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
Ext line w easy lock connect
Low
$0
Average
$18
Median
$11
High
$95
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 5.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +6 other terms | 29 | $6 | $8 | $6 | 80% | — | $3 – $32 |
| 2 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 3 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 4 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 12 | $11 | $13 | $6 | 47% | — | $8 – $30 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Medica fee schedule · both · +1 other terms | 9 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Ucare fee schedule · both · +3 other terms | 9 | $8 | $8 | $0 | 5% | — | $7 – $8 |
| 10 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | First Health professional · fee schedule · both | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Bcbs Id facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Bcbs Il professional · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | Cigna facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 20 | MultiPlan facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 21 | Wellmark case rate · outpatient · +1 other terms | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Hospitals reporting HCPCS A4673 · Snapshot 20261112T181611Z-3fa9fb76