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
PULP CAP DIRECT
Low
$66
Average
$1.5k
Median
$1.3k
High
$4.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 7.0× 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 · +12 other terms | 163 | $764 | $870 | $691 | 79% | — | $32 – $3.7k |
| 2 | Aetna fee schedule · outpatient · +12 other terms | 161 | $831 | $1.3k | $1.1k | 86% | — | $21 – $5.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 130 | $1.6k | $1.5k | $3.1k | 200% | — | $32 – $48.9k |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms | 93 | $1.4k | $1.5k | $1.7k | 115% | — | $33 – $22k |
| 5 | Cigna fee schedule · outpatient · +12 other terms | 65 | $864 | $1.5k | $1.4k | 97% | — | $616 – $7.5k |
| 6 | WellCare fee schedule · outpatient · +6 other terms | 65 | $1.6k | $1.7k | $1.0k | 59% | — | $595 – $3.9k |
| 7 | Molina fee schedule · outpatient · +6 other terms | 53 | $1.6k | $1.2k | $629 | 52% | — | $33 – $2.7k |
| 8 | Anthem facility · case rate · outpatient · +7 other terms | 36 | $2.3k | $4.5k | $11.7k | 260% | — | $1.5k – $108.4k |
| 9 | Ambetter facility · fee schedule · outpatient · +3 other terms | 35 | $1.4k | $1.8k | $1.1k | 60% | — | $942 – $4.0k |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 34 | $1.7k | $1.1k | $561 | 51% | — | $601 – $1.8k |
| 11 | Bcbs Tx fee schedule · outpatient · +1 other terms | 23 | $1.6k | $1.6k | $46 | 3% | — | $1.6k – $1.7k |
| 12 | Clover fee schedule · outpatient · +3 other terms | 21 | $1.8k | $1.4k | $581 | 40% | — | $584 – $2.0k |
| 13 | Kaiser fee schedule · outpatient · +5 other terms | 21 | $1.1k | $1.1k | $698 | 64% | — | $152 – $2.8k |
| 14 | Oscar facility · fee schedule · outpatient · +4 other terms | 20 | $1.0k | $1.5k | $961 | 66% | — | $827 – $4.1k |
| 15 | Optum facility · case rate · outpatient · +6 other terms | 17 | $1.4k | $1.3k | $442 | 34% | — | $87 – $1.8k |
| 16 | Caresource facility · case rate · outpatient · +3 other terms | 16 | $1.5k | $7.9k | $25.1k | 320% | — | $1.4k – $108.4k |
| 17 | Regence facility · case rate · outpatient · +2 other terms | 16 | $680 | $935 | $594 | 64% | — | $655 – $2.7k |
| 18 | Baylor Scott White Health Plan facility · fee schedule · outpatient | 15 | $617 | $617 | $0 | 0% | — | $617 – $618 |
| 19 | MultiPlan fee schedule · outpatient · +6 other terms | 14 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Highmark fee schedule · outpatient · +3 other terms | 13 | $1.4k | $1.4k | $1.2k | 88% | — | $29 – $4.1k |
| 21 | Superior Healthplan facility · fee schedule · outpatient · +1 other terms | 13 | $682 | $682 | $0 | 0% | — | $682 – $683 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $1.9k | $3.9k | $2.6k | 67% | — | $1.8k – $8.0k |
| 23 | Tricare fee schedule · outpatient · +5 other terms | 12 | $587 | $684 | $113 | 16% | — | $587 – $839 |
| 24 | Medical Mutual fee schedule · outpatient · +3 other terms | 9 | $4.6k | $4.7k | $522 | 11% | — | $3.9k – $5.3k |
| 25 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $109 | $109 | $1 | 1% | — | $105 – $109 |
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