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
Tlso r fram soft ant pre cst
Low
$149
Average
$584
Median
$503
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 2.3× 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 | Aetna fee schedule · outpatient · +15 other terms | 359 | $484 | $560 | $295 | 53% | — | $235 – $3.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 356 | $477 | $481 | $131 | 27% | — | $210 – $1.8k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 317 | $472 | $722 | $797 | 110% | — | $239 – $3.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 218 | $492 | $650 | $346 | 53% | — | $0 – $2.4k |
| 5 | WellCare fee schedule · outpatient · +10 other terms | 208 | $496 | $511 | $65 | 13% | — | $421 – $838 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $472 | $484 | $21 | 4% | — | $431 – $584 |
| 7 | Molina fee schedule · outpatient · +7 other terms | 138 | $724 | $681 | $257 | 38% | — | $350 – $1.3k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $492 | $491 | $20 | 4% | — | $449 – $589 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 102 | $486 | $542 | $150 | 28% | — | $431 – $1.4k |
| 10 | Anthem fee schedule · outpatient · +9 other terms | 80 | $449 | $631 | $619 | 98% | — | $345 – $3.5k |
| 11 | Kaiser fee schedule · outpatient · +7 other terms | 64 | $458 | $848 | $657 | 78% | — | $431 – $4.0k |
| 12 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $517 | $516 | $2 | 0% | — | $482 – $517 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $472 | $467 | $43 | 9% | — | $421 – $572 |
| 14 | Oscar fee schedule · outpatient · +6 other terms | 36 | $496 | $575 | $160 | 28% | — | $482 – $973 |
| 15 | Ambetter facility · fee schedule · outpatient · +7 other terms | 34 | $839 | $917 | $186 | 20% | — | $463 – $1.2k |
| 16 | Optum fee schedule · outpatient · +5 other terms | 33 | $472 | $619 | $275 | 45% | — | $431 – $1.2k |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 28 | $472 | $513 | $117 | 23% | — | $345 – $721 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $477 | $435 | $112 | 26% | — | $155 – $747 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $467 | $476 | $19 | 4% | — | $449 – $519 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $567 | $548 | $39 | 7% | — | $442 – $567 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $482 | $482 | — | — | — | $482 – $482 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $431 | $433 | $3 | 1% | — | $431 – $440 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 15 | $466 | $538 | $133 | 25% | — | $254 – $737 |
| 24 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 14 | $704 | $704 | $57 | 8% | — | $647 – $761 |
| 25 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $424 | $424 | $99 | 23% | — | $206 – $497 |
← Hospitals reporting HCPCS L0466 · Snapshot 20261112T181611Z-3fa9fb76