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
ORTHOVISC INJ PER DOSE
Low
$109
Average
$983
Median
$308
High
$20.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 15.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark fee schedule · outpatient · +13 other terms | 17 | $125 | $125 | — | — | 2–20 | $125 – $125 |
| 2 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 590 | $161 | $197 | $186 | 94% | 1–10 | $0 – $4.8k |
| 3 | Aetna fee schedule · outpatient · +29 other terms | 389 | $140 | $205 | $215 | 105% | — | $61 – $5.4k |
| 4 | Cigna fee schedule · outpatient · +23 other terms | 354 | $159 | $279 | $302 | 108% | — | $5 – $4.0k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 340 | $219 | $346 | $247 | 71% | — | $0 – $1.4k |
| 6 | Humana fee schedule · outpatient · +25 other terms | 332 | $117 | $256 | $357 | 140% | — | $0 – $1.4k |
| 7 | Molina fee schedule · outpatient · +26 other terms | 132 | $139 | $159 | $78 | 49% | — | $75 – $532 |
| 8 | WellCare fee schedule · outpatient · +18 other terms | 123 | $113 | $123 | $37 | 30% | — | $87 – $229 |
| 9 | Anthem facility · fee schedule · outpatient · +23 other terms | 112 | $138 | $183 | $113 | 62% | — | $52 – $900 |
| 10 | Caresource fee schedule · outpatient · +16 other terms | 70 | $146 | $316 | $179 | 57% | — | $101 – $517 |
| 11 | Kaiser fee schedule · outpatient · +20 other terms | 66 | $164 | $213 | $164 | 77% | — | $87 – $1.1k |
| 12 | Devoted fee schedule · outpatient · +11 other terms | 62 | $112 | $109 | $8 | 8% | — | $93 – $123 |
| 13 | Ambetter facility · fee schedule · outpatient · +17 other terms | 54 | $196 | $199 | $41 | 21% | — | $92 – $277 |
| 14 | Optum fee schedule · outpatient · +21 other terms | 35 | $112 | $148 | $63 | 43% | — | $98 – $319 |
| 15 | Bcbs Tx fee schedule · outpatient · +4 other terms | 32 | $553 | $518 | $248 | 48% | — | $87 – $1.0k |
| 16 | Clover fee schedule · outpatient · +8 other terms | 29 | $109 | $127 | $42 | 33% | — | $101 – $223 |
| 17 | Medicare fee schedule · outpatient · +12 other terms | 29 | $112 | $126 | $14 | 11% | — | $109 – $223 |
| 18 | Highmark facility · fee schedule · outpatient · +16 other terms | 25 | $184 | $222 | $151 | 68% | — | $110 – $574 |
| 19 | Oscar facility · fee schedule · outpatient · +16 other terms | 25 | $137 | $154 | $37 | 24% | — | $111 – $227 |
| 20 | Regence professional · fee schedule · outpatient · +15 other terms | 25 | $124 | $126 | $16 | 13% | — | $109 – $188 |
| 21 | Aetna Better Health fee schedule · outpatient · +13 other terms | 24 | $126 | $128 | $17 | 13% | — | $115 – $162 |
| 22 | Medica fee schedule · outpatient · +18 other terms | 21 | $257 | $458 | $445 | 97% | — | $119 – $1.9k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +11 other terms | 21 | $182 | $208 | $92 | 44% | — | $59 – $417 |
| 24 | Healthpartners fee schedule · outpatient · +7 other terms | 20 | $110 | $111 | $5 | 5% | — | $108 – $138 |
| 25 | Tricare facility · fee schedule · outpatient · +15 other terms | 20 | $162 | $374 | $311 | 83% | — | $92 – $848 |
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