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
PWC gp 2 xtra hd seat/back
Low
$25
Average
$3.2k
Median
$1.9k
High
$19.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 5.8× 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 | $1.1k | $1.7k | $1.8k | 105% | — | $798 – $8.5k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $1.1k | $2.4k | $6.8k | 287% | — | $313 – $83.1k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $1.1k | $1.7k | $1.7k | 100% | — | $535 – $8.8k |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 185 | $1.1k | $1.2k | $180 | 15% | — | $1.0k – $2.1k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 179 | $1.1k | $2.7k | $5.7k | 207% | — | $0 – $41.4k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $1.1k | $1.1k | $64 | 6% | — | $1.1k – $1.4k |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $1.1k | $1.1k | $41 | 4% | — | $1.1k – $1.3k |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $1.6k | $1.5k | $589 | 38% | — | $933 – $3.3k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $1.1k | $1.8k | $3.7k | 207% | — | $1.1k – $33.3k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $1.2k | $1.2k | $24 | 2% | — | $1.2k – $1.3k |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $1.1k | $1.2k | $258 | 22% | — | $1.1k – $2.3k |
| 12 | Clover fee schedule · outpatient | 34 | $1.1k | $1.1k | $80 | 7% | — | $1.0k – $1.3k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $1.1k | $1.2k | $338 | 29% | — | $853 – $4.2k |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $1.1k | $1.3k | $514 | 40% | — | $1.1k – $2.8k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $1.1k | $1.1k | $42 | 4% | — | $1.1k – $1.2k |
| 16 | Oscar fee schedule · outpatient | 24 | $1.1k | $1.1k | $13 | 1% | — | $1.1k – $1.1k |
| 17 | Medicare fee schedule · outpatient | 18 | $1.1k | $1.1k | $43 | 4% | — | $1.1k – $1.2k |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $1.3k | $1.3k | $66 | 5% | — | $1.2k – $1.5k |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $6.0k | $6.0k | $4.9k | 82% | — | $832 – $11.0k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $11.3k | $11.5k | $3.0k | 26% | — | $5.7k – $13.7k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $1.0k | $2.2k | $1.5k | 68% | — | $1.0k – $4.6k |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $3.7k | $3.6k | $231 | 6% | — | $2.8k – $3.7k |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $2.3k | $2.3k | $2.7k | 116% | — | $485 – $8.6k |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $2.2k | $2.2k | $559 | 25% | — | $1.3k – $2.9k |
← Hospitals reporting HCPCS K0828 · Snapshot 20261113T090226Z-3ce6c0b8