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 4 std seat/back
Low
$0
Average
$4.5k
Median
$4.1k
High
$9.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 4.0× 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 · +4 other terms | 63 | $3.3k | $3.0k | $1.7k | 55% | — | $556 – $5.9k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 34 | $4.8k | $12.5k | $13.0k | 104% | — | $0 – $50.5k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 19 | $5.9k | $11.8k | $11.9k | 101% | — | $886 – $47.5k |
| 4 | Wellmark fee schedule · both | 13 | $2.2k | $2.2k | $1.8k | 82% | — | $399 – $4.0k |
| 5 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $15.2k | $11.4k | $6.5k | 57% | — | $4.8k – $19.0k |
| 6 | Anthem professional · fee schedule · outpatient · +2 other terms | 10 | $2.8k | $2.7k | $1.8k | 65% | — | $407 – $4.6k |
| 7 | Highmark fee schedule · outpatient · +1 other terms | 10 | $2.0k | $2.0k | $2.1k | 106% | — | $501 – $5.0k |
| 8 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 9 | First Health professional · fee schedule · both | 3 | $3.8k | $3.8k | $2.7k | 70% | — | $649 – $6.5k |
| 10 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Bcbs Nv fee schedule · outpatient | 1 | $3.2k | $3.2k | $2.0k | 62% | — | $525 – $5.3k |
| 12 | Bcbs Vt professional · fee schedule · outpatient | 1 | $4.9k | $4.9k | $4.0k | 82% | — | $886 – $8.9k |
| 13 | Cigna fee schedule · both · +1 other terms | 1 | $3.6k | $3.6k | $2.2k | 61% | — | $518 – $5.2k |
| 14 | UnitedHealthcare fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
← Hospitals reporting HCPCS K0868 · Snapshot 20261113T090226Z-3ce6c0b8