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 3 vhd cap chair
Low
$26
Average
$3.7k
Median
$2.5k
High
$23.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 5.3× 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 | 247 | $1.3k | $2.1k | $2.3k | 107% | — | $888 – $10.3k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 236 | $1.4k | $2.8k | $7.7k | 272% | — | $329 – $88.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 231 | $1.4k | $2.1k | $2.0k | 94% | — | $557 – $9.3k |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 169 | $1.4k | $1.4k | $234 | 16% | — | $1.3k – $2.6k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 167 | $1.4k | $3.1k | $6.2k | 201% | — | $0 – $46.8k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 151 | $1.3k | $1.3k | $24 | 2% | — | $1.3k – $1.4k |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $1.4k | $1.4k | $37 | 3% | — | $1.3k – $1.4k |
| 8 | Molina fee schedule · outpatient · +3 other terms | 89 | $2.0k | $1.9k | $720 | 39% | — | $1.1k – $3.5k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 69 | $1.4k | $2.3k | $5.1k | 222% | — | $1.3k – $39.3k |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 34 | $1.3k | $1.4k | $143 | 11% | — | $1.3k – $2.2k |
| 12 | Clover fee schedule · outpatient | 32 | $1.4k | $1.4k | $45 | 3% | — | $1.3k – $1.4k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $1.2k | $1.3k | $372 | 29% | — | $929 – $4.6k |
| 14 | Kaiser fee schedule · outpatient · +2 other terms | 24 | $1.4k | $1.3k | $37 | 3% | — | $1.3k – $1.4k |
| 15 | Optum fee schedule · outpatient · +1 other terms | 24 | $1.3k | $1.6k | $661 | 42% | — | $1.3k – $3.4k |
| 16 | Oscar fee schedule · outpatient | 24 | $1.3k | $1.4k | $46 | 3% | — | $1.3k – $1.4k |
| 17 | Amerihealth Caritas fee schedule · outpatient | 16 | $1.6k | $1.6k | $31 | 2% | — | $1.5k – $1.6k |
| 18 | Caresource fee schedule · outpatient · +3 other terms | 15 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Medicare fee schedule · outpatient | 15 | $1.3k | $1.3k | $6 | 0% | — | $1.3k – $1.3k |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $6.5k | $6.5k | $5.3k | 82% | — | $963 – $12.5k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $12.3k | $12.5k | $3.2k | 26% | — | $6.2k – $15.0k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $1.3k | $2.8k | $1.9k | 68% | — | $1.3k – $5.8k |
| 23 | Highmark fee schedule · outpatient · +3 other terms | 10 | $3.3k | $3.4k | $3.9k | 117% | — | $617 – $10.8k |
| 24 | Medica fee schedule · outpatient · +4 other terms | 10 | $2.6k | $2.6k | $655 | 25% | — | $1.6k – $3.4k |
| 25 | Medical Mutual fee schedule · outpatient | 9 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
← Hospitals reporting HCPCS K0853 · Snapshot 20261113T090226Z-3ce6c0b8