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
Grad Com Wrap W Straps Ak
Low
$81
Average
$212
Median
$200
High
$415
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 1.7× 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 | Aetna fee schedule · outpatient · +11 other terms | 345 | $190 | $214 | $101 | 47% | — | $108 – $1.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 337 | $192 | $191 | $42 | 22% | — | $111 – $629 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 313 | $188 | $199 | $69 | 34% | — | $88 – $758 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $195 | $200 | $31 | 15% | — | $182 – $367 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 197 | $193 | $236 | $93 | 39% | — | $0 – $887 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 163 | $190 | $190 | $3 | 2% | — | $185 – $203 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 135 | $279 | $262 | $98 | 37% | — | $142 – $497 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $194 | $193 | $5 | 3% | — | $190 – $205 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 97 | $195 | $216 | $62 | 29% | — | $121 – $548 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 73 | $186 | $263 | $261 | 99% | — | $185 – $1.4k |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 61 | $193 | $300 | $224 | 75% | — | $185 – $1.4k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $196 | $193 | $6 | 3% | — | $185 – $199 |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $321 | $346 | $82 | 24% | — | $185 – $471 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $199 | $199 | $1 | 1% | — | $185 – $199 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $192 | $221 | $45 | 20% | — | $188 – $293 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $199 | $217 | $46 | 21% | — | $186 – $322 |
| 17 | Optum fee schedule · outpatient · +3 other terms | 33 | $190 | $249 | $100 | 40% | — | $182 – $474 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $197 | $204 | $61 | 30% | — | $152 – $753 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $186 | $186 | $0 | 0% | — | $186 – $187 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $228 | $222 | $11 | 5% | — | $193 – $228 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $197 | $192 | $11 | 6% | — | $157 – $201 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $190 | $218 | $55 | 25% | — | $103 – $300 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $189 | $180 | $8 | 5% | — | $170 – $189 |
| 24 | Tricare facility · fee schedule · outpatient · +1 other terms | 13 | $190 | $186 | $5 | 3% | — | $171 – $190 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $166 | $166 | $1 | 0% | — | $161 – $166 |
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