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
Replacment pt electronic sys
Low
$316
Average
$1.2k
Median
$1.1k
High
$3.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 2.0× 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 · +4 other terms | 312 | $994 | $1.2k | $749 | 61% | — | $79 – $7.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 245 | $1.0k | $1.4k | $1.7k | 120% | — | $79 – $29.9k |
| 3 | Humana fee schedule · outpatient · +4 other terms | 200 | $987 | $958 | $175 | 18% | — | $83 – $2.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 140 | $972 | $1.6k | $1.1k | 70% | — | $479 – $7.8k |
| 5 | Cigna fee schedule · outpatient · +5 other terms | 125 | $972 | $1.3k | $812 | 62% | — | $818 – $4.4k |
| 6 | WellCare fee schedule · outpatient · +4 other terms | 111 | $1.0k | $1.1k | $399 | 35% | — | $818 – $2.4k |
| 7 | Molina fee schedule · outpatient · +5 other terms | 99 | $1.1k | $1.2k | $354 | 30% | — | $234 – $2.0k |
| 8 | Anthem fee schedule · outpatient · +5 other terms | 70 | $1.0k | $1.9k | $1.6k | 85% | — | $79 – $6.3k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 62 | $976 | $940 | $109 | 12% | — | $799 – $1.1k |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 58 | $1.2k | $1.8k | $1.3k | 72% | — | $860 – $8.0k |
| 11 | Ambetter facility · fee schedule · outpatient · +3 other terms | 57 | $1.5k | $1.8k | $526 | 29% | — | $930 – $2.6k |
| 12 | Optum fee schedule · outpatient · +3 other terms | 32 | $860 | $1.2k | $618 | 52% | — | $779 – $3.2k |
| 13 | Caresource facility · fee schedule · outpatient · +4 other terms | 26 | $1.3k | $1.3k | $328 | 26% | — | $836 – $1.7k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 26 | $1.1k | $1.0k | $135 | 13% | — | $775 – $1.2k |
| 15 | Oscar fee schedule · outpatient · +3 other terms | 25 | $1.7k | $1.6k | $409 | 25% | — | $1.0k – $2.5k |
| 16 | Bcbs Tx fee schedule · outpatient | 23 | $999 | $999 | $28 | 3% | — | $955 – $1.0k |
| 17 | Medicare fee schedule · outpatient · +2 other terms | 18 | $860 | $860 | — | — | — | $860 – $860 |
| 18 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $904 | $927 | $52 | 6% | — | $869 – $1.1k |
| 19 | Highmark fee schedule · outpatient · +2 other terms | 16 | $1.3k | $1.3k | $491 | 37% | — | $234 – $2.5k |
| 20 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 16 | $837 | $1.0k | $614 | 60% | — | $442 – $3.2k |
| 21 | Bcbs Nj fee schedule · outpatient | 12 | $1.1k | $2.4k | $1.6k | 67% | — | $1.1k – $4.9k |
| 22 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $1.0k | $1.0k | $17 | 2% | — | $1.0k – $1.1k |
| 23 | Tricare fee schedule · outpatient · +2 other terms | 11 | $779 | $816 | $68 | 8% | — | $779 – $1.0k |
| 24 | Wellmark case rate · outpatient · +1 other terms | 11 | $962 | $979 | $37 | 4% | — | $957 – $1.1k |
| 25 | Ucare facility · fee schedule · outpatient · +3 other terms | 10 | $1.0k | $1.2k | $366 | 31% | — | $982 – $2.0k |
← Hospitals reporting HCPCS G0555 · Snapshot 20261113T090226Z-3ce6c0b8