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
Appliance cleaner
Low
$6
Average
$24
Median
$22
High
$65
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +10 other terms | 299 | $22 | $33 | $36 | 110% | — | $9 – $174 |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 288 | $22 | $21 | $3 | 15% | — | $8 – $24 |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 265 | $22 | $24 | $12 | 51% | — | $8 – $142 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 184 | $23 | $23 | $4 | 18% | — | $19 – $44 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 180 | $22 | $26 | $11 | 40% | — | $0 – $80 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 163 | $23 | $22 | $1 | 6% | — | $19 – $24 |
| 7 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $21 | $22 | $1 | 5% | — | $19 – $23 |
| 8 | Molina fee schedule · outpatient · +5 other terms | 96 | $31 | $31 | $12 | 40% | — | $19 – $59 |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 77 | $22 | $24 | $6 | 26% | — | $20 – $56 |
| 10 | Anthem fee schedule · outpatient · +9 other terms | 73 | $22 | $22 | $2 | 11% | — | $19 – $37 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $24 | $24 | $0 | 0% | — | $22 – $24 |
| 12 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $22 | $22 | $1 | 2% | — | $22 – $23 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $22 | $22 | $1 | 6% | — | $20 – $24 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $21 | $21 | $6 | 29% | — | $16 – $77 |
| 15 | Optum fee schedule · outpatient · +3 other terms | 25 | $22 | $25 | $11 | 45% | — | $19 – $56 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $22 | $21 | $1 | 5% | — | $20 – $22 |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $11 | $18 | $13 | 69% | — | $7 – $45 |
| 18 | Ambetter facility · fee schedule · outpatient · +5 other terms | 18 | $33 | $34 | $1 | 3% | — | $33 – $35 |
| 19 | Medicare fee schedule · outpatient | 18 | $22 | $22 | $0 | 1% | — | $22 – $22 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $23 | $23 | $0 | 1% | — | $23 – $23 |
| 21 | Highmark facility · fee schedule · outpatient · +4 other terms | 15 | $39 | $36 | $18 | 51% | — | $12 – $64 |
| 22 | Wellmark fee schedule · both · +1 other terms | 13 | $17 | $17 | $0 | 2% | — | $15 – $17 |
| 23 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $10 | $15 | $6 | 41% | — | $10 – $22 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $16 | $11 | $9 | 83% | — | $0 – $20 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $17 | $34 | $31 | 92% | — | $11 – $98 |
← Hospitals reporting HCPCS A5131 · Snapshot 20261112T124536Z-e251e855