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
Xcapsl Ctrc Rmvl Insj Io Lens Prosth Insj 1+
Low
$1
Average
$4.9k
Median
$5.2k
High
$22k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
372 hospitals; the 90th percentile is 4.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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422 hospital rates
iThe hospitals that file a WellCare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 2 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · outpatient | 1 | $371 | $371 | — | — | 1–10 | $371 – $371 |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $5.8k | $5.8k | $134 | 2% | — | $5.6k – $5.9k |
| 5 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $695 | $695 | $253 | 36% | — | $442 – $948 |
| 8 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 9 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 10 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 11 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 12 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 14 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 15 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $563 | $563 | — | — | — | $563 – $563 |
| 16 | Baptist Health Medical Center - Little Rock Rock, AR fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 17 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 18 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 19 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 20 | Betsy Johnson Hospital Dunn, NC facility · other · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 23 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $695 | $695 | $253 | 36% | — | $442 – $948 |
| 24 | Boston Medical Center Boston, MA other · both | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
← Payers reporting CPT 66991 · Snapshot 20261111T120946Z-9134e7f7