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
POWDER SURGICAL WCI-05-SACRXP 5GM
Low
$23
Average
$1.0k
Median
$584
High
$8.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 42.0× 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 · +19 other terms | 307 | $44 | $128 | $478 | 373% | — | $20 – $4.8k |
| 2 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 298 | $44 | $151 | $535 | 355% | — | $1 – $4.4k |
| 3 | Aetna fee schedule · outpatient · +19 other terms | 266 | $45 | $128 | $492 | 384% | — | $11 – $4.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 202 | $45 | $68 | $344 | 506% | — | $0 – $8.6k |
| 5 | WellCare fee schedule · outpatient · +12 other terms | 184 | $45 | $47 | $8 | 16% | — | $43 – $86 |
| 6 | Devoted fee schedule · outpatient · +7 other terms | 162 | $44 | $44 | $1 | 2% | — | $42 – $47 |
| 7 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 116 | $45 | $45 | $1 | 3% | — | $44 – $48 |
| 8 | Molina fee schedule · outpatient · +13 other terms | 95 | $62 | $98 | $424 | 434% | — | $37 – $5.9k |
| 9 | Cigna fee schedule · outpatient · +17 other terms | 84 | $45 | $539 | $1.2k | 225% | — | $42 – $5.2k |
| 10 | Anthem fee schedule · outpatient · +13 other terms | 76 | $43 | $46 | $8 | 17% | — | $42 – $75 |
| 11 | Kaiser fee schedule · outpatient · +11 other terms | 40 | $43 | $115 | $363 | 317% | — | $42 – $2.3k |
| 12 | Superior Healthplan fee schedule · outpatient · +3 other terms | 40 | $46 | $46 | $0 | 0% | — | $43 – $46 |
| 13 | Clover fee schedule · outpatient · +6 other terms | 36 | $44 | $45 | $1 | 3% | — | $43 – $46 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $41 | $42 | $12 | 29% | — | $31 – $151 |
| 15 | Optum fee schedule · outpatient · +6 other terms | 31 | $44 | $1.1k | $1.6k | 139% | — | $42 – $6.2k |
| 16 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $847 | $691 | $217 | 31% | — | $164 – $1.1k |
| 17 | Amerihealth Caritas other · outpatient · +6 other terms | 25 | $384 | $6.1k | $7.1k | 117% | — | $195 – $15.1k |
| 18 | Oscar fee schedule · outpatient · +8 other terms | 24 | $43 | $45 | $2 | 3% | — | $43 – $46 |
| 19 | Caresource facility · case rate · outpatient · +9 other terms | 20 | $37 | $46 | $20 | 43% | — | $23 – $88 |
| 20 | Aetna Better Health other · outpatient · +5 other terms | 19 | $321 | $444 | $392 | 88% | — | $195 – $2.0k |
| 21 | Ambetter facility · fee schedule · outpatient · +12 other terms | 18 | $64 | $67 | $18 | 27% | — | $0 – $79 |
| 22 | Medicare fee schedule · outpatient · +4 other terms | 18 | $42 | $43 | $0 | 1% | — | $42 – $43 |
| 23 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 17 | $6.0k | $7.9k | $6.2k | 78% | — | $1.7k – $30.9k |
| 24 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms | 16 | $383 | $420 | $96 | 23% | — | $345 – $701 |
| 25 | Highmark facility · fee schedule · outpatient · +9 other terms | 15 | $81 | $93 | $69 | 74% | — | $17 – $296 |
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