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
HC Add Lwr Extrmty Varus/Val Strap/Mall Pad Tier1
Low
$21
Average
$97
Median
$82
High
$271
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 3.0× 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 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 389 | $63 | $88 | $73 | 82% | — | $1 – $562 |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 364 | $64 | $80 | $50 | 63% | — | $30 – $660 |
| 3 | Humana fee schedule · outpatient · +21 other terms | 322 | $64 | $95 | $99 | 105% | — | $28 – $475 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 237 | $63 | $97 | $74 | 76% | — | $0 – $963 |
| 5 | WellCare fee schedule · outpatient · +10 other terms | 213 | $64 | $67 | $12 | 18% | — | $19 – $123 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 165 | $62 | $63 | $2 | 4% | — | $62 – $84 |
| 7 | Molina fee schedule · outpatient · +13 other terms | 148 | $91 | $90 | $33 | 37% | — | $32 – $165 |
| 8 | Cigna fee schedule · outpatient · +17 other terms | 120 | $66 | $126 | $97 | 77% | — | $30 – $581 |
| 9 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 116 | $66 | $64 | $3 | 5% | — | $62 – $85 |
| 10 | Anthem fee schedule · outpatient · +16 other terms | 91 | $68 | $133 | $103 | 78% | — | $43 – $568 |
| 11 | Kaiser fee schedule · outpatient · +13 other terms | 74 | $69 | $135 | $95 | 70% | — | $62 – $604 |
| 12 | Ambetter facility · fee schedule · outpatient · +9 other terms | 47 | $117 | $119 | $26 | 22% | — | $55 – $154 |
| 13 | Caresource fee schedule · outpatient · +8 other terms | 44 | $62 | $72 | $17 | 24% | — | $34 – $117 |
| 14 | Superior Healthplan fee schedule · outpatient · +3 other terms | 40 | $65 | $65 | $0 | 0% | — | $61 – $65 |
| 15 | Clover fee schedule · outpatient · +3 other terms | 37 | $63 | $64 | $3 | 5% | — | $62 – $82 |
| 16 | Oscar fee schedule · outpatient · +9 other terms | 36 | $65 | $76 | $25 | 33% | — | $60 – $140 |
| 17 | Optum fee schedule · outpatient · +9 other terms | 33 | $65 | $83 | $31 | 37% | — | $61 – $154 |
| 18 | Medica facility · fee schedule · outpatient · +12 other terms | 23 | $77 | $70 | $17 | 24% | — | $25 – $106 |
| 19 | Medicare fee schedule · outpatient · +7 other terms | 19 | $65 | $65 | $2 | 3% | — | $58 – $66 |
| 20 | Tricare facility · fee schedule · outpatient · +6 other terms | 19 | $63 | $64 | $4 | 6% | — | $57 – $78 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +4 other terms | 18 | $74 | $72 | $3 | 4% | — | $65 – $74 |
| 22 | Bcbs Tx fee schedule · outpatient | 18 | $61 | $61 | — | — | — | $61 – $61 |
| 23 | MultiPlan fee schedule · outpatient · +16 other terms | 17 | $278 | $281 | $111 | 40% | — | $60 – $460 |
| 24 | Regence facility · fee schedule · outpatient · +6 other terms | 17 | $70 | $71 | $3 | 4% | — | $68 – $79 |
| 25 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 15 | $76 | $87 | $22 | 25% | — | $41 – $120 |
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