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
Provision splnt intracoronal
Low
$76
Average
$1.5k
Median
$738
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 15.9× 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 · +4 other terms | 27 | $1.5k | $5.0k | $20.2k | 406% | — | $664 – $111.7k |
| 2 | Humana fee schedule · outpatient · +3 other terms | 25 | $1.2k | $1.6k | $1.7k | 103% | — | $185 – $8.3k |
| 3 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 18 | $1.5k | $7.1k | $24.7k | 346% | — | $190 – $111.7k |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 5 | Caresource facility · case rate · outpatient | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 6 | Optum facility · case rate · outpatient · +1 other terms | 13 | $1.4k | $1.2k | $263 | 21% | — | $631 – $1.4k |
| 7 | Highmark fee schedule · outpatient · +1 other terms | 10 | $283 | $283 | — | — | — | $283 – $283 |
| 8 | Aetna Better Health facility · case rate · outpatient | 7 | $797 | $786 | $29 | 4% | — | $686 – $797 |
| 9 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $730 | $740 | $23 | 3% | — | $730 – $797 |
| 10 | Aetna fee schedule · outpatient · +5 other terms | 6 | $1.3k | $1.1k | $175 | 15% | — | $887 – $1.3k |
| 11 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 6 | $2.7k | $1.8k | $2.4k | 132% | — | $48 – $7.8k |
| 12 | Wellmark facility · case rate · outpatient | 3 | $2.2k | $2.0k | $621 | 32% | — | $915 – $2.5k |
| 13 | Excellus fee schedule · outpatient | 2 | $362 | $362 | — | — | — | $362 – $362 |
| 14 | Medicaid facility · case rate · outpatient | 2 | $664 | $664 | — | — | — | $664 – $664 |
| 15 | Bcbs Mn fee schedule · outpatient | 1 | $203 | $203 | $89 | 44% | — | $71 – $285 |
| 16 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | $28 | 11% | — | $221 – $276 |
| 17 | Cigna facility · fee schedule · outpatient · +3 other terms | 1 | $530 | $530 | — | — | — | $530 – $530 |
| 18 | Healthpartners facility · fee schedule · outpatient | 1 | $530 | $530 | — | — | — | $530 – $530 |
| 19 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 20 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 21 | WellCare facility · case rate · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
← Hospitals reporting HCPCS D4320 · Snapshot 20261112T181611Z-3fa9fb76