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
OBTURATOR PROSTHESIS; MODIFICATION
Low
$1
Average
$1.6k
Median
$1.1k
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 20.5× 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 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 14 | $235 | $222 | $46 | 21% | 1–10 | $55 – $235 |
| 2 | Molina facility · case rate · outpatient · +6 other terms | 29 | $1.5k | $5.4k | $19.4k | 357% | — | $201 – $111.7k |
| 3 | Humana other · outpatient · +6 other terms | 25 | $2.9k | $2.9k | $861 | 29% | — | $2.3k – $7.0k |
| 4 | Aetna fee schedule · outpatient · +7 other terms | 24 | $1.0k | $1.9k | $2.1k | 113% | — | $79 – $7.8k |
| 5 | UnitedHealthcare professional · fee schedule · outpatient · +9 other terms | 19 | $618 | $803 | $286 | 36% | — | $382 – $1.4k |
| 6 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 16 | $253 | $266 | $48 | 18% | — | $253 – $450 |
| 7 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 8 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 9 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 14 | $194 | $194 | $16 | 8% | — | $178 – $210 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.4k | $170 | 12% | — | $1.4k – $1.8k |
| 11 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 13 | $54 | $53 | $17 | 32% | — | $29 – $101 |
| 12 | Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms | 11 | $2.0k | $1.9k | $1.1k | 60% | — | $455 – $3.9k |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 11 | $1.3k | $1.3k | $143 | 11% | — | $310 – $1.3k |
| 14 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $355 | $341 | $20 | 6% | — | $312 – $355 |
| 15 | Aetna Better Health facility · case rate · outpatient | 7 | $2.3k | $2.3k | $51 | 2% | — | $2.2k – $2.5k |
| 16 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $2.1k | $2.1k | $67 | 3% | — | $2.1k – $2.3k |
| 17 | Medica fee schedule · outpatient · +2 other terms | 5 | $648 | $990 | $893 | 90% | — | $417 – $2.6k |
| 18 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $765 | $765 | — | — | — | $765 – $765 |
| 19 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $216 | $216 | — | — | — | $216 – $216 |
| 20 | Wellmark facility · case rate · outpatient | 3 | $8.1k | $7.1k | $2.2k | 32% | — | $3.3k – $9.0k |
| 21 | Medicaid facility · case rate · outpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Bcbs Mn fee schedule · outpatient | 1 | $2.3k | $2.3k | $1.0k | 44% | — | $818 – $3.3k |
| 24 | Bcbs Nv fee schedule · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 25 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Hospitals reporting HCPCS D5933 · Snapshot 20261111T120946Z-9134e7f7