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
TRAY FOLEY SURESTEP 16F LTX
Low
$5
Average
$49
Median
$31
High
$225
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 6.3× 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 | Humana fee schedule · outpatient · +16 other terms | 305 | $19 | $29 | $30 | 102% | — | $10 – $141 |
| 2 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 293 | $18 | $20 | $11 | 52% | — | $5 – $108 |
| 3 | Aetna fee schedule · outpatient · +15 other terms | 273 | $18 | $25 | $19 | 77% | — | $5 – $157 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 188 | $20 | $23 | $11 | 49% | — | $0 – $76 |
| 5 | WellCare fee schedule · outpatient · +8 other terms | 185 | $19 | $20 | $3 | 16% | — | $18 – $35 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 163 | $18 | $19 | $1 | 5% | — | $18 – $22 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $19 | $19 | $1 | 5% | — | $18 – $23 |
| 8 | Molina fee schedule · outpatient · +7 other terms | 96 | $27 | $25 | $10 | 38% | — | $16 – $48 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 84 | $21 | $27 | $16 | 59% | — | $18 – $89 |
| 10 | Anthem fee schedule · outpatient · +12 other terms | 74 | $19 | $20 | $2 | 12% | — | $18 – $34 |
| 11 | Kaiser fee schedule · outpatient · +10 other terms | 40 | $18 | $21 | $10 | 47% | — | $18 – $59 |
| 12 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $19 | $19 | $0 | 0% | — | $18 – $19 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $19 | $19 | $2 | 10% | — | $18 – $22 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $17 | $17 | $5 | 29% | — | $13 – $63 |
| 15 | Optum fee schedule · outpatient · +2 other terms | 25 | $18 | $22 | $9 | 40% | — | $18 – $46 |
| 16 | Oscar fee schedule · outpatient · +3 other terms | 24 | $18 | $18 | $0 | 2% | — | $18 – $19 |
| 17 | Caresource facility · case rate · outpatient · +6 other terms | 20 | $11 | $17 | $11 | 65% | — | $7 – $42 |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 18 | $18 | $19 | $1 | 6% | — | $18 – $20 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 16 | $22 | $22 | $1 | 4% | — | $22 – $24 |
| 20 | Medcost percent of total billed charges · bothfrom % of charges · +1 other terms | 13 | $113 | $112 | $47 | 41% | — | $68 – $213 |
| 21 | Wellmark fee schedule · both · +3 other terms | 13 | $16 | $16 | $0 | 1% | — | $15 – $16 |
| 22 | Aetna Better Health fee schedule · outpatient · +5 other terms | 12 | $10 | $14 | $5 | 37% | — | $10 – $21 |
| 23 | Ambetter case rate · outpatient · +6 other terms | 12 | $30 | $30 | $1 | 4% | — | $28 – $33 |
| 24 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $18 | $12 | $10 | 83% | — | $0 – $22 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $18 | $38 | $26 | 68% | — | $18 – $78 |
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