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
SEALANT, AIR PLEURAL AIR
Low
$0
Average
$3.3k
Median
$2.6k
High
$19.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 5.5× 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 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $938 | $943 | $919 | 97% | 22–76 | $24 – $1.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 69 | $1.7k | $2.0k | $2.1k | 104% | — | $1 – $20.7k |
| 3 | MultiPlan fee schedule · outpatient · +9 other terms | 56 | $3.8k | $5.2k | $4.7k | 91% | — | $1 – $22.7k |
| 4 | Aetna fee schedule · outpatient · +20 other terms | 52 | $1.3k | $2.3k | $3.5k | 152% | — | $0 – $22.2k |
| 5 | Cigna fee schedule · outpatient · +15 other terms | 52 | $3.0k | $2.7k | $2.4k | 89% | — | $1 – $16.2k |
| 6 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 38 | $4.3k | $3.9k | $3.3k | 85% | — | $203 – $12.2k |
| 7 | Blue Cross Blue Shield fee schedule · inpatient · +19 other terms | 35 | $3.3k | $2.2k | $1.7k | 75% | — | $164 – $8.9k |
| 8 | Medica percent of total billed charges · outpatientfrom % of charges · +5 other terms | 33 | $3.2k | $8.4k | $6.3k | 74% | — | $1.0k – $16.9k |
| 9 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 33 | $1.1k | $1.3k | $1.1k | 88% | — | $63 – $5.7k |
| 10 | Anthem fee schedule · outpatient · +12 other terms | 31 | $2.0k | $2.4k | $1.6k | 65% | — | $93 – $4.9k |
| 11 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 31 | $4.4k | $1.5k | $1.5k | 99% | — | $470 – $12.6k |
| 12 | First Health fee schedule · outpatient · +12 other terms | 30 | $3.5k | $3.5k | $2.0k | 56% | — | $510 – $8.3k |
| 13 | Kaiser fee schedule · outpatient · +12 other terms | 29 | $2.7k | $3.1k | $2.8k | 92% | — | $1 – $15.2k |
| 14 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $2.7k | $2.4k | $386 | 16% | — | $1.9k – $3.0k |
| 15 | Humana fee schedule · outpatient · +13 other terms | 26 | $549 | $2.5k | $2.1k | 81% | — | $1 – $8.3k |
| 16 | Molina fee schedule · outpatient · +10 other terms | 24 | $1.1k | $1.6k | $1.9k | 123% | — | $1 – $8.7k |
| 17 | Bcbs Az facility · fee schedule · outpatient · +1 other terms | 15 | $2.6k | $2.7k | $572 | 21% | — | $983 – $3.5k |
| 18 | Caresource facility · case rate · outpatient · +10 other terms | 15 | $1.0k | $1.1k | $250 | 23% | — | $679 – $1.7k |
| 19 | Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 14 | $1.7k | $2.7k | $2.3k | 87% | — | $1.3k – $10.7k |
| 20 | Bcbs Nj percent of total billed charges · outpatientfrom % of charges | 12 | $882 | $1.0k | $430 | 41% | — | $882 – $2.8k |
| 21 | Clover facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $415 | $381 | $114 | 30% | — | $4 – $415 |
| 22 | Medicaid fee schedule · outpatient · +6 other terms | 12 | $3.4k | $2.9k | $3.4k | 115% | — | $1 – $6.8k |
| 23 | Optum facility · case rate · outpatient · +7 other terms | 11 | $940 | $1.0k | $231 | 22% | — | $848 – $1.5k |
| 24 | Phcs fee schedule · inpatient · +9 other terms | 11 | $3.5k | $3.9k | $2.5k | 63% | — | $510 – $8.3k |
| 25 | Sanford Health Plan percent of total billed charges · outpatientfrom % of charges · +2 other terms | 11 | $12.4k | $5.7k | $5.4k | 95% | — | $879 – $12.4k |
← Hospitals reporting HCPCS C2615 · Snapshot 20261111T120946Z-9134e7f7