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 442 11516r Pancr 8 Poly-T
Low
$86
Average
$277
Median
$217
High
$654
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 3.3× 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 · +21 other terms | 635 | $169 | $180 | $105 | 58% | — | $61 – $1.5k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 595 | $178 | $400 | $513 | 128% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 430 | $172 | $401 | $732 | 183% | — | $130 – $7.0k |
| 4 | Cigna fee schedule · outpatient · +18 other terms | 417 | $310 | $353 | $244 | 69% | — | $5 – $1.7k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 382 | $227 | $314 | $210 | 67% | — | $0 – $2.4k |
| 6 | WellCare fee schedule · outpatient · +12 other terms | 262 | $174 | $179 | $30 | 17% | — | $77 – $336 |
| 7 | Molina fee schedule · outpatient · +18 other terms | 231 | $188 | $202 | $88 | 43% | — | $1 – $619 |
| 8 | Devoted fee schedule · outpatient · +8 other terms | 193 | $169 | $171 | $5 | 3% | — | $165 – $195 |
| 9 | Oscar fee schedule · outpatient · +12 other terms | 160 | $327 | $364 | $121 | 33% | — | $165 – $516 |
| 10 | Anthem fee schedule · outpatient · +15 other terms | 148 | $186 | $330 | $312 | 94% | — | $33 – $1.3k |
| 11 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 124 | $176 | $171 | $7 | 4% | — | $149 – $182 |
| 12 | Ambetter fee schedule · outpatient · +13 other terms | 91 | $278 | $249 | $76 | 30% | — | $110 – $456 |
| 13 | Kaiser fee schedule · outpatient · +11 other terms | 85 | $172 | $254 | $166 | 65% | — | $5 – $1.1k |
| 14 | Aetna Better Health fee schedule · outpatient · +13 other terms | 73 | $153 | $153 | $16 | 10% | — | $87 – $179 |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 63 | $172 | $186 | $38 | 20% | — | $158 – $338 |
| 16 | Optum fee schedule · outpatient · +11 other terms | 49 | $170 | $219 | $92 | 42% | — | $165 – $484 |
| 17 | Superior Healthplan fee schedule · outpatient · +4 other terms | 45 | $177 | $177 | $8 | 5% | — | $142 – $270 |
| 18 | Clover fee schedule · outpatient · +5 other terms | 41 | $172 | $173 | $4 | 2% | — | $169 – $177 |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $608 | $646 | $313 | 48% | — | $169 – $1.5k |
| 20 | First Health fee schedule · outpatient · +7 other terms | 33 | $169 | $188 | $97 | 51% | — | $142 – $510 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +7 other terms | 32 | $225 | $211 | $36 | 17% | — | $91 – $253 |
| 22 | Highmark facility · fee schedule · outpatient · +7 other terms | 31 | $287 | $289 | $147 | 51% | — | $132 – $768 |
| 23 | Healthcare Highways fee schedule · outpatient · +2 other terms | 29 | $394 | $383 | $57 | 15% | — | $217 – $410 |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $236 | $245 | $60 | 24% | — | $160 – $362 |
| 25 | Regence facility · fee schedule · outpatient · +5 other terms | 26 | $179 | $208 | $91 | 44% | — | $143 – $506 |
← Hospitals reporting CPT 81224 · Snapshot 20261113T090226Z-3ce6c0b8