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
W/c manual swingaway
Low
$5
Average
$66
Median
$42
High
$286
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 8.6× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 267 | $18 | $26 | $25 | 97% | — | $12 – $120 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $17 | $39 | $110 | 279% | — | $9 – $1.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $17 | $34 | $47 | 137% | — | $9 – $264 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 188 | $22 | $53 | $114 | 215% | — | $0 – $846 |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 185 | $17 | $18 | $3 | 18% | — | $15 – $30 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $17 | $17 | $2 | 14% | — | $16 – $25 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $18 | $17 | $2 | 10% | — | $16 – $23 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $23 | $23 | $9 | 39% | — | $14 – $57 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $18 | $29 | $46 | 158% | — | $15 – $481 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $16 | $17 | $1 | 7% | — | $16 – $23 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $18 | $20 | $5 | 27% | — | $16 – $40 |
| 12 | Clover fee schedule · outpatient | 34 | $16 | $17 | $2 | 12% | — | $15 – $23 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $22 | $23 | $7 | 32% | — | $15 – $87 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $20 | $21 | $6 | 31% | — | $16 – $39 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $17 | $19 | $4 | 19% | — | $16 – $25 |
| 16 | Oscar fee schedule · outpatient | 24 | $15 | $16 | $1 | 8% | — | $15 – $18 |
| 17 | Medicare fee schedule · outpatient | 18 | $20 | $20 | $4 | 20% | — | $16 – $25 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $21 | $21 | $2 | 8% | — | $20 – $26 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $17 | $17 | — | — | — | $17 – $17 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $105 | $105 | $86 | 82% | — | $15 – $201 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $197 | $200 | $52 | 26% | — | $100 – $240 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $15 | $33 | $22 | 68% | — | $15 – $68 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $64 | $64 | $0 | 1% | — | $62 – $64 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $38 | $38 | $41 | 108% | — | $7 – $159 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $232 | $221 | $75 | 34% | — | $24 – $299 |
← Hospitals reporting HCPCS E1028 · Snapshot 20261113T090226Z-3ce6c0b8