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
Manual semi-reclining back
Low
$1
Average
$164
Median
$85
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 7.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 267 | $48 | $71 | $72 | 100% | — | $33 – $341 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $47 | $100 | $261 | 261% | — | $20 – $3.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $47 | $89 | $114 | 129% | — | $22 – $652 |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 185 | $48 | $49 | $8 | 16% | — | $43 – $85 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 179 | $49 | $127 | $276 | 217% | — | $0 – $2.1k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $47 | $47 | $4 | 8% | — | $45 – $61 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $49 | $47 | $3 | 6% | — | $45 – $57 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $66 | $64 | $25 | 38% | — | $39 – $138 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $49 | $78 | $142 | 182% | — | $44 – $1.4k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $47 | $47 | $1 | 3% | — | $47 – $55 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $48 | $53 | $10 | 20% | — | $44 – $97 |
| 12 | Clover fee schedule · outpatient | 34 | $47 | $47 | $4 | 9% | — | $43 – $57 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $49 | $51 | $15 | 30% | — | $38 – $187 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $53 | $56 | $18 | 32% | — | $45 – $112 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $48 | $51 | $6 | 12% | — | $45 – $61 |
| 16 | Oscar fee schedule · outpatient | 24 | $44 | $46 | $3 | 6% | — | $44 – $49 |
| 17 | Medicare fee schedule · outpatient | 18 | $53 | $53 | $8 | 14% | — | $45 – $62 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $56 | $56 | $2 | 4% | — | $53 – $63 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $51 | $61 | $64 | 106% | — | $35 – $455 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $522 | $531 | $137 | 26% | — | $264 – $635 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $43 | $92 | $63 | 68% | — | $43 – $189 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $169 | $168 | $3 | 2% | — | $158 – $169 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $94 | $96 | $114 | 119% | — | $20 – $435 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $576 | $550 | $185 | 34% | — | $70 – $744 |
← Hospitals reporting HCPCS E1225 · Snapshot 20261113T090226Z-3ce6c0b8