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
PR CAL VEST TST W REC BILAT MONOTHERM
Low
$5
Average
$218
Median
$176
High
$882
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 7.6× 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 | Bcbs In other · both | 4 | $898 | $882 | $74 | 8% | 2–20 | $728 – $969 |
| 2 | Medica professional · fee schedule · outpatient · +10 other terms | 16 | $19 | $19 | $4 | 22% | 1–10 | $6 – $29 |
| 3 | Aetna fee schedule · outpatient · +27 other terms | 384 | $215 | $289 | $662 | 229% | — | $3 – $8.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 344 | $190 | $240 | $663 | 277% | — | $1 – $14.4k |
| 5 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 309 | $173 | $176 | $247 | 140% | — | $1 – $4.6k |
| 6 | Humana fee schedule · outpatient · +25 other terms | 281 | $152 | $132 | $87 | 66% | — | $5 – $624 |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 155 | $216 | $219 | $200 | 91% | — | $5 – $1.1k |
| 8 | WellCare fee schedule · outpatient · +16 other terms | 125 | $175 | $197 | $78 | 40% | — | $3 – $367 |
| 9 | Molina fee schedule · outpatient · +25 other terms | 119 | $179 | $196 | $140 | 72% | — | $3 – $585 |
| 10 | Anthem fee schedule · outpatient · +24 other terms | 89 | $92 | $64 | $167 | 261% | — | $5 – $1.6k |
| 11 | Devoted fee schedule · outpatient · +11 other terms | 69 | $169 | $170 | $69 | 40% | — | $6 – $241 |
| 12 | Kaiser fee schedule · outpatient · +18 other terms | 66 | $307 | $307 | $256 | 83% | — | $5 – $1.1k |
| 13 | Ambetter facility · fee schedule · outpatient · +18 other terms | 65 | $368 | $433 | $774 | 179% | — | $32 – $7.1k |
| 14 | Oscar fee schedule · outpatient · +17 other terms | 48 | $405 | $271 | $209 | 77% | — | $1 – $617 |
| 15 | Optum fee schedule · outpatient · +16 other terms | 41 | $196 | $224 | $187 | 84% | — | $6 – $797 |
| 16 | Caresource facility · fee schedule · outpatient · +17 other terms | 33 | $332 | $656 | $1.4k | 216% | — | $4 – $7.9k |
| 17 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $40 | $38 | $46 | 122% | — | $6 – $161 |
| 18 | Clover fee schedule · outpatient · +8 other terms | 31 | $175 | $179 | $28 | 16% | — | $133 – $243 |
| 19 | Medicare fee schedule · outpatient · +10 other terms | 27 | $6 | $62 | $84 | 136% | — | $5 – $241 |
| 20 | Tricare fee schedule · outpatient · +18 other terms | 27 | $213 | $201 | $25 | 13% | — | $149 – $256 |
| 21 | Highmark facility · fee schedule · outpatient · +15 other terms | 26 | $201 | $130 | $160 | 123% | — | $3 – $708 |
| 22 | Aetna Better Health facility · fee schedule · outpatient · +18 other terms | 21 | $15 | $144 | $475 | 329% | — | $3 – $2.1k |
| 23 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 21 | $19 | $93 | $94 | 102% | — | $4 – $296 |
| 24 | Regence fee schedule · outpatient · +13 other terms | 21 | $354 | $371 | $141 | 38% | — | $18 – $816 |
| 25 | First Health fee schedule · outpatient · +13 other terms | 17 | $225 | $253 | $149 | 59% | — | $45 – $726 |
← Hospitals reporting CPT 92538 · Snapshot 20261111T120946Z-9134e7f7