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
Anterior Asis Pad
Low
$24
Average
$115
Median
$105
High
$234
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +11 other terms | 359 | $97 | $111 | $51 | 46% | — | $55 – $583 |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 356 | $95 | $99 | $23 | 23% | — | $41 – $289 |
| 3 | Humana fee schedule · outpatient · +12 other terms | 317 | $98 | $146 | $150 | 103% | — | $50 – $719 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 229 | $111 | $127 | $64 | 50% | — | $0 – $466 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 208 | $96 | $102 | $14 | 14% | — | $81 – $162 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $93 | $97 | $10 | 10% | — | $80 – $116 |
| 7 | Molina fee schedule · outpatient · +5 other terms | 138 | $132 | $130 | $48 | 37% | — | $61 – $245 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $104 | $99 | $11 | 11% | — | $83 – $120 |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 102 | $105 | $111 | $33 | 29% | — | $80 – $285 |
| 10 | Anthem fee schedule · outpatient · +8 other terms | 80 | $95 | $129 | $130 | 101% | — | $58 – $729 |
| 11 | Kaiser fee schedule · outpatient · +8 other terms | 64 | $85 | $142 | $103 | 73% | — | $80 – $640 |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 45 | $146 | $185 | $58 | 32% | — | $71 – $277 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $98 | $98 | $0 | 0% | — | $92 – $98 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 37 | $98 | $96 | $15 | 15% | — | $81 – $116 |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $116 | $114 | $25 | 22% | — | $92 – $186 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $111 | $123 | $50 | 41% | — | $80 – $234 |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $111 | $112 | $26 | 24% | — | $58 – $150 |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 22 | $99 | $90 | $23 | 25% | — | $32 – $138 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $86 | $85 | $4 | 5% | — | $73 – $88 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $133 | $128 | $10 | 8% | — | $102 – $133 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $92 | $92 | — | — | — | $92 – $92 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $80 | $80 | $1 | 1% | — | $80 – $81 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $97 | $112 | $28 | 25% | — | $53 – $154 |
| 24 | Tricare facility · fee schedule · outpatient · +2 other terms | 15 | $98 | $92 | $10 | 11% | — | $75 – $109 |
| 25 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $159 | $161 | $68 | 42% | — | $83 – $282 |
← Hospitals reporting HCPCS L1250 · Snapshot 20261112T181611Z-3fa9fb76