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
Detach non-adj ht armrst rep
Low
$4
Average
$67
Median
$37
High
$605
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 7.7× 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 | $18 | $27 | $27 | 101% | — | $12 – $131 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $18 | $39 | $109 | 278% | — | $8 – $1.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $18 | $33 | $44 | 132% | — | $8 – $256 |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 185 | $18 | $19 | $3 | 14% | — | $15 – $30 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 179 | $18 | $48 | $99 | 206% | — | $0 – $717 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $18 | $18 | $1 | 8% | — | $17 – $23 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $19 | $18 | $1 | 6% | — | $17 – $22 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $25 | $24 | $9 | 38% | — | $16 – $54 |
| 9 | Cigna fee schedule · outpatient · +4 other terms | 77 | $18 | $29 | $50 | 172% | — | $16 – $521 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $18 | $18 | $1 | 3% | — | $18 – $22 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 38 | $19 | $20 | $4 | 19% | — | $16 – $37 |
| 12 | Clover fee schedule · outpatient | 34 | $18 | $17 | $2 | 12% | — | $15 – $22 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $20 | $21 | $6 | 30% | — | $15 – $76 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $20 | $21 | $7 | 32% | — | $17 – $43 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $19 | $20 | $1 | 7% | — | $18 – $22 |
| 16 | Oscar fee schedule · outpatient | 24 | $17 | $18 | $1 | 4% | — | $17 – $18 |
| 17 | Medicare fee schedule · outpatient | 18 | $20 | $20 | $2 | 8% | — | $18 – $22 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $21 | $21 | $1 | 5% | — | $20 – $25 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $99 | $99 | $81 | 82% | — | $13 – $180 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $187 | $190 | $49 | 26% | — | $95 – $228 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $15 | $33 | $22 | 68% | — | $15 – $67 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $61 | $60 | $2 | 3% | — | $55 – $61 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $34 | $35 | $37 | 106% | — | $7 – $143 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $228 | $217 | $73 | 34% | — | $27 – $294 |
← Hospitals reporting HCPCS K0015 · Snapshot 20261113T090226Z-3ce6c0b8