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.
Generation details were not recorded for this description.
Original text from hospital filings
Compression form shoe insert
Low
$0
Average
$43
Median
$36
High
$188
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 4793.4× 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 · +9 other terms | 29 | $30 | $40 | $32 | 80% | — | $15 – $161 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 22 | $87 | $87 | $141 | 163% | — | $0 – $677 |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 17 | $45 | $51 | $18 | 36% | — | $12 – $100 |
| 4 | Anthem facility · case rate · outpatient · +7 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 5 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 6 | Molina facility · case rate · outpatient · +5 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 7 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $63 | $40 | $35 | 86% | — | $0 – $79 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 10 | Cigna professional · fee schedule · outpatient · +7 other terms | 10 | $24 | $24 | $1 | 3% | — | $22 – $24 |
| 11 | Highmark fee schedule · outpatient · +2 other terms | 10 | $43 | $43 | — | — | — | $43 – $43 |
| 12 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $49 | $49 | $1 | 1% | — | $49 – $50 |
| 13 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | First Health professional · fee schedule · both · +3 other terms | 8 | $0 | $10 | $13 | 129% | — | $0 – $28 |
| 15 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Humana professional · fee schedule · both · +6 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Ambetter professional · fee schedule · both · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $190 | $197 | $12 | 6% | — | $188 – $213 |
| 21 | Excellus fee schedule · outpatient | 2 | $45 | $45 | $42 | 93% | — | $12 – $100 |
| 22 | MultiPlan professional · fee schedule · both · +3 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Phcs professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Bcbs Nc facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
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