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
Reconstruct maxilla segment
Low
$1
Average
$8.9k
Median
$6.4k
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 3.6× 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 | Aetna fee schedule · outpatient · +4 other terms | 80 | $7.4k | $7.6k | $6.1k | 81% | — | $79 – $33.6k |
| 2 | Humana fee schedule · outpatient · +5 other terms | 32 | $25.1k | $14.3k | $8.9k | 62% | — | $3.9k – $25.1k |
| 3 | Molina facility · case rate · outpatient · +6 other terms | 30 | $4.1k | $4.3k | $1.1k | 26% | — | $890 – $7.1k |
| 4 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 21 | $6.9k | $6.4k | $1.9k | 29% | — | $383 – $10.6k |
| 5 | Cigna facility · fee schedule · outpatient · +3 other terms | 18 | $4.7k | $4.4k | $1.9k | 45% | — | $2.8k – $11.2k |
| 6 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $4.1k | $4.5k | $1.1k | 23% | — | $2.8k – $7.0k |
| 7 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $4.2k | $4.5k | $1.0k | 23% | — | $2.8k – $7.1k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 14 | $8.0k | $7.3k | $4.0k | 55% | — | $0 – $15.5k |
| 9 | Optum facility · case rate · outpatient | 13 | $3.7k | $4.1k | $945 | 23% | — | $3.2k – $6.3k |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 11 | $7.0k | $7.0k | $438 | 6% | — | $4.0k – $9.1k |
| 11 | Oscar facility · fee schedule · outpatient · +1 other terms | 8 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 12 | Aetna Better Health facility · case rate · outpatient | 7 | $4.1k | $4.1k | $109 | 3% | — | $3.7k – $4.1k |
| 13 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $3.8k | $3.8k | $119 | 3% | — | $3.8k – $4.1k |
| 14 | Medica fee schedule · outpatient · +2 other terms | 5 | $3.5k | $4.7k | $3.1k | 65% | — | $1.2k – $10.6k |
| 15 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 16 | Tricare fee schedule · outpatient | 5 | $50k | $50k | — | — | — | $50k – $50k |
| 17 | Wellmark facility · case rate · outpatient | 3 | $12.1k | $10.6k | $3.3k | 32% | — | $4.9k – $13.3k |
| 18 | Medicaid facility · case rate · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 21 | Bcbs Nv fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | Bcbs Vt professional · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | Healthpartners facility · fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 24 | Regence facility · fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 25 | WellCare facility · case rate · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
← Hospitals reporting HCPCS D7947 · Snapshot 20261112T124536Z-e251e855