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
Provisional splint extracoro
Low
$121
Average
$1.2k
Median
$568
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 16.2× 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 · +5 other terms | 27 | $1.5k | $5.0k | $20.2k | 406% | — | $664 – $111.7k |
| 2 | Humana fee schedule · outpatient · +3 other terms | 26 | $1.1k | $1.5k | $1.7k | 112% | — | $152 – $8.3k |
| 3 | UnitedHealthcare facility · case rate · outpatient · +5 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 | $198 | $198 | — | — | — | $198 – $198 |
| 8 | Aetna fee schedule · outpatient · +7 other terms | 8 | $1.0k | $927 | $381 | 41% | — | $152 – $1.3k |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 8 | $292 | $281 | $95 | 34% | — | $152 – $403 |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $797 | $786 | $29 | 4% | — | $686 – $797 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $730 | $740 | $23 | 3% | — | $730 – $797 |
| 12 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $609 | $609 | — | — | — | $609 – $609 |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 5 | $376 | $358 | $44 | 12% | — | $270 – $389 |
| 14 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $413 | $433 | $167 | 39% | — | $152 – $609 |
| 15 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 4 | $106 | $99 | $13 | 13% | — | $76 – $106 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $2.2k | $2.0k | $621 | 32% | — | $915 – $2.5k |
| 17 | Excellus fee schedule · outpatient | 2 | $340 | $340 | — | — | — | $340 – $340 |
| 18 | Healthpartners professional · fee schedule · both · +2 other terms | 2 | $205 | $205 | — | — | — | $205 – $205 |
| 19 | Sanford Health Plan professional · percent of total billed charges · bothfrom % of charges | 2 | $224 | $224 | — | — | — | $224 – $224 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $203 | $203 | $89 | 44% | — | $71 – $285 |
| 21 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | $26 | 11% | — | $206 – $258 |
| 22 | Cigna facility · fee schedule · outpatient · +3 other terms | 1 | $481 | $481 | — | — | — | $481 – $481 |
| 23 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 24 | First Health professional · fee schedule · inpatient · +4 other terms | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 25 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $548 | $548 | — | — | — | $548 – $548 |
← Hospitals reporting HCPCS D4321 · Snapshot 20261112T181611Z-3fa9fb76