CPT 64891
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
NRV GRF 1STRND HND/FOOT >4CM
Low
$1.4k
Average
$6.0k
Median
$5.6k
High
$18.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 3.3× 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 · +20 other terms | 469 | $6.4k | $7.8k | $8.7k | 112% | — | $160 – $188.2k |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 413 | $7.4k | $7.7k | $5.4k | 70% | — | $79 – $43.8k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 335 | $6.2k | $5.8k | $2.9k | 51% | — | $1 – $25.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 326 | $10.0k | $11.1k | $6.5k | 59% | — | $1 – $60.3k |
| 5 | Cigna case rate · outpatient · +15 other terms | 308 | $3.7k | $5.3k | $5.7k | 108% | — | $872 – $40.7k |
| 6 | Molina fee schedule · outpatient · +13 other terms | 203 | $3.7k | $4.6k | $4.1k | 88% | — | $1 – $20.3k |
| 7 | WellCare fee schedule · outpatient · +8 other terms | 154 | $6.4k | $6.4k | $3.3k | 51% | — | $200 – $15.0k |
| 8 | Oscar case rate · outpatient · +12 other terms | 137 | $7.2k | $7.0k | $2.2k | 32% | — | $3.1k – $13.8k |
| 9 | Anthem fee schedule · outpatient · +14 other terms | 123 | $6.1k | $6.5k | $9.1k | 141% | — | $708 – $64.2k |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 93 | $8.1k | $11.6k | $9.8k | 84% | — | $708 – $48.6k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.2k | 17% | — | $1.6k – $8.6k |
| 12 | Aetna Better Health fee schedule · outpatient · +9 other terms | 70 | $3.3k | $3.2k | $748 | 24% | — | $491 – $6.0k |
| 13 | Ambetter fee schedule · outpatient · +6 other terms | 69 | $11.8k | $9.7k | $7.2k | 74% | — | $1.2k – $21.2k |
| 14 | Devoted fee schedule · outpatient · +6 other terms | 67 | $6.9k | $7.1k | $2.4k | 34% | — | $1.1k – $9.8k |
| 15 | Superior Healthplan case rate · outpatient · +2 other terms | 38 | $948 | $1.2k | $1.5k | 124% | — | $929 – $9.6k |
| 16 | Caresource fee schedule · outpatient · +9 other terms | 37 | $3.7k | $6.0k | $3.7k | 61% | — | $3.5k – $15.0k |
| 17 | MultiPlan case rate · outpatient · +13 other terms | 34 | $4.0k | $5.5k | $2.9k | 52% | — | $869 – $11.5k |
| 18 | Optum fee schedule · outpatient · +8 other terms | 34 | $8.0k | $9.5k | $7.9k | 84% | — | $1.1k – $32.4k |
| 19 | Amerihealth Caritas case rate · outpatient · +5 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 | $3.7k | 47% | — | $2.6k – $22.9k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 29 | $7.1k | $6.9k | $1.7k | 24% | — | $3.5k – $9.9k |
| 22 | Medica case rate · outpatient · +8 other terms | 28 | $4.0k | $5.0k | $2.3k | 45% | — | $1.6k – $10.6k |
| 23 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $2.7k | $4.4k | $1.8k | 42% | — | $2.7k – $6.7k |
| 24 | Tricare fee schedule · outpatient · +9 other terms | 27 | $8.0k | $13.1k | $16.3k | 125% | — | $3.3k – $50k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $8.7k | $8.7k | $2.2k | 25% | — | $2.8k – $14.6k |
← Hospitals reporting CPT 64891 · Snapshot 20261113T090226Z-3ce6c0b8