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
Int therapeutic restoration
Low
$17
Average
$704
Median
$293
High
$3.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
29 payers; the 90th percentile is 43.7× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +3 other terms | 28 | $87 | $136 | $83 | 61% | — | $37 – $338 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 18 | $56 | $81 | $49 | 61% | — | $37 – $193 |
| 3 | Humana facility · fee schedule · outpatient · +3 other terms | 17 | $732 | $331 | $316 | 95% | — | $107 – $1.6k |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $52 | $57 | $13 | 23% | — | $36 – $89 |
| 5 | Caresource facility · case rate · outpatient | 15 | $53 | $57 | $13 | 23% | — | $36 – $90 |
| 6 | Aetna fee schedule · outpatient · +6 other terms | 14 | $72 | $126 | $125 | 99% | — | $26 – $323 |
| 7 | MultiPlan fee schedule · outpatient · +1 other terms | 14 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $50 | $71 | $42 | 59% | — | $44 – $167 |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 12 | $2.5k | $2.8k | $972 | 35% | — | $780 – $6.5k |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 10 | $64 | $64 | — | — | — | $64 – $64 |
| 11 | WellCare facility · fee schedule · outpatient · +1 other terms | 9 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Aetna Better Health facility · case rate · outpatient | 7 | $211 | $208 | $9 | 4% | — | $175 – $211 |
| 13 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $193 | $196 | $6 | 3% | — | $193 – $211 |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $70 | $70 | — | — | — | $70 – $70 |
| 15 | Medica fee schedule · outpatient · +1 other terms | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $573 | $503 | $159 | 32% | — | $234 – $633 |
| 17 | Cigna facility · fee schedule · outpatient · +3 other terms | 2 | $2.1k | $2.1k | $867 | 42% | — | $1.2k – $2.9k |
| 18 | Medicaid facility · case rate · outpatient | 2 | $176 | $176 | — | — | — | $176 – $176 |
| 19 | Ucare facility · fee schedule · outpatient | 2 | $779 | $816 | $66 | 8% | — | $705 – $881 |
| 20 | Bcbs Id professional · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 21 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 22 | Bcbs Nv fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $7 | 12% | — | $50 – $63 |
| 24 | Bcbs Vt professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Beechstreet professional · fee schedule · outpatient | 1 | $739 | $739 | — | — | — | $739 – $739 |
← Hospitals reporting HCPCS D2941 · Snapshot 20261112T124536Z-e251e855