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
Rpr Retinal Dtchmnt Injection Air/Other Gas
Low
$796
Average
$3.1k
Median
$2.6k
High
$10.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.6× 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 · +30 other terms | 506 | $2.3k | $3.1k | $3.5k | 113% | — | $1 – $67.0k |
| 2 | Aetna fee schedule · outpatient · +30 other terms | 436 | $2.5k | $3.5k | $3.6k | 103% | — | $1 – $33.6k |
| 3 | Humana fee schedule · outpatient · +23 other terms | 343 | $2.2k | $2.0k | $1.2k | 61% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 341 | $3.4k | $4.1k | $3.2k | 76% | — | $0 – $39.1k |
| 5 | Cigna case rate · outpatient · +23 other terms | 231 | $7.2k | $13.6k | $10.1k | 74% | — | $1 – $54.4k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 217 | $1.6k | $1.3k | $1.3k | 103% | — | $1 – $8.3k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 163 | $2.3k | $2.3k | $963 | 43% | — | $434 – $5.3k |
| 8 | Oscar case rate · outpatient · +18 other terms | 137 | $5.6k | $5.3k | $1.7k | 32% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 124 | $2.8k | $3.0k | $3.2k | 104% | — | $498 – $16.9k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 95 | $2.9k | $3.7k | $2.7k | 73% | — | $713 – $17.0k |
| 11 | Ambetter fee schedule · outpatient · +11 other terms | 79 | $4.0k | $3.4k | $1.9k | 56% | — | $504 – $7.5k |
| 12 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $3.7k | $4.1k | $934 | 23% | — | $2.7k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +15 other terms | 71 | $522 | $626 | $341 | 55% | — | $455 – $2.6k |
| 14 | Devoted fee schedule · outpatient · +9 other terms | 69 | $2.4k | $2.2k | $507 | 23% | — | $784 – $2.6k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 53 | $2.3k | $2.9k | $1.4k | 51% | — | $1 – $4.0k |
| 16 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.4k | $166 | 7% | — | $2.3k – $3.4k |
| 17 | Optum fee schedule · outpatient · +18 other terms | 43 | $2.1k | $2.9k | $3.1k | 106% | — | $711 – $15.3k |
| 18 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 32 | $711 | $1.2k | $866 | 74% | — | $434 – $2.4k |
| 19 | Clover fee schedule · outpatient · +7 other terms | 31 | $2.5k | $2.4k | $148 | 6% | — | $2.1k – $2.7k |
| 20 | Bcbs Tx fee schedule · outpatient · +3 other terms | 29 | $979 | $932 | $579 | 62% | — | $397 – $2.3k |
| 21 | Tricare fee schedule · outpatient · +13 other terms | 29 | $2.1k | $2.5k | $1.2k | 50% | — | $752 – $5.3k |
| 22 | Medica case rate · outpatient · +15 other terms | 28 | $3.7k | $3.2k | $1.4k | 43% | — | $128 – $6.3k |
| 23 | Medicare fee schedule · outpatient · +13 other terms | 27 | $784 | $1.4k | $792 | 55% | — | $713 – $2.6k |
| 24 | MultiPlan fee schedule · outpatient · +17 other terms | 27 | $3.7k | $3.7k | $336 | 9% | — | $1.7k – $3.7k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $4.4k | $4.8k | $1.5k | 32% | — | $729 – $8.6k |
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