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
Non-surgical sialolithotomy
Low
$111
Average
$1.2k
Median
$765
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 24.1× 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 | Molina facility · case rate · outpatient · +5 other terms | 29 | $1.5k | $4.9k | $19.5k | 401% | — | $889 – $111.7k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $112 | $436 | $583 | 134% | — | $70 – $1.7k |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 20 | $611 | $592 | $297 | 50% | — | $87 – $1.3k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +6 other terms | 19 | $186 | $240 | $84 | 35% | — | $112 – $432 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.3k | $185 | 14% | — | $845 – $1.4k |
| 8 | Highmark fee schedule · outpatient · +1 other terms | 11 | $109 | $113 | $28 | 24% | — | $109 – $390 |
| 9 | Cigna professional · fee schedule · outpatient · +1 other terms | 10 | $104 | $101 | $4 | 4% | — | $94 – $104 |
| 10 | Humana facility · case rate · outpatient · +2 other terms | 8 | $889 | $923 | $43 | 5% | — | $889 – $978 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $1.1k | $1.1k | $37 | 4% | — | $927 – $1.1k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $978 | $991 | $31 | 3% | — | $978 – $1.1k |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 4 | $765 | $765 | — | — | — | $765 – $765 |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $216 | $216 | — | — | — | $216 – $216 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $189 | $189 | — | — | — | $189 – $189 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $3.0k | $2.7k | $839 | 32% | — | $1.2k – $3.3k |
| 17 | Medicaid facility · case rate · outpatient | 2 | $889 | $889 | — | — | — | $889 – $889 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $366 | $366 | $160 | 44% | — | $128 – $513 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 22 | Regence facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 23 | WellCare facility · case rate · outpatient | 1 | $889 | $889 | — | — | — | $889 – $889 |
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