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
AMALGAM 1 SURFACE PRIMARY OR PERMANENT
Low
$87
Average
$2.1k
Median
$1.5k
High
$15.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 5.3× 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 · +10 other terms | 168 | $772 | $932 | $709 | 76% | — | $1 – $3.7k |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 166 | $831 | $1.3k | $1.1k | 83% | — | $29 – $5.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 136 | $1.6k | $1.5k | $2.9k | 191% | — | $34 – $48.9k |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms | 102 | $1.7k | $1.5k | $1.5k | 101% | — | $48 – $22k |
| 5 | WellCare facility · fee schedule · outpatient · +5 other terms | 71 | $1.7k | $1.8k | $2.4k | 128% | — | $586 – $22k |
| 6 | Cigna facility · fee schedule · outpatient · +12 other terms | 67 | $1.6k | $2.4k | $2.6k | 106% | — | $612 – $9.0k |
| 7 | Molina fee schedule · outpatient · +7 other terms | 53 | $1.6k | $1.2k | $621 | 52% | — | $1 – $2.7k |
| 8 | Anthem facility · fee schedule · outpatient · +7 other terms | 45 | $2.3k | $2.6k | $2.2k | 83% | — | $33 – $7.7k |
| 9 | Ambetter facility · fee schedule · outpatient · +2 other terms | 40 | $1.6k | $2.7k | $1.4k | 51% | — | $822 – $4.3k |
| 10 | Devoted fee schedule · outpatient · +3 other terms | 34 | $1.7k | $1.1k | $561 | 51% | — | $601 – $1.8k |
| 11 | Oscar facility · fee schedule · outpatient · +4 other terms | 25 | $1.2k | $1.5k | $907 | 61% | — | $827 – $4.1k |
| 12 | Bcbs Tx fee schedule · outpatient · +1 other terms | 23 | $1.6k | $1.6k | $46 | 3% | — | $1.6k – $1.7k |
| 13 | Kaiser fee schedule · outpatient · +2 other terms | 22 | $1.1k | $1.0k | $714 | 70% | — | $98 – $2.8k |
| 14 | Optum facility · fee schedule · outpatient · +7 other terms | 22 | $1.5k | $1.5k | $301 | 20% | — | $574 – $2.0k |
| 15 | Clover fee schedule · outpatient · +2 other terms | 21 | $1.8k | $1.4k | $581 | 40% | — | $584 – $2.0k |
| 16 | Regence facility · fee schedule · outpatient · +2 other terms | 20 | $680 | $881 | $560 | 64% | — | $82 – $2.7k |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 18 | Tricare facility · fee schedule · outpatient · +4 other terms | 15 | $1.6k | $2.9k | $2.3k | 78% | — | $555 – $6.2k |
| 19 | MultiPlan fee schedule · outpatient · +7 other terms | 14 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Bcbs Nj fee schedule · outpatient | 12 | $1.9k | $3.9k | $2.6k | 67% | — | $1.8k – $8.0k |
| 21 | Highmark fee schedule · outpatient · +5 other terms | 12 | $1.4k | $1.4k | $1.2k | 84% | — | $83 – $4.1k |
| 22 | Medica facility · fee schedule · outpatient · +3 other terms | 10 | $1.6k | $1.2k | $759 | 64% | — | $15 – $1.8k |
| 23 | Ucare facility · fee schedule · outpatient | 10 | $1.6k | $1.3k | $437 | 33% | — | $705 – $1.8k |
| 24 | Medical Mutual fee schedule · outpatient · +1 other terms | 9 | $4.6k | $4.7k | $522 | 11% | — | $3.9k – $5.3k |
| 25 | Healthpartners facility · fee schedule · outpatient · +1 other terms | 8 | $1.7k | $2.1k | $987 | 48% | — | $1.6k – $4.7k |
← Hospitals reporting HCPCS D2140 · Snapshot 20261111T120946Z-9134e7f7