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
Bridge porcelain/ceramic
Low
$79
Average
$1.2k
Median
$675
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 6.1× 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 | Humana fee schedule · outpatient · +4 other terms | 70 | $1.2k | $2.2k | $1.4k | 62% | — | $454 – $4.0k |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 30 | $1.1k | $4.3k | $19.3k | 444% | — | $256 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 24 | $415 | $719 | $730 | 102% | — | $79 – $3.2k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +7 other terms | 24 | $696 | $811 | $274 | 34% | — | $311 – $1.6k |
| 5 | Anthem professional · fee schedule · outpatient · +5 other terms | 16 | $645 | $966 | $494 | 51% | — | $494 – $2.1k |
| 6 | Caresource facility · case rate · outpatient | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 13 | $371 | $434 | $218 | 50% | — | $371 – $1.2k |
| 8 | Optum facility · case rate · outpatient · +3 other terms | 13 | $1.4k | $1.2k | $385 | 32% | — | $292 – $1.4k |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 11 | $1.3k | $1.3k | $244 | 19% | — | $579 – $1.4k |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 11 | $612 | $614 | $48 | 8% | — | $487 – $1.1k |
| 11 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $288 | $301 | $18 | 6% | — | $288 – $332 |
| 12 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Aetna Better Health facility · case rate · outpatient | 7 | $369 | $367 | $5 | 1% | — | $353 – $369 |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $338 | $342 | $11 | 3% | — | $338 – $369 |
| 15 | Medica fee schedule · outpatient · +3 other terms | 5 | $526 | $554 | $266 | 48% | — | $339 – $1.0k |
| 16 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $381 | $381 | — | — | — | $381 – $381 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $1.2k | $1.0k | $324 | 32% | — | $477 – $1.3k |
| 18 | Medicaid facility · case rate · outpatient | 2 | $307 | $307 | — | — | — | $307 – $307 |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $775 | $775 | — | — | — | $775 – $775 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Bcbs Nv fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $522 | $522 | $58 | 11% | — | $464 – $580 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $567 | $567 | — | — | — | $567 – $567 |
| 24 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 25 | First Health professional · fee schedule · inpatient · +3 other terms | 1 | $710 | $710 | $185 | 26% | — | $525 – $895 |
← Hospitals reporting HCPCS D6245 · Snapshot 20261112T124536Z-e251e855