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
Man w/ch acc seat w>=20"<24"
Low
$10
Average
$388
Median
$357
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.5× 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 | $382 | $345 | $148 | 43% | — | $25 – $1.6k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $393 | $426 | $322 | 76% | — | $20 – $3.1k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $393 | $305 | $159 | 52% | — | $18 – $581 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $413 | $509 | $234 | 46% | — | $0 – $1.7k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $401 | $406 | $56 | 14% | — | $321 – $639 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $393 | $373 | $86 | 23% | — | $38 – $534 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $409 | $390 | $29 | 7% | — | $372 – $510 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $495 | $451 | $250 | 55% | — | $33 – $1.2k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $390 | $370 | $242 | 65% | — | $34 – $1.1k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $391 | $394 | $18 | 5% | — | $391 – $495 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $400 | $304 | $163 | 54% | — | $38 – $521 |
| 12 | Clover fee schedule · outpatient | 34 | $391 | $374 | $53 | 14% | — | $321 – $495 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $464 | $484 | $151 | 31% | — | $362 – $1.8k |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $393 | $330 | $203 | 62% | — | $38 – $930 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $404 | $300 | $167 | 56% | — | $38 – $521 |
| 16 | Oscar fee schedule · outpatient | 24 | $365 | $385 | $24 | 6% | — | $365 – $413 |
| 17 | Medicare fee schedule · outpatient | 18 | $275 | $276 | $176 | 64% | — | $38 – $521 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $472 | $478 | $28 | 6% | — | $448 – $566 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $393 | $393 | — | — | — | $393 – $393 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $228 | $226 | $186 | 82% | — | $27 – $415 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $407 | $421 | $112 | 27% | — | $206 – $521 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $321 | $692 | $470 | 68% | — | $321 – $1.4k |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $138 | $244 | $335 | 137% | — | $138 – $1.3k |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $271 | $281 | $236 | 84% | — | $15 – $1.2k |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $733 | $701 | $237 | 34% | — | $58 – $947 |
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