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
Plate Contour Flexible
Low
$43
Average
$177
Median
$156
High
$334
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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +17 other terms | 360 | $152 | $175 | $83 | 47% | — | $53 – $1.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 360 | $153 | $151 | $38 | 25% | — | $1 – $506 |
| 3 | Humana fee schedule · outpatient · +16 other terms | 320 | $151 | $226 | $242 | 107% | — | $77 – $1.2k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 216 | $154 | $240 | $271 | 113% | — | $0 – $1.7k |
| 5 | WellCare fee schedule · outpatient · +8 other terms | 208 | $156 | $160 | $24 | 15% | — | $144 – $287 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 165 | $151 | $152 | $4 | 2% | — | $146 – $183 |
| 7 | Molina fee schedule · outpatient · +10 other terms | 140 | $222 | $207 | $78 | 38% | — | $102 – $396 |
| 8 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 116 | $154 | $154 | $5 | 4% | — | $151 – $185 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 104 | $156 | $171 | $48 | 28% | — | $94 – $441 |
| 10 | Anthem fee schedule · outpatient · +12 other terms | 80 | $149 | $206 | $199 | 97% | — | $116 – $1.1k |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 64 | $155 | $247 | $177 | 72% | — | $146 – $1.1k |
| 12 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $159 | $159 | $1 | 0% | — | $148 – $159 |
| 13 | Ambetter facility · fee schedule · outpatient · +10 other terms | 38 | $261 | $277 | $68 | 25% | — | $144 – $378 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $151 | $152 | $8 | 5% | — | $144 – $180 |
| 15 | Oscar fee schedule · outpatient · +7 other terms | 36 | $159 | $175 | $37 | 21% | — | $148 – $255 |
| 16 | Optum fee schedule · outpatient · +6 other terms | 33 | $151 | $198 | $80 | 41% | — | $145 – $378 |
| 17 | Caresource fee schedule · outpatient · +6 other terms | 28 | $151 | $165 | $37 | 22% | — | $116 – $233 |
| 18 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $158 | $153 | $10 | 6% | — | $127 – $161 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $182 | $177 | $10 | 6% | — | $150 – $182 |
| 20 | Bcbs Tx fee schedule · outpatient | 18 | $148 | $148 | — | — | — | $148 – $148 |
| 21 | Medicare fee schedule · outpatient · +3 other terms | 18 | $146 | $147 | $1 | 1% | — | $146 – $149 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $151 | $173 | $43 | 25% | — | $82 – $238 |
| 23 | Medica facility · fee schedule · outpatient · +7 other terms | 14 | $148 | $136 | $39 | 28% | — | $50 – $250 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $137 | $137 | $28 | 20% | — | $67 – $160 |
| 25 | Wellmark fee schedule · both · +3 other terms | 13 | $140 | $139 | $5 | 3% | — | $110 – $140 |
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