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
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING
Low
$0
Average
$2.7k
Median
$2.1k
High
$13.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 4.5× 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 Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms | 12 | $417 | $524 | $271 | 52% | 8–80 | $207 – $1.5k |
| 2 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $1.7k | $1.7k | $1.4k | 79% | 2–20 | $356 – $3.1k |
| 3 | Amerihealth Caritas facility · fee schedule · both · +4 other terms | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 4 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 126 | $1.4k | $1.8k | $2.1k | 117% | — | $1 – $17.0k |
| 5 | Molina fee schedule · outpatient · +12 other terms | 88 | $1.5k | $1.5k | $123 | 8% | — | $1 – $1.9k |
| 6 | Humana fee schedule · outpatient · +16 other terms | 59 | $1.8k | $2.5k | $2.9k | 115% | — | $1 – $12.2k |
| 7 | Aetna Better Health fee schedule · outpatient · +4 other terms | 58 | $1.5k | $1.5k | $177 | 12% | — | $840 – $1.8k |
| 8 | Aetna fee schedule · outpatient · +19 other terms | 38 | $2.4k | $3.4k | $3.1k | 93% | — | $720 – $13.2k |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +18 other terms | 37 | $1.3k | $1.3k | $877 | 68% | — | $44 – $4.2k |
| 10 | Tricare facility · fee schedule · outpatient · +3 other terms | 22 | $2.0k | $2.0k | $1.1k | 57% | — | $395 – $6.7k |
| 11 | Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms | 21 | $948 | $1.4k | $1.9k | 132% | — | $6 – $7.7k |
| 12 | First Health fee schedule · outpatient · +11 other terms | 17 | $1.4k | $2.2k | $2.4k | 113% | — | $1.4k – $12.0k |
| 13 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms | 16 | $1.5k | $1.6k | $504 | 32% | — | $1.1k – $2.6k |
| 14 | Anthem facility · case rate · outpatient · +12 other terms | 15 | $182 | $199 | $47 | 23% | — | $124 – $309 |
| 15 | Caresource facility · case rate · outpatient · +7 other terms | 15 | $185 | $199 | $46 | 23% | — | $124 – $315 |
| 16 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 15 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Bcbs Tx fee schedule · outpatient | 13 | $1.4k | $1.4k | $19 | 1% | — | $1.4k – $1.4k |
| 18 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 13 | $16.2k | $13.3k | $5.0k | 37% | — | $1.6k – $19.8k |
| 19 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 12 | $1.7k | $1.7k | $1.4k | 83% | — | $281 – $3.4k |
| 20 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $1.3k | $951 | $541 | 57% | — | $398 – $1.6k |
| 21 | Magellan percent of total billed charges · outpatientfrom % of charges · +3 other terms | 12 | $1.0k | $3.7k | $6.8k | 186% | — | $784 – $24.5k |
| 22 | Optum facility · case rate · outpatient · +7 other terms | 11 | $172 | $188 | $42 | 22% | — | $155 – $279 |
| 23 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 11 | $2.5k | $3.0k | $1.0k | 35% | — | $2.5k – $5.2k |
| 24 | Highmark fee schedule · outpatient · +8 other terms | 10 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 10 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Hospitals reporting HCPCS A4264 · Snapshot 20261111T120946Z-9134e7f7