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
HB Kafo, Fractre Sock, Each
Low
$22
Average
$104
Median
$95
High
$219
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.4× 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 · +19 other terms | 367 | $76 | $81 | $33 | 41% | — | $27 – $382 |
| 2 | Aetna fee schedule · outpatient · +19 other terms | 362 | $76 | $91 | $46 | 51% | — | $30 – $476 |
| 3 | Humana fee schedule · outpatient · +16 other terms | 319 | $75 | $114 | $123 | 108% | — | $38 – $589 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 225 | $77 | $106 | $69 | 66% | — | $0 – $1.0k |
| 5 | WellCare fee schedule · outpatient · +7 other terms | 209 | $75 | $81 | $14 | 17% | — | $25 – $149 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 165 | $77 | $78 | $6 | 8% | — | $71 – $97 |
| 7 | Molina fee schedule · outpatient · +13 other terms | 144 | $104 | $102 | $41 | 40% | — | $40 – $201 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $76 | $77 | $5 | 6% | — | $71 – $98 |
| 9 | Cigna fee schedule · outpatient · +15 other terms | 113 | $88 | $104 | $56 | 54% | — | $49 – $329 |
| 10 | Anthem fee schedule · outpatient · +15 other terms | 86 | $90 | $113 | $94 | 84% | — | $24 – $558 |
| 11 | Kaiser fee schedule · outpatient · +11 other terms | 69 | $93 | $139 | $94 | 67% | — | $35 – $522 |
| 12 | Ambetter facility · fee schedule · outpatient · +8 other terms | 51 | $122 | $132 | $28 | 21% | — | $54 – $192 |
| 13 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $80 | $80 | $0 | 0% | — | $75 – $80 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $75 | $76 | $4 | 5% | — | $71 – $95 |
| 15 | Oscar fee schedule · outpatient · +8 other terms | 36 | $75 | $90 | $26 | 29% | — | $75 – $161 |
| 16 | Optum fee schedule · outpatient · +7 other terms | 34 | $88 | $102 | $39 | 38% | — | $58 – $191 |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 29 | $71 | $76 | $23 | 30% | — | $39 – $115 |
| 18 | Medica facility · fee schedule · outpatient · +9 other terms | 22 | $76 | $72 | $22 | 30% | — | $25 – $158 |
| 19 | Tricare facility · fee schedule · outpatient · +2 other terms | 20 | $71 | $76 | $7 | 10% | — | $69 – $90 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 18 | $85 | $83 | $4 | 5% | — | $73 – $85 |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 18 | $75 | $75 | — | — | — | $75 – $75 |
| 22 | Medicare fee schedule · outpatient · +4 other terms | 18 | $88 | $88 | $1 | 1% | — | $88 – $90 |
| 23 | Regence facility · fee schedule · outpatient · +6 other terms | 17 | $95 | $89 | $13 | 15% | — | $59 – $97 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $74 | $86 | $21 | 25% | — | $40 – $117 |
| 25 | Highmark facility · fee schedule · outpatient · +5 other terms | 14 | $131 | $125 | $51 | 41% | — | $68 – $201 |
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