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
Swingaway detach ftrest repl
Low
$2
Average
$89
Median
$82
High
$299
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.5× 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 | $87 | $78 | $33 | 43% | — | $6 – $353 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $88 | $98 | $75 | 76% | — | $4 – $676 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $88 | $69 | $37 | 53% | — | $4 – $130 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $91 | $93 | $14 | 15% | — | $78 – $155 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 181 | $92 | $111 | $51 | 46% | — | $0 – $365 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $88 | $85 | $19 | 23% | — | $9 – $118 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $92 | $89 | $6 | 6% | — | $85 – $113 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $110 | $100 | $56 | 56% | — | $8 – $273 |
| 9 | Cigna fee schedule · outpatient · +4 other terms | 77 | $91 | $86 | $55 | 64% | — | $8 – $258 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $90 | $90 | $3 | 4% | — | $90 – $110 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 38 | $91 | $68 | $36 | 53% | — | $9 – $111 |
| 12 | Clover fee schedule · outpatient | 34 | $90 | $87 | $9 | 11% | — | $78 – $110 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $100 | $104 | $32 | 31% | — | $79 – $389 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $88 | $73 | $45 | 62% | — | $9 – $213 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $93 | $67 | $37 | 56% | — | $9 – $111 |
| 16 | Oscar fee schedule · outpatient | 24 | $84 | $87 | $4 | 5% | — | $84 – $93 |
| 17 | Medicare fee schedule · outpatient | 18 | $61 | $61 | $38 | 63% | — | $9 – $111 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $106 | $107 | $6 | 5% | — | $101 – $125 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $88 | $88 | — | — | — | $88 – $88 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $50 | $50 | $41 | 82% | — | $7 – $91 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $90 | $93 | $24 | 26% | — | $45 – $111 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $78 | $168 | $114 | 68% | — | $78 – $345 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $31 | $53 | $71 | 134% | — | $31 – $278 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $61 | $64 | $53 | 83% | — | $4 – $267 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $171 | $163 | $55 | 34% | — | $13 – $221 |
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