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
Add pwr leg elevation
Low
$57
Average
$502
Median
$287
High
$4.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 7.0× 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 · +6 other terms | 267 | $139 | $210 | $216 | 103% | — | $104 – $1.1k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 259 | $141 | $277 | $698 | 252% | — | $52 – $9.1k |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 257 | $141 | $259 | $295 | 114% | — | $67 – $1.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $143 | $318 | $632 | 199% | — | $0 – $4.8k |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 185 | $143 | $149 | $24 | 16% | — | $135 – $270 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $139 | $140 | $4 | 3% | — | $133 – $158 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $145 | $142 | $4 | 3% | — | $139 – $151 |
| 8 | Molina fee schedule · outpatient · +4 other terms | 96 | $197 | $189 | $71 | 38% | — | $115 – $366 |
| 9 | Cigna fee schedule · outpatient · +4 other terms | 77 | $143 | $212 | $383 | 181% | — | $133 – $4.0k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $146 | $146 | $0 | 0% | — | $146 – $147 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $139 | $145 | $24 | 17% | — | $133 – $256 |
| 12 | Clover fee schedule · outpatient | 34 | $145 | $141 | $5 | 4% | — | $135 – $147 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $135 | $138 | $40 | 29% | — | $102 – $505 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $139 | $154 | $56 | 37% | — | $133 – $348 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $142 | $138 | $4 | 3% | — | $133 – $147 |
| 16 | Oscar fee schedule · outpatient | 24 | $136 | $140 | $5 | 3% | — | $136 – $146 |
| 17 | Medicare fee schedule · outpatient | 18 | $134 | $135 | $3 | 2% | — | $133 – $147 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $167 | $166 | $3 | 2% | — | $159 – $168 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $139 | $139 | — | — | — | $139 – $139 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $676 | $677 | $554 | 82% | — | $99 – $1.3k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.3k | $1.3k | $333 | 26% | — | $639 – $1.5k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $135 | $292 | $198 | 68% | — | $135 – $599 |
| 23 | MultiPlan facility · fee schedule · outpatient · +4 other terms | 11 | $410 | $404 | $18 | 4% | — | $348 – $410 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $253 | $258 | $293 | 114% | — | $64 – $1.1k |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $2.1k | $2.0k | $663 | 34% | — | $216 – $2.7k |
← Hospitals reporting HCPCS E1010 · Snapshot 20261113T090226Z-3ce6c0b8