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
HC MECH REMOVAL INTRALUMINAL OBSTRUCTIVE MATERIAL W/ S&I
Low
$0
Average
$432
Median
$290
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 11.2× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +31 other terms | 345 | $198 | $456 | $670 | 147% | — | $1 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 269 | $174 | $205 | $197 | 96% | — | $0 – $2.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 208 | $160 | $242 | $411 | 170% | — | $1 – $5.2k |
| 4 | Humana fee schedule · outpatient · +22 other terms | 173 | $143 | $322 | $593 | 184% | — | $1 – $4.0k |
| 5 | Anthem fee schedule · outpatient · +22 other terms | 124 | $187 | $185 | $159 | 86% | — | $17 – $1.6k |
| 6 | Cigna fee schedule · outpatient · +27 other terms | 90 | $180 | $994 | $2.3k | 227% | — | $24 – $11.1k |
| 7 | MultiPlan fee schedule · outpatient · +18 other terms | 65 | $775 | $1.1k | $1.5k | 139% | — | $26 – $5.9k |
| 8 | Molina fee schedule · outpatient · +25 other terms | 61 | $94 | $198 | $220 | 111% | — | $1 – $1.1k |
| 9 | Kaiser fee schedule · outpatient · +21 other terms | 46 | $86 | $199 | $255 | 128% | — | $49 – $1.9k |
| 10 | WellCare fee schedule · both · +17 other terms | 37 | $55 | $51 | $33 | 66% | — | $14 – $136 |
| 11 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $581 | $354 | $217 | 61% | — | $53 – $628 |
| 12 | Caresource fee schedule · outpatient · +15 other terms | 25 | $151 | $147 | $63 | 43% | — | $1 – $291 |
| 13 | First Health fee schedule · outpatient · +15 other terms | 25 | $626 | $1.5k | $1.4k | 92% | — | $169 – $4.0k |
| 14 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 25 | $119 | $120 | $58 | 48% | — | $50 – $303 |
| 15 | Devoted fee schedule · outpatient · +10 other terms | 21 | $86 | $78 | $9 | 12% | — | $67 – $86 |
| 16 | Medica fee schedule · outpatient · +13 other terms | 21 | $266 | $264 | $213 | 81% | — | $17 – $1.2k |
| 17 | Regence professional · fee schedule · outpatient · +11 other terms | 21 | $43 | $53 | $42 | 79% | — | $18 – $226 |
| 18 | Ambetter fee schedule · both · +14 other terms | 20 | $81 | $85 | $51 | 60% | — | $17 – $290 |
| 19 | Bcbs Tx fee schedule · outpatient · +5 other terms | 18 | $239 | $231 | $51 | 22% | — | $128 – $346 |
| 20 | Medicare fee schedule · outpatient · +8 other terms | 18 | $67 | $64 | $4 | 6% | — | $58 – $69 |
| 21 | Optum fee schedule · outpatient · +14 other terms | 18 | $68 | $1.5k | $1.5k | 101% | — | $67 – $4.3k |
| 22 | Phcs fee schedule · outpatient · +13 other terms | 16 | $842 | $1.3k | $1.6k | 122% | — | $417 – $5.6k |
| 23 | Oscar fee schedule · outpatient · +13 other terms | 15 | $48 | $65 | $51 | 79% | — | $1 – $129 |
| 24 | Highmark facility · fee schedule · outpatient · +16 other terms | 14 | $84 | $202 | $160 | 79% | — | $14 – $547 |
| 25 | Aetna Better Health fee schedule · outpatient · +16 other terms | 13 | $79 | $90 | $47 | 52% | — | $74 – $254 |
← Hospitals reporting CPT 75902 · Snapshot 20261112T181611Z-3fa9fb76