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 Trluml Dilat Aqueous O/F Can WO Retention Dev/St
Low
$554
Average
$5.1k
Median
$4.5k
High
$16.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.3× 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 case rate · outpatient · +24 other terms | 439 | $9.2k | $8.8k | $4.7k | 54% | 183–264 | $1 – $36.5k |
| 2 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $8.2k | $8.2k | $1.8k | 22% | 4–40 | $2.5k – $11.4k |
| 3 | Aetna fee schedule · outpatient · +22 other terms | 442 | $4.4k | $5.7k | $5.0k | 86% | 3–30 | $79 – $53.3k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 291 | $4.0k | $3.8k | $2.1k | 54% | 2–20 | $1 – $32.5k |
| 5 | Kaiser fee schedule · outpatient · +13 other terms | 96 | $5.3k | $6.9k | $5.3k | 77% | 2–20 | $80 – $31.4k |
| 6 | Molina fee schedule · outpatient · +16 other terms | 139 | $4.1k | $4.6k | $2.3k | 49% | 1–10 | $1 – $13.0k |
| 7 | Amerihealth Caritas case rate · outpatient · +5 other terms | 31 | $700 | $7.7k | $6.7k | 88% | 1–10 | $662 – $16.0k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 330 | $6.6k | $7.7k | $4.5k | 58% | — | $1 – $29.8k |
| 9 | Cigna case rate · outpatient · +18 other terms | 311 | $7.3k | $8.8k | $5.8k | 66% | — | $785 – $40.7k |
| 10 | WellCare fee schedule · outpatient · +13 other terms | 157 | $4.2k | $4.3k | $1.5k | 34% | — | $103 – $9.4k |
| 11 | Oscar case rate · outpatient · +15 other terms | 126 | $6.6k | $7.5k | $4.3k | 57% | — | $3.3k – $17.8k |
| 12 | Anthem fee schedule · outpatient · +16 other terms | 119 | $4.3k | $4.1k | $4.9k | 119% | — | $604 – $30.2k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 14 | Ambetter fee schedule · outpatient · +7 other terms | 71 | $7.2k | $6.1k | $2.8k | 46% | — | $764 – $10.0k |
| 15 | Devoted fee schedule · outpatient · +6 other terms | 68 | $4.1k | $3.8k | $1.1k | 30% | — | $604 – $4.6k |
| 16 | Caresource fee schedule · outpatient · +9 other terms | 46 | $4.2k | $4.1k | $2.4k | 58% | — | $450 – $15.5k |
| 17 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.1k | $885 | 80% | — | $929 – $6.0k |
| 18 | Optum fee schedule · outpatient · +15 other terms | 35 | $4.0k | $4.6k | $3.6k | 80% | — | $604 – $15.3k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $5.6k | $5.8k | $2.5k | 42% | — | $3.0k – $15.8k |
| 20 | Clover fee schedule · outpatient · +6 other terms | 32 | $4.4k | $4.3k | $268 | 6% | — | $3.7k – $5.0k |
| 21 | Tricare fee schedule · outpatient · +10 other terms | 31 | $3.8k | $3.6k | $1.3k | 35% | — | $1.7k – $5.3k |
| 22 | Medica case rate · outpatient · +13 other terms | 28 | $4.0k | $4.7k | $2.2k | 48% | — | $1.6k – $10.6k |
| 23 | Medicare fee schedule · outpatient · +10 other terms | 25 | $604 | $1.8k | $2.9k | 162% | — | $548 – $15.5k |
| 24 | Aetna Better Health fee schedule · outpatient · +9 other terms | 23 | $1.7k | $2.2k | $2.5k | 115% | — | $634 – $14.6k |
| 25 | MultiPlan fee schedule · outpatient · +15 other terms | 23 | $6.5k | $6.5k | $467 | 7% | — | $730 – $7.0k |
← Hospitals reporting CPT 66174 · Snapshot 20261111T120946Z-9134e7f7