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
Split flat caliper stirr & p
Low
$31
Average
$134
Median
$116
High
$523
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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 372 | $92 | $100 | $48 | 47% | — | $35 – $496 |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 362 | $93 | $119 | $81 | 69% | — | $44 – $1.1k |
| 3 | Humana fee schedule · outpatient · +14 other terms | 319 | $92 | $139 | $149 | 108% | — | $52 – $714 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 232 | $93 | $130 | $78 | 60% | — | $0 – $447 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 211 | $96 | $98 | $15 | 16% | — | $35 – $172 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $93 | $93 | $3 | 3% | — | $88 – $120 |
| 7 | Molina fee schedule · outpatient · +6 other terms | 138 | $137 | $133 | $51 | 38% | — | $63 – $244 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $94 | $94 | $4 | 4% | — | $88 – $121 |
| 9 | Cigna fee schedule · outpatient · +13 other terms | 107 | $94 | $120 | $71 | 59% | — | $57 – $462 |
| 10 | Anthem fee schedule · outpatient · +9 other terms | 83 | $94 | $145 | $160 | 110% | — | $60 – $882 |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 65 | $98 | $173 | $129 | 75% | — | $92 – $795 |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 46 | $167 | $172 | $39 | 23% | — | $85 – $220 |
| 13 | Caresource fee schedule · outpatient · +5 other terms | 43 | $88 | $109 | $31 | 28% | — | $60 – $182 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $97 | $97 | $0 | 0% | — | $91 – $97 |
| 15 | Clover fee schedule · outpatient · +3 other terms | 37 | $88 | $91 | $6 | 7% | — | $86 – $118 |
| 16 | Oscar fee schedule · outpatient · +6 other terms | 36 | $93 | $112 | $35 | 32% | — | $91 – $200 |
| 17 | Optum fee schedule · outpatient · +4 other terms | 33 | $92 | $122 | $49 | 40% | — | $88 – $232 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $120 | $108 | $27 | 25% | — | $39 – $164 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $100 | $100 | $3 | 3% | — | $90 – $104 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $106 | $103 | $5 | 5% | — | $90 – $106 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $91 | $91 | — | — | — | $91 – $91 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $92 | $93 | $1 | 1% | — | $92 – $94 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $118 | $135 | $34 | 25% | — | $64 – $186 |
| 24 | Tricare facility · fee schedule · outpatient · +2 other terms | 15 | $88 | $88 | $3 | 4% | — | $79 – $94 |
| 25 | Highmark facility · fee schedule · outpatient · +5 other terms | 14 | $152 | $150 | $62 | 41% | — | $85 – $249 |
← Hospitals reporting HCPCS L2230 · Snapshot 20261112T181611Z-3fa9fb76