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
HC UNNA BOOT 4"
Low
$1
Average
$23
Median
$5
High
$757
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 15.7× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Premera fee schedule · both · +1 other terms | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 2 | Humana fee schedule · outpatient · +14 other terms | 306 | $2 | $3 | $3 | 106% | — | $1 – $14 |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 296 | $2 | $2 | $2 | 114% | — | $1 – $31 |
| 4 | Aetna fee schedule · outpatient · +16 other terms | 269 | $2 | $2 | $1 | 51% | — | $1 – $11 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 192 | $2 | $2 | $2 | 86% | — | $0 – $32 |
| 6 | WellCare fee schedule · outpatient · +6 other terms | 186 | $2 | $2 | $1 | 47% | — | $2 – $14 |
| 7 | Devoted fee schedule · outpatient · +5 other terms | 163 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 9 | Molina fee schedule · outpatient · +13 other terms | 97 | $2 | $2 | $1 | 39% | — | $1 – $5 |
| 10 | Cigna fee schedule · outpatient · +13 other terms | 77 | $2 | $2 | $0 | 24% | — | $2 – $4 |
| 11 | Anthem fee schedule · outpatient · +9 other terms | 75 | $2 | $2 | $2 | 100% | — | $2 – $13 |
| 12 | Superior Healthplan fee schedule · outpatient · +2 other terms | 41 | $2 | $2 | $1 | 43% | — | $2 – $12 |
| 13 | Kaiser fee schedule · outpatient · +6 other terms | 39 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 37 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 15 | Bcbs Tx fee schedule · outpatient · +4 other terms | 32 | $2 | $2 | $1 | 40% | — | $1 – $8 |
| 16 | Optum fee schedule · outpatient · +4 other terms | 25 | $2 | $2 | $1 | 42% | — | $2 – $4 |
| 17 | Oscar fee schedule · outpatient · +6 other terms | 24 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 18 | Caresource fee schedule · outpatient · +8 other terms | 20 | $2 | $2 | $0 | 12% | — | $1 – $2 |
| 19 | Medicare fee schedule · outpatient · +3 other terms | 18 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 16 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 21 | Aetna Better Health fee schedule · outpatient · +5 other terms | 14 | $1 | $1 | $0 | 33% | — | $1 – $2 |
| 22 | Medica fee schedule · outpatient · +10 other terms | 14 | $4 | $7 | $6 | 89% | — | $2 – $19 |
| 23 | Wellmark fee schedule · both · +2 other terms | 13 | $2 | $2 | $0 | 3% | — | $1 – $2 |
| 24 | Ambetter case rate · outpatient · +10 other terms | 12 | $3 | $3 | $0 | 4% | — | $3 – $3 |
| 25 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $12 | $10 | $3 | 26% | — | $4 – $13 |
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