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
Ko dbl upright w/air pre ots
Low
$179
Average
$830
Median
$731
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.0× 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 | Aetna fee schedule · outpatient · +11 other terms | 359 | $714 | $818 | $379 | 46% | — | $354 – $4.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 356 | $714 | $715 | $164 | 23% | — | $309 – $2.3k |
| 3 | Humana fee schedule · outpatient · +9 other terms | 317 | $707 | $1.1k | $1.1k | 107% | — | $363 – $5.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 223 | $725 | $877 | $443 | 51% | — | $0 – $3.4k |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $732 | $751 | $112 | 15% | — | $676 – $1.3k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $711 | $715 | $17 | 2% | — | $687 – $858 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 138 | $1.0k | $978 | $366 | 37% | — | $434 – $1.9k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $725 | $724 | $25 | 3% | — | $711 – $867 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 102 | $732 | $810 | $221 | 27% | — | $687 – $2.1k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 81 | $701 | $966 | $931 | 96% | — | $409 – $5.3k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $729 | $1.1k | $796 | 70% | — | $687 – $5.1k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $746 | $746 | $4 | 0% | — | $697 – $746 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $711 | $715 | $38 | 5% | — | $676 – $842 |
| 14 | Oscar fee schedule · outpatient · +6 other terms | 36 | $746 | $820 | $174 | 21% | — | $696 – $1.2k |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 34 | $1.3k | $1.3k | $320 | 24% | — | $676 – $1.8k |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $711 | $928 | $376 | 41% | — | $682 – $1.8k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $711 | $759 | $202 | 27% | — | $409 – $1.1k |
| 18 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $743 | $713 | $56 | 8% | — | $575 – $757 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $853 | $829 | $47 | 6% | — | $704 – $853 |
| 20 | Bcbs Tx fee schedule · outpatient | 18 | $697 | $697 | — | — | — | $697 – $697 |
| 21 | Medicare fee schedule · outpatient · +1 other terms | 18 | $687 | $689 | $5 | 1% | — | $687 – $701 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $707 | $815 | $201 | 25% | — | $385 – $1.1k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $643 | $643 | $150 | 23% | — | $313 – $753 |
| 24 | Wellmark fee schedule · both · +2 other terms | 13 | $676 | $672 | $26 | 4% | — | $514 – $676 |
| 25 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $374 | $508 | $159 | 31% | — | $374 – $697 |
← Hospitals reporting HCPCS L1848 · Snapshot 20261112T181611Z-3fa9fb76