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 TRCRAN DPLR INTRCR EMBOLI W IV
Low
$50
Average
$441
Median
$354
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.1× 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 · +29 other terms | 422 | $123 | $292 | $614 | 210% | 1–10 | $1 – $8.4k |
| 2 | Anthem fee schedule · outpatient · +20 other terms | 115 | $229 | $409 | $507 | 124% | 1–10 | $2 – $2.7k |
| 3 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 398 | $119 | $452 | $1.6k | 354% | — | $1 – $26.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 374 | $277 | $430 | $450 | 105% | — | $1 – $3.5k |
| 5 | Humana fee schedule · outpatient · +27 other terms | 322 | $127 | $485 | $830 | 171% | — | $1 – $8.3k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 204 | $125 | $143 | $85 | 59% | — | $1 – $1.0k |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 176 | $132 | $236 | $203 | 86% | — | $88 – $999 |
| 8 | WellCare fee schedule · outpatient · +18 other terms | 127 | $116 | $129 | $48 | 38% | — | $62 – $396 |
| 9 | Kaiser fee schedule · outpatient · +19 other terms | 73 | $237 | $269 | $184 | 69% | — | $58 – $913 |
| 10 | Aetna Better Health fee schedule · outpatient · +15 other terms | 72 | $118 | $120 | $12 | 10% | — | $95 – $184 |
| 11 | Ambetter facility · fee schedule · outpatient · +15 other terms | 68 | $187 | $289 | $754 | 261% | — | $106 – $7.1k |
| 12 | Devoted fee schedule · outpatient · +11 other terms | 64 | $111 | $126 | $53 | 42% | — | $95 – $281 |
| 13 | MultiPlan fee schedule · outpatient · +17 other terms | 54 | $559 | $531 | $406 | 76% | — | $100 – $1.4k |
| 14 | Oscar fee schedule · outpatient · +18 other terms | 49 | $200 | $174 | $93 | 54% | — | $1 – $475 |
| 15 | Optum fee schedule · outpatient · +17 other terms | 48 | $205 | $248 | $173 | 70% | — | $95 – $745 |
| 16 | First Health fee schedule · outpatient · +14 other terms | 40 | $109 | $183 | $179 | 98% | — | $100 – $815 |
| 17 | Tricare fee schedule · outpatient · +14 other terms | 36 | $99 | $106 | $16 | 15% | — | $89 – $150 |
| 18 | Caresource fee schedule · outpatient · +14 other terms | 33 | $137 | $147 | $57 | 39% | — | $1 – $298 |
| 19 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 29 | $112 | $109 | $3 | 3% | — | $105 – $112 |
| 20 | Clover fee schedule · outpatient · +9 other terms | 27 | $116 | $113 | $9 | 8% | — | $94 – $126 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $133 | $132 | $26 | 20% | — | $100 – $174 |
| 22 | Medicare fee schedule · outpatient · +16 other terms | 25 | $244 | $215 | $71 | 33% | — | $102 – $281 |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +6 other terms | 25 | $108 | $108 | $5 | 5% | — | $105 – $134 |
| 24 | Bcbs Tx fee schedule · outpatient · +3 other terms | 23 | $409 | $386 | $183 | 47% | — | $100 – $753 |
| 25 | Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms | 21 | $164 | $156 | $45 | 29% | — | $95 – $236 |
← Hospitals reporting CPT 93893 · Snapshot 20261112T181611Z-3fa9fb76