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
Dstrj Loclzd Les Retina 1/> Sess Pc
Low
$462
Average
$1.4k
Median
$1.1k
High
$4.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 4.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +32 other terms | 471 | $659 | $2.6k | $5.0k | 190% | 7–70 | $1 – $53.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 540 | $613 | $1.2k | $1.6k | 130% | 4–40 | $1 – $17.9k |
| 3 | Medicaid fee schedule · outpatient · +12 other terms | 22 | $345 | $362 | $326 | 90% | 2–20 | $1 – $1.3k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 366 | $541 | $752 | $950 | 126% | — | $1 – $12.8k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 355 | $1.3k | $1.9k | $1.9k | 101% | — | $0 – $18.0k |
| 6 | Cigna case rate · outpatient · +25 other terms | 313 | $3.0k | $6.1k | $9.0k | 147% | — | $1 – $54.4k |
| 7 | Molina fee schedule · outpatient · +24 other terms | 220 | $505 | $448 | $336 | 75% | — | $1 – $2.3k |
| 8 | WellCare fee schedule · outpatient · +15 other terms | 175 | $561 | $658 | $503 | 77% | — | $219 – $4.3k |
| 9 | Oscar case rate · outpatient · +18 other terms | 137 | $3.2k | $2.9k | $1.3k | 46% | — | $858 – $7.5k |
| 10 | Anthem fee schedule · outpatient · +23 other terms | 129 | $825 | $1.5k | $2.0k | 134% | — | $266 – $14.9k |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 99 | $783 | $1.1k | $776 | 72% | — | $85 – $4.3k |
| 12 | Ambetter fee schedule · outpatient · +13 other terms | 78 | $964 | $949 | $447 | 47% | — | $276 – $2.7k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.2k | $1.9k | $578 | 31% | — | $1.2k – $3.4k |
| 14 | Aetna Better Health fee schedule · outpatient · +17 other terms | 73 | $263 | $297 | $98 | 33% | — | $229 – $890 |
| 15 | Devoted fee schedule · outpatient · +9 other terms | 68 | $559 | $554 | $40 | 7% | — | $481 – $620 |
| 16 | Optum fee schedule · outpatient · +20 other terms | 57 | $502 | $1.1k | $2.3k | 217% | — | $437 – $14.5k |
| 17 | Caresource fee schedule · outpatient · +12 other terms | 52 | $762 | $988 | $685 | 69% | — | $1 – $4.3k |
| 18 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.3k | $238 | 10% | — | $824 – $2.4k |
| 19 | Tricare fee schedule · outpatient · +15 other terms | 37 | $510 | $1.0k | $1.5k | 138% | — | $425 – $5.1k |
| 20 | MultiPlan fee schedule · outpatient · +19 other terms | 34 | $932 | $924 | $96 | 10% | — | $515 – $2.0k |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 33 | $437 | $383 | $155 | 40% | — | $219 – $586 |
| 22 | Amerihealth Caritas case rate · outpatient · +9 other terms | 30 | $882 | $2.1k | $1.4k | 66% | — | $723 – $3.7k |
| 23 | Clover fee schedule · outpatient · +8 other terms | 30 | $613 | $1.1k | $1.3k | 112% | — | $532 – $4.4k |
| 24 | Bcbs Tx fee schedule · outpatient · +2 other terms | 29 | $406 | $402 | $177 | 44% | — | $200 – $1.1k |
| 25 | Medica case rate · outpatient · +14 other terms | 28 | $1.8k | $2.0k | $1.0k | 52% | — | $519 – $4.5k |
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