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
REPLACEMENT RETAINER
Low
$140
Average
$718
Median
$343
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 8.8× 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 · +2 other terms | 33 | $970 | $1.2k | $227 | 20% | — | $152 – $1.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 7 | $280 | $276 | $98 | 35% | — | $152 – $403 |
| 3 | Medicaid fee schedule · outpatient | 7 | $240 | $240 | — | — | — | $240 – $240 |
| 4 | Anthem facility · fee schedule · outpatient | 6 | $3.0k | $2.5k | $1.3k | 52% | — | $612 – $3.8k |
| 5 | Aetna fee schedule · outpatient · +3 other terms | 4 | $685 | $568 | $246 | 43% | — | $152 – $750 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $308 | $294 | $105 | 36% | — | $152 – $523 |
| 7 | Molina facility · case rate · outpatient · +2 other terms | 4 | $1.4k | $1.4k | $333 | 23% | — | $1.1k – $2.0k |
| 8 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 4 | $192 | $192 | $17 | 9% | — | $168 – $216 |
| 9 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 3 | $152 | $148 | $3 | 2% | — | $145 – $152 |
| 10 | Wellmark facility · case rate · outpatient | 3 | $3.3k | $2.9k | $924 | 32% | — | $1.4k – $3.7k |
| 11 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $964 | $964 | — | — | — | $964 – $964 |
| 12 | First Health percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $2 | 1% | — | $192 – $197 |
| 13 | Aetna Better Health facility · case rate · outpatient | 1 | $1.0k | $1.0k | $6 | 1% | — | $1.0k – $1.0k |
| 14 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | $16 | 11% | — | $124 – $155 |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 16 | Healthpartners facility · fee schedule · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 17 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | — | — | — | $216 – $216 |
← Hospitals reporting HCPCS D8692 · Snapshot 20261112T181611Z-3fa9fb76