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
Pwr wc dr wh motor/gear comb
Low
$19
Average
$273
Median
$158
High
$2.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 8.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 267 | $69 | $102 | $101 | 99% | — | $48 – $483 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $67 | $154 | $427 | 278% | — | $36 – $5.5k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 257 | $66 | $134 | $181 | 135% | — | $34 – $1.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 192 | $78 | $219 | $464 | 211% | — | $0 – $3.2k |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 185 | $66 | $70 | $12 | 17% | — | $61 – $121 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $66 | $67 | $8 | 12% | — | $62 – $97 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $69 | $66 | $5 | 8% | — | $63 – $92 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $93 | $93 | $36 | 38% | — | $53 – $222 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $70 | $113 | $176 | 155% | — | $62 – $1.8k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $67 | $67 | $4 | 6% | — | $67 – $89 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $68 | $77 | $20 | 26% | — | $62 – $155 |
| 12 | Clover fee schedule · outpatient | 34 | $67 | $67 | $7 | 11% | — | $61 – $89 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $85 | $89 | $29 | 32% | — | $62 – $338 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $78 | $82 | $26 | 32% | — | $62 – $159 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $66 | $75 | $14 | 18% | — | $62 – $97 |
| 16 | Oscar fee schedule · outpatient | 24 | $62 | $65 | $4 | 6% | — | $62 – $70 |
| 17 | Medicare fee schedule · outpatient | 18 | $78 | $79 | $16 | 20% | — | $62 – $97 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $80 | $81 | $7 | 8% | — | $76 – $102 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $410 | $411 | $337 | 82% | — | $61 – $795 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $769 | $782 | $203 | 26% | — | $388 – $935 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $61 | $132 | $89 | 68% | — | $61 – $270 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $249 | $248 | $2 | 1% | — | $242 – $249 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $149 | $151 | $165 | 109% | — | $29 – $634 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $925 | $882 | $298 | 34% | — | $99 – $1.2k |
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