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
Fixed adjust armrest pair
Low
$1
Average
$55
Median
$52
High
$194
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.6× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 267 | $56 | $50 | $20 | 41% | — | $4 – $228 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $58 | $60 | $41 | 68% | — | $2 – $372 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $58 | $43 | $21 | 49% | — | $3 – $70 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $59 | $61 | $10 | 16% | — | $56 – $111 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 181 | $58 | $64 | $26 | 41% | — | $0 – $183 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $57 | $56 | $9 | 16% | — | $5 – $65 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $59 | $58 | $2 | 3% | — | $57 – $62 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $71 | $65 | $36 | 55% | — | $4 – $150 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $59 | $52 | $31 | 59% | — | $5 – $167 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $60 | $60 | — | — | — | $60 – $60 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $57 | $44 | $20 | 45% | — | $5 – $59 |
| 12 | Clover fee schedule · outpatient | 34 | $59 | $58 | $2 | 3% | — | $56 – $60 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $55 | $57 | $17 | 29% | — | $42 – $208 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $57 | $49 | $29 | 59% | — | $5 – $143 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $58 | $42 | $20 | 48% | — | $5 – $60 |
| 16 | Oscar fee schedule · outpatient | 24 | $56 | $58 | $2 | 3% | — | $56 – $60 |
| 17 | Medicare fee schedule · outpatient | 18 | $39 | $35 | $22 | 62% | — | $5 – $60 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $68 | $68 | $1 | 2% | — | $65 – $68 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $27 | $27 | $22 | 82% | — | $4 – $50 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $49 | $51 | $13 | 26% | — | $25 – $60 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $56 | $121 | $82 | 68% | — | $56 – $248 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $17 | $28 | $37 | 129% | — | $17 – $144 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $34 | $35 | $29 | 84% | — | $3 – $144 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $111 | $106 | $36 | 34% | — | $9 – $143 |
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