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 Lesion Choroid Pc 1/> Sess
Low
$255
Average
$1.3k
Median
$1.1k
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.9× 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 · +32 other terms | 514 | $615 | $1.3k | $1.8k | 143% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +31 other terms | 447 | $644 | $1.6k | $2.4k | 146% | — | $1 – $21.3k |
| 3 | Humana fee schedule · outpatient · +24 other terms | 354 | $538 | $697 | $868 | 125% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 335 | $1.3k | $1.9k | $2.0k | 101% | — | $0 – $18.0k |
| 5 | Cigna case rate · outpatient · +24 other terms | 311 | $2.9k | $6.0k | $9.0k | 150% | — | $1 – $54.4k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 216 | $485 | $440 | $335 | 76% | — | $1 – $2.1k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 167 | $553 | $658 | $530 | 81% | — | $219 – $4.3k |
| 8 | Oscar case rate · outpatient · +17 other terms | 130 | $3.0k | $2.5k | $1.1k | 44% | — | $858 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +22 other terms | 122 | $1.1k | $1.5k | $1.1k | 78% | — | $266 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 95 | $798 | $1.2k | $770 | 67% | — | $438 – $4.3k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.2k | $1.9k | $578 | 31% | — | $1.2k – $3.4k |
| 12 | Ambetter fee schedule · outpatient · +13 other terms | 74 | $964 | $924 | $466 | 51% | — | $291 – $2.7k |
| 13 | Aetna Better Health fee schedule · outpatient · +16 other terms | 71 | $263 | $287 | $74 | 26% | — | $229 – $606 |
| 14 | Devoted fee schedule · outpatient · +9 other terms | 67 | $556 | $553 | $40 | 7% | — | $481 – $620 |
| 15 | Optum fee schedule · outpatient · +19 other terms | 62 | $504 | $642 | $307 | 48% | — | $437 – $2.0k |
| 16 | Caresource fee schedule · outpatient · +11 other terms | 50 | $762 | $879 | $860 | 98% | — | $1 – $4.3k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.3k | $238 | 10% | — | $824 – $2.4k |
| 18 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 32 | $437 | $377 | $153 | 41% | — | $219 – $576 |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 30 | $449 | $1.8k | $1.6k | 86% | — | $350 – $3.7k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $413 | $406 | $175 | 43% | — | $200 – $1.1k |
| 21 | Clover fee schedule · outpatient · +8 other terms | 29 | $613 | $1.1k | $1.3k | 112% | — | $532 – $4.4k |
| 22 | Medica case rate · outpatient · +14 other terms | 28 | $1.8k | $2.0k | $1.1k | 54% | — | $519 – $4.5k |
| 23 | Tricare fee schedule · outpatient · +12 other terms | 28 | $499 | $1.2k | $1.7k | 139% | — | $425 – $5.1k |
| 24 | MultiPlan fee schedule · outpatient · +18 other terms | 27 | $932 | $928 | $42 | 5% | — | $515 – $1.0k |
| 25 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $1.1k | $1.3k | $479 | 38% | — | $368 – $2.4k |
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