · outpatient · +13 other terms | 36 | $3.2k | $4.2k | $3.0k | 70% | — | $1.0k – $12.6k |
| 18 | MultiPlan case rate · outpatient · +18 other terms | 34 | $4.0k | $5.5k | $2.9k | 52% | — | $869 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $496 | $5.4k | $4.7k | 86% | — | $468 – $11.4k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $8.1k | $7.9k | $3.8k | 48% | — | $2.0k – $22.9k |
| 21 | Clover fee schedule · outpatient · +7 other terms | 30 | $7.0k | $5.5k | $1.8k | 32% | — | $3.3k – $7.5k |
| 22 | Tricare fee schedule · outpatient · +11 other terms | 29 | $3.3k | $4.0k | $1.2k | 30% | — | $2.8k – $6.3k |
| 23 | Medica case rate · outpatient · +10 other terms | 28 | $4.0k | $5.0k | $2.3k | 45% | — | $1.6k – $10.6k |
| 24 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 27 | $2.1k | $4.0k | $2.1k | 53% | — | $2.1k – $6.7k |
| 25 | Bcbs La fee schedule · outpatient · +3 other terms | 26 | $8.3k | $8.3k | $1.8k | 21% | — | $2.8k – $11.7k |
← Hospitals reporting CPT 64857 · Snapshot 20261112T181611Z-3fa9fb76