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
Immed max part dent metal
Low
$166
Average
$1.5k
Median
$1.1k
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 11.2× 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 | 30 | $938 | $4.3k | $19.3k | 453% | — | $166 – $111.7k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 20 | $530 | $1.2k | $1.3k | 115% | — | $354 – $6.3k |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 20 | $3.2k | $2.7k | $1.5k | 55% | — | $462 – $7.2k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +7 other terms | 19 | $1.2k | $1.6k | $566 | 35% | — | $765 – $2.9k |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.2k | $433 | 37% | — | $158 – $1.4k |
| 8 | Highmark fee schedule · outpatient · +1 other terms | 11 | $1.1k | $1.0k | $86 | 8% | — | $408 – $1.1k |
| 9 | Cigna professional · fee schedule · outpatient · +1 other terms | 10 | $710 | $682 | $39 | 6% | — | $623 – $710 |
| 10 | Humana facility · case rate · outpatient · +2 other terms | 8 | $166 | $173 | $8 | 5% | — | $166 – $183 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $200 | $199 | $3 | 1% | — | $191 – $200 |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $183 | $185 | $6 | 3% | — | $183 – $200 |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $584 | $584 | — | — | — | $584 – $584 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Wellmark facility · case rate · outpatient | 3 | $634 | $556 | $175 | 32% | — | $258 – $700 |
| 17 | Medicaid facility · case rate · outpatient | 2 | $166 | $166 | — | — | — | $166 – $166 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $733 | $733 | — | — | — | $733 – $733 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Regence facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | WellCare facility · case rate · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
← Hospitals reporting HCPCS D5223 · Snapshot 20261112T181611Z-3fa9fb76