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
CH PROTEIN TOT REFRACT
Low
$3
Average
$166
Median
$12
High
$2.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 71.6× 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 · +23 other terms | 666 | $6 | $6 | $8 | 130% | 185–194 | $2 – $299 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 418 | $8 | $171 | $1.9k | 1137% | 1–10 | $1 – $24k |
| 3 | Sanford Health Plan fee schedule · outpatient · +3 other terms | 12 | $6 | $11 | $4 | 38% | 1–10 | $6 – $16 |
| 4 | Aetna fee schedule · outpatient · +21 other terms | 625 | $6 | $911 | $4.7k | 521% | — | $0 – $33.6k |
| 5 | Humana fee schedule · outpatient · +21 other terms | 444 | $6 | $12 | $13 | 114% | — | $4 – $69 |
| 6 | Cigna fee schedule · outpatient · +18 other terms | 433 | $10 | $343 | $2.8k | 813% | — | $2 – $24k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 272 | $6 | $1.3k | $5.6k | 428% | — | $4 – $25.7k |
| 8 | Molina fee schedule · outpatient · +18 other terms | 244 | $6 | $7 | $9 | 117% | — | $1 – $184 |
| 9 | Devoted fee schedule · outpatient · +9 other terms | 191 | $6 | $6 | $0 | 3% | — | $6 – $6 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 179 | $8 | $537 | $3.5k | 655% | — | $3 – $24k |
| 11 | Oscar fee schedule · outpatient · +14 other terms | 164 | $11 | $12 | $4 | 34% | — | $5 – $17 |
| 12 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 125 | $6 | $6 | $0 | 4% | — | $5 – $6 |
| 13 | Ambetter fee schedule · outpatient · +11 other terms | 103 | $9 | $504 | $2.2k | 427% | — | $4 – $9.8k |
| 14 | Aetna Better Health fee schedule · outpatient · +15 other terms | 88 | $5 | $5 | $0 | 5% | — | $5 – $6 |
| 15 | Kaiser fee schedule · outpatient · +13 other terms | 87 | $6 | $7 | $4 | 51% | — | $2 – $21 |
| 16 | Caresource fee schedule · outpatient · +9 other terms | 63 | $6 | $6 | $2 | 29% | — | $5 – $18 |
| 17 | Optum fee schedule · outpatient · +12 other terms | 45 | $6 | $8 | $3 | 43% | — | $6 – $16 |
| 18 | Superior Healthplan fee schedule · outpatient · +4 other terms | 44 | $6 | $6 | $0 | 5% | — | $5 – $9 |
| 19 | Clover fee schedule · outpatient · +7 other terms | 42 | $6 | $6 | $0 | 2% | — | $6 – $6 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +8 other terms | 40 | $7 | $4.6k | $9.5k | 206% | — | $1 – $24.2k |
| 21 | First Health fee schedule · outpatient · +11 other terms | 39 | $6 | $6 | $3 | 43% | — | $4 – $14 |
| 22 | Medica facility · fee schedule · outpatient · +9 other terms | 33 | $6 | $6 | $1 | 26% | — | $2 – $14 |
| 23 | Tricare fee schedule · outpatient · +10 other terms | 33 | $6 | $6.9k | $10.7k | 155% | — | $4 – $24k |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $8 | $8 | $2 | 27% | — | $5 – $13 |
| 25 | Highmark fee schedule · outpatient · +7 other terms | 26 | $7 | $1.3k | $5.6k | 430% | — | $3 – $26.4k |
← Hospitals reporting CPT 84160 · Snapshot 20261112T181611Z-3fa9fb76