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
Gen w/c cushion wdth < 22 in
Low
$19
Average
$58
Median
$48
High
$160
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +7 other terms | 267 | $45 | $44 | $20 | 45% | — | $4 – $197 |
| 2 | Aetna fee schedule · outpatient · +8 other terms | 259 | $49 | $58 | $47 | 82% | — | $3 – $416 |
| 3 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 256 | $48 | $41 | $23 | 55% | — | $3 – $88 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 190 | $55 | $69 | $34 | 49% | — | $0 – $241 |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $49 | $51 | $9 | 17% | — | $43 – $86 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $48 | $46 | $12 | 26% | — | $4 – $74 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $51 | $48 | $5 | 10% | — | $45 – $69 |
| 8 | Molina fee schedule · outpatient · +4 other terms | 96 | $67 | $56 | $32 | 56% | — | $4 – $167 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 77 | $51 | $51 | $35 | 68% | — | $4 – $138 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $48 | $48 | $3 | 7% | — | $48 – $67 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 38 | $45 | $38 | $22 | 57% | — | $4 – $74 |
| 12 | Clover fee schedule · outpatient | 34 | $48 | $48 | $6 | 13% | — | $43 – $67 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $65 | $68 | $22 | 33% | — | $44 – $257 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $49 | $42 | $27 | 63% | — | $4 – $114 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $46 | $38 | $23 | 59% | — | $4 – $74 |
| 16 | Oscar fee schedule · outpatient | 24 | $45 | $48 | $4 | 7% | — | $45 – $52 |
| 17 | Medicare fee schedule · outpatient | 18 | $36 | $36 | $24 | 67% | — | $4 – $74 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $59 | $61 | $5 | 9% | — | $56 – $76 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $49 | $49 | — | — | — | $49 – $49 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $31 | $30 | $25 | 82% | — | $3 – $56 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $55 | $57 | $15 | 27% | — | $28 – $74 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $43 | $94 | $64 | 68% | — | $43 – $192 |
| 23 | MultiPlan facility · fee schedule · outpatient · +3 other terms | 11 | $19 | $34 | $48 | 141% | — | $19 – $184 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $38 | $39 | $33 | 84% | — | $2 – $177 |
| 25 | Medica fee schedule · outpatient · +5 other terms | 10 | $92 | $88 | $30 | 34% | — | $7 – $119 |
← Hospitals reporting HCPCS E2601 · Snapshot 20261112T181611Z-3fa9fb76