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
Ana crown exp 4 or> per quad
Low
$588
Average
$3.9k
Median
$3.8k
High
$8.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 3.3× 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 | Aetna fee schedule · outpatient · +7 other terms | 247 | $3.6k | $4.5k | $3.2k | 71% | — | $169 – $33.6k |
| 2 | Humana fee schedule · outpatient · +8 other terms | 167 | $3.2k | $3.2k | $1.1k | 35% | — | $353 – $9.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 159 | $3.4k | $4.5k | $6.2k | 137% | — | $217 – $95.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 145 | $3.6k | $5.7k | $3.8k | 66% | — | $0 – $23.6k |
| 5 | Cigna fee schedule · outpatient · +7 other terms | 98 | $3.4k | $4.5k | $2.7k | 60% | — | $3.0k – $20.7k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 78 | $3.8k | $4.5k | $1.5k | 34% | — | $2.4k – $7.7k |
| 7 | WellCare fee schedule · outpatient · +3 other terms | 74 | $3.3k | $4.0k | $1.4k | 35% | — | $3.0k – $7.6k |
| 8 | Devoted fee schedule · outpatient · +2 other terms | 44 | $3.5k | $3.4k | $200 | 6% | — | $3.1k – $3.7k |
| 9 | Anthem facility · case rate · outpatient · +5 other terms | 36 | $4.4k | $7.3k | $12.1k | 165% | — | $1.5k – $108.4k |
| 10 | Ambetter facility · fee schedule · outpatient · +3 other terms | 35 | $5.9k | $5.9k | $1.2k | 20% | — | $3.6k – $7.8k |
| 11 | Oscar fee schedule · outpatient · +3 other terms | 27 | $6.4k | $6.1k | $1.5k | 25% | — | $4.0k – $9.5k |
| 12 | Kaiser fee schedule · outpatient · +2 other terms | 26 | $7.1k | $6.7k | $3.1k | 46% | — | $3.4k – $14.4k |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 23 | $3.2k | $3.2k | $90 | 3% | — | $3.0k – $3.3k |
| 14 | Optum fee schedule · outpatient · +3 other terms | 22 | $3.3k | $5.2k | $2.7k | 53% | — | $3.0k – $12.2k |
| 15 | Clover fee schedule · outpatient · +2 other terms | 21 | $3.5k | $3.5k | $215 | 6% | — | $3.0k – $3.8k |
| 16 | Caresource facility · case rate · outpatient · +3 other terms | 16 | $1.5k | $8.1k | $25.1k | 310% | — | $1.4k – $108.4k |
| 17 | Regence facility · case rate · outpatient · +2 other terms | 16 | $3.5k | $4.1k | $1.8k | 44% | — | $3.0k – $10.0k |
| 18 | MultiPlan fee schedule · outpatient · +2 other terms | 14 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 19 | Bcbs Nj fee schedule · outpatient | 12 | $3.6k | $7.7k | $5.2k | 67% | — | $3.5k – $15.7k |
| 20 | Highmark fee schedule · outpatient · +4 other terms | 12 | $3.0k | $2.9k | $2.1k | 73% | — | $609 – $7.9k |
| 21 | Tricare fee schedule · outpatient · +2 other terms | 12 | $3.0k | $3.1k | $222 | 7% | — | $3.0k – $3.9k |
| 22 | Medical Mutual fee schedule · outpatient · +2 other terms | 10 | $8.9k | $8.1k | $2.8k | 34% | — | $2.9k – $13.9k |
| 23 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $836 | $847 | $48 | 6% | — | $802 – $1.0k |
| 24 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $767 | $777 | $24 | 3% | — | $767 – $836 |
| 25 | Healthpartners facility · case rate · outpatient · +2 other terms | 7 | $3.3k | $3.3k | $107 | 3% | — | $3.2k – $3.5k |
← Hospitals reporting HCPCS D4230 · Snapshot 20261112T124536Z-e251e855