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 Inclusive Boston O/ 4+ Parameters < L1200
Low
$623
Average
$2.6k
Median
$2.2k
High
$6.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 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 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 374 | $2.1k | $2.2k | $953 | 44% | — | $1 – $8.2k |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 363 | $2.1k | $2.5k | $1.4k | 57% | — | $994 – $17.3k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 321 | $2.1k | $3.1k | $3.3k | 109% | — | $1.1k – $15.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 230 | $2.1k | $2.8k | $1.5k | 54% | — | $0 – $10.0k |
| 5 | WellCare fee schedule · outpatient · +7 other terms | 208 | $2.1k | $2.2k | $267 | 12% | — | $1.8k – $3.5k |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $2.1k | $2.1k | $54 | 3% | — | $2.0k – $2.4k |
| 7 | Molina fee schedule · outpatient · +7 other terms | 140 | $3.0k | $2.9k | $1.1k | 38% | — | $1.2k – $5.4k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $2.1k | $2.1k | $76 | 4% | — | $1.9k – $2.5k |
| 9 | Cigna fee schedule · outpatient · +15 other terms | 105 | $2.1k | $2.5k | $1.0k | 41% | — | $1.2k – $8.5k |
| 10 | Anthem fee schedule · outpatient · +12 other terms | 80 | $2.1k | $2.9k | $2.9k | 102% | — | $1.3k – $16.5k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $2.2k | $3.8k | $2.9k | 75% | — | $2.1k – $17.6k |
| 12 | Caresource fee schedule · outpatient · +5 other terms | 41 | $2.2k | $2.2k | $383 | 18% | — | $1.1k – $3.4k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $2.2k | $2.2k | $10 | 0% | — | $2.0k – $2.2k |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $2.0k | $2.0k | $187 | 10% | — | $1.8k – $2.4k |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 36 | $3.8k | $3.9k | $818 | 21% | — | $1.6k – $5.0k |
| 16 | Oscar fee schedule · outpatient · +6 other terms | 36 | $2.1k | $2.5k | $679 | 28% | — | $2.0k – $4.1k |
| 17 | Optum fee schedule · outpatient · +4 other terms | 35 | $2.1k | $2.7k | $1.1k | 41% | — | $1.8k – $5.2k |
| 18 | Medica facility · fee schedule · outpatient · +8 other terms | 22 | $2.2k | $2.1k | $525 | 26% | — | $733 – $3.5k |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $2.2k | $2.2k | $74 | 3% | — | $2.0k – $2.3k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $2.4k | $2.3k | $175 | 8% | — | $1.8k – $2.4k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $2.1k | $2.1k | $16 | 1% | — | $2.1k – $2.1k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $2.2k | $2.5k | $627 | 25% | — | $1.2k – $3.5k |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $2.0k | $2.0k | $467 | 23% | — | $973 – $2.3k |
| 25 | Wellmark fee schedule · both · +3 other terms | 13 | $2.0k | $2.0k | $65 | 3% | — | $1.6k – $2.0k |
← Hospitals reporting HCPCS L1200 · Snapshot 20261111T120946Z-9134e7f7