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
Cst bse mtl inlay >= 3 surfa
Low
$248
Average
$1.2k
Median
$702
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 8.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +4 other terms | 70 | $1.2k | $2.0k | $1.2k | 62% | — | $408 – $3.6k |
| 2 | Molina facility · case rate · outpatient · +4 other terms | 30 | $1.0k | $4.3k | $19.3k | 449% | — | $69 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 22 | $380 | $709 | $699 | 99% | — | $230 – $3.1k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +7 other terms | 19 | $625 | $778 | $263 | 34% | — | $311 – $1.4k |
| 5 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $1.4k | $1.2k | $405 | 34% | — | $236 – $1.4k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $2.0k | $2.0k | $1.3k | 63% | — | $155 – $4.2k |
| 9 | Highmark fee schedule · outpatient · +1 other terms | 11 | $547 | $547 | $38 | 7% | — | $394 – $886 |
| 10 | Cigna professional · fee schedule · outpatient · +3 other terms | 10 | $288 | $296 | $11 | 4% | — | $288 – $314 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $298 | $297 | $4 | 1% | — | $286 – $298 |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $273 | $277 | $9 | 3% | — | $273 – $298 |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 4 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $381 | $381 | — | — | — | $381 – $381 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $526 | $526 | — | — | — | $526 – $526 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $946 | $830 | $262 | 32% | — | $386 – $1.0k |
| 17 | Medicaid facility · case rate · outpatient | 2 | $248 | $248 | — | — | — | $248 – $248 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $714 | $714 | — | — | — | $714 – $714 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 21 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 22 | Bcbs Vt professional · fee schedule · outpatient | 1 | $509 | $509 | — | — | — | $509 – $509 |
| 23 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Regence facility · fee schedule · outpatient | 1 | $638 | $638 | — | — | — | $638 – $638 |
← Hospitals reporting HCPCS D6605 · Snapshot 20261112T124536Z-e251e855