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
Non-molded lacer
Low
$82
Average
$432
Median
$317
High
$4.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.5× 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 · +20 other terms | 371 | $259 | $280 | $147 | 53% | — | $101 – $1.3k |
| 2 | Aetna fee schedule · outpatient · +19 other terms | 362 | $260 | $309 | $165 | 53% | — | $118 – $2.0k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 320 | $253 | $384 | $416 | 108% | — | $122 – $2.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 220 | $253 | $345 | $190 | 55% | — | $0 – $1.2k |
| 5 | WellCare fee schedule · outpatient · +9 other terms | 209 | $266 | $274 | $54 | 20% | — | $229 – $552 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 165 | $258 | $259 | $17 | 7% | — | $236 – $321 |
| 7 | Molina fee schedule · outpatient · +8 other terms | 147 | $371 | $355 | $141 | 40% | — | $134 – $676 |
| 8 | Cigna fee schedule · outpatient · +16 other terms | 117 | $290 | $368 | $207 | 56% | — | $152 – $1.1k |
| 9 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $253 | $260 | $15 | 6% | — | $236 – $325 |
| 10 | Anthem fee schedule · outpatient · +13 other terms | 90 | $296 | $431 | $366 | 85% | — | $134 – $1.8k |
| 11 | Kaiser fee schedule · outpatient · +9 other terms | 73 | $308 | $477 | $348 | 73% | — | $119 – $2.2k |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 45 | $427 | $452 | $89 | 20% | — | $232 – $611 |
| 13 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $271 | $271 | $1 | 0% | — | $253 – $271 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $277 | $267 | $17 | 6% | — | $236 – $315 |
| 15 | Oscar fee schedule · outpatient · +3 other terms | 36 | $253 | $301 | $93 | 31% | — | $248 – $536 |
| 16 | Optum fee schedule · outpatient · +5 other terms | 33 | $290 | $342 | $135 | 40% | — | $229 – $645 |
| 17 | Caresource fee schedule · outpatient · +6 other terms | 28 | $236 | $254 | $69 | 27% | — | $136 – $366 |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 23 | $243 | $229 | $62 | 27% | — | $79 – $421 |
| 19 | Medicare fee schedule · outpatient · +2 other terms | 19 | $290 | $289 | $10 | 4% | — | $241 – $296 |
| 20 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $314 | $304 | $20 | 7% | — | $252 – $320 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $284 | $277 | $14 | 5% | — | $241 – $284 |
| 22 | Bcbs Tx fee schedule · outpatient | 18 | $253 | $253 | — | — | — | $253 – $253 |
| 23 | Tricare facility · fee schedule · outpatient · +5 other terms | 17 | $236 | $253 | $24 | 9% | — | $232 – $296 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $237 | $275 | $68 | 25% | — | $129 – $375 |
| 25 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 14 | $389 | $389 | $32 | 8% | — | $357 – $420 |
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