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
Stocking sup grips 4 pre ots
Low
$5
Average
$24
Median
$23
High
$55
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.9× 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 · +9 other terms | 359 | $22 | $25 | $11 | 44% | — | $11 – $133 |
| 2 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 355 | $22 | $22 | $5 | 24% | — | $9 – $66 |
| 3 | Humana fee schedule · outpatient · +10 other terms | 316 | $22 | $34 | $41 | 118% | — | $10 – $192 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 218 | $24 | $28 | $14 | 48% | — | $0 – $119 |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $23 | $25 | $3 | 13% | — | $18 – $37 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $22 | $24 | $2 | 10% | — | $18 – $27 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 137 | $29 | $32 | $13 | 40% | — | $14 – $65 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $23 | $24 | $2 | 8% | — | $19 – $26 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 102 | $23 | $24 | $6 | 25% | — | $18 – $56 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 80 | $19 | $27 | $25 | 94% | — | $18 – $144 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $19 | $32 | $23 | 73% | — | $18 – $146 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $26 | $26 | $0 | 0% | — | $24 – $26 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $22 | $22 | $3 | 14% | — | $18 – $26 |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 36 | $24 | $26 | $5 | 18% | — | $21 – $37 |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 35 | $35 | $40 | $10 | 26% | — | $21 – $55 |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $22 | $29 | $15 | 52% | — | $18 – $62 |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 26 | $22 | $24 | $3 | 14% | — | $19 – $30 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 23 | $20 | $18 | $5 | 27% | — | $6 – $36 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $19 | $19 | $1 | 4% | — | $17 – $20 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $26 | $25 | $2 | 9% | — | $19 – $26 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $19 | $22 | $6 | 25% | — | $10 – $30 |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $17 | $17 | $4 | 23% | — | $9 – $20 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $21 | $20 | $1 | 5% | — | $14 – $21 |
← Hospitals reporting HCPCS L0982 · Snapshot 20261112T181611Z-3fa9fb76