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
Onlay porc/crmc >=3 surfaces
Low
$248
Average
$1.2k
Median
$691
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
29 payers; the 90th percentile is 7.3× 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 | $1.3k | $2.0k | $1.2k | 61% | — | $417 – $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 · +8 other terms | 22 | $388 | $746 | $745 | 100% | — | $244 – $3.4k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +8 other terms | 20 | $638 | $807 | $275 | 34% | — | $342 – $1.5k |
| 5 | Anthem professional · fee schedule · outpatient · +5 other terms | 16 | $557 | $908 | $520 | 57% | — | $454 – $2.2k |
| 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 · +7 other terms | 11 | $2.0k | $2.0k | $1.3k | 63% | — | $155 – $4.2k |
| 9 | Highmark fee schedule · outpatient · +1 other terms | 11 | $613 | $612 | $39 | 6% | — | $394 – $886 |
| 10 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $317 | $323 | $8 | 3% | — | $317 – $335 |
| 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 · +1 other terms | 5 | $1.4k | $1.3k | $247 | 19% | — | $823 – $1.4k |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $407 | $407 | — | — | — | $407 – $407 |
| 15 | Medica fee schedule · outpatient · +3 other terms | 3 | $578 | $578 | — | — | — | $578 – $578 |
| 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 | $743 | $743 | — | — | — | $743 – $743 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $394 | $394 | — | — | — | $394 – $394 |
| 21 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $412 | $46 | 11% | — | $366 – $457 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 24 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 25 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
← Hospitals reporting HCPCS D6609 · Snapshot 20261112T124536Z-e251e855