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
$3
Average
$109
Median
$99
High
$347
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.4× 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 · +5 other terms | 267 | $103 | $93 | $41 | 44% | — | $7 – $423 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $106 | $120 | $94 | 79% | — | $5 – $848 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $106 | $85 | $46 | 54% | — | $5 – $173 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $112 | $139 | $65 | 47% | — | $0 – $471 |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $108 | $109 | $18 | 16% | — | $93 – $184 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $106 | $100 | $24 | 24% | — | $10 – $146 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $110 | $104 | $9 | 9% | — | $98 – $140 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $136 | $119 | $66 | 56% | — | $9 – $339 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $109 | $107 | $69 | 64% | — | $10 – $299 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $103 | $104 | $6 | 5% | — | $103 – $136 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $106 | $82 | $45 | 54% | — | $10 – $144 |
| 12 | Clover fee schedule · outpatient | 34 | $103 | $103 | $12 | 12% | — | $93 – $136 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $127 | $133 | $42 | 32% | — | $96 – $502 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $106 | $89 | $55 | 61% | — | $10 – $246 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $107 | $81 | $46 | 57% | — | $10 – $144 |
| 16 | Oscar fee schedule · outpatient | 24 | $96 | $102 | $7 | 7% | — | $96 – $111 |
| 17 | Medicare fee schedule · outpatient | 18 | $75 | $75 | $48 | 64% | — | $10 – $144 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $127 | $129 | $9 | 7% | — | $121 – $155 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $106 | $106 | — | — | — | $106 – $106 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $63 | $62 | $51 | 82% | — | $8 – $114 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $112 | $116 | $31 | 27% | — | $57 – $144 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $93 | $200 | $136 | 68% | — | $93 – $409 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $38 | $67 | $92 | 137% | — | $38 – $359 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $77 | $80 | $66 | 83% | — | $4 – $345 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $198 | $189 | $64 | 34% | — | $15 – $256 |
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