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
Pre-op service LVRS complete
Low
$187
Average
$870
Median
$685
High
$5.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 4.3× 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 | Aetna fee schedule · outpatient · +13 other terms | 323 | $480 | $603 | $451 | 75% | — | $1 – $3.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 271 | $466 | $611 | $781 | 128% | — | $1 – $15.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 232 | $945 | $1.4k | $851 | 62% | — | $1 – $4.8k |
| 4 | Humana fee schedule · outpatient · +12 other terms | 204 | $500 | $471 | $103 | 22% | — | $1 – $1.2k |
| 5 | Cigna fee schedule · outpatient · +10 other terms | 129 | $457 | $589 | $373 | 63% | — | $355 – $1.9k |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 114 | $502 | $551 | $222 | 40% | — | $343 – $1.2k |
| 7 | Molina fee schedule · outpatient · +8 other terms | 98 | $549 | $555 | $155 | 28% | — | $1 – $868 |
| 8 | Anthem fee schedule · outpatient · +12 other terms | 72 | $533 | $951 | $749 | 79% | — | $370 – $3.2k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 64 | $416 | $446 | $90 | 20% | — | $347 – $588 |
| 10 | Kaiser fee schedule · outpatient · +6 other terms | 58 | $540 | $799 | $601 | 75% | — | $374 – $3.8k |
| 11 | Ambetter facility · fee schedule · outpatient · +3 other terms | 57 | $667 | $883 | $319 | 36% | — | $404 – $1.4k |
| 12 | Optum fee schedule · outpatient · +3 other terms | 33 | $374 | $519 | $265 | 51% | — | $339 – $1.4k |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1.7k | $1.6k | $740 | 46% | — | $498 – $3.3k |
| 14 | Oscar fee schedule · outpatient · +5 other terms | 30 | $782 | $719 | $171 | 24% | — | $440 – $1.1k |
| 15 | Clover facility · fee schedule · outpatient · +2 other terms | 27 | $398 | $418 | $66 | 16% | — | $350 – $625 |
| 16 | Caresource fee schedule · outpatient · +6 other terms | 26 | $249 | $256 | $156 | 61% | — | $1 – $638 |
| 17 | Regence facility · fee schedule · outpatient · +3 other terms | 21 | $400 | $678 | $518 | 76% | — | $378 – $1.9k |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 19 | $374 | $378 | $20 | 5% | — | $374 – $471 |
| 19 | Highmark fee schedule · outpatient · +2 other terms | 15 | $705 | $698 | $247 | 35% | — | $238 – $1.3k |
| 20 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $356 | $452 | $280 | 62% | — | $192 – $1.4k |
| 21 | MultiPlan fee schedule · outpatient · +5 other terms | 15 | $859 | $847 | $66 | 8% | — | $498 – $859 |
| 22 | Ucare case rate · outpatient · +6 other terms | 15 | $557 | $549 | $10 | 2% | — | $531 – $557 |
| 23 | Bcbs Mn fee schedule · outpatient · +3 other terms | 13 | $549 | $703 | $401 | 57% | — | $238 – $1.9k |
| 24 | Wellmark fee schedule · both · +2 other terms | 13 | $531 | $531 | — | — | — | $531 – $531 |
| 25 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $595 | $1.3k | $844 | 67% | — | $580 – $2.6k |
← Hospitals reporting HCPCS G0302 · Snapshot 20261112T181611Z-3fa9fb76