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
HELL CUP , WONDER SPUR LG
Low
$0
Average
$66
Median
$42
High
$478
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 10.9× 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 | Humana fee schedule · outpatient · +14 other terms | 54 | $89 | $68 | $45 | 66% | — | $6 – $122 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 43 | $38 | $57 | $63 | 112% | — | $0 – $237 |
| 3 | UnitedHealthcare fee schedule · both · +18 other terms | 40 | $10 | $47 | $168 | 360% | — | $7 – $947 |
| 4 | Aetna fee schedule · outpatient · +16 other terms | 23 | $9 | $19 | $20 | 105% | — | $6 – $80 |
| 5 | Regence fee schedule · outpatient · +4 other terms | 18 | $15 | $23 | $8 | 37% | — | $11 – $43 |
| 6 | Molina facility · case rate · outpatient · +9 other terms | 17 | $15 | $15 | $6 | 43% | — | $0 – $26 |
| 7 | Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 16 | $35 | $37 | $10 | 28% | — | $30 – $72 |
| 8 | Medica fee schedule · outpatient · +12 other terms | 16 | $26 | $41 | $24 | 59% | — | $12 – $88 |
| 9 | Anthem facility · case rate · outpatient · +14 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 10 | Caresource facility · case rate · outpatient · +6 other terms | 15 | $16 | $17 | $4 | 22% | — | $10 – $27 |
| 11 | Cigna fee schedule · both · +14 other terms | 15 | $29 | $27 | $4 | 15% | — | $15 – $29 |
| 12 | Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 14 | $35 | $34 | $2 | 6% | — | $30 – $35 |
| 13 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 13 | $35 | $34 | $9 | 28% | — | $8 – $55 |
| 14 | Wellmark fee schedule · both · +8 other terms | 13 | $18 | $19 | $6 | 32% | — | $18 – $55 |
| 15 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $20 | $14 | $8 | 60% | — | $6 – $24 |
| 16 | Bcbs Nj fee schedule · outpatient | 12 | $56 | $70 | $26 | 37% | — | $48 – $131 |
| 17 | Optum facility · case rate · outpatient · +5 other terms | 11 | $14 | $16 | $3 | 21% | — | $13 – $24 |
| 18 | Highmark fee schedule · outpatient · +2 other terms | 10 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Premera percent of total billed charges · outpatientfrom % of charges · +2 other terms | 9 | $106 | $99 | $14 | 14% | — | $57 – $106 |
| 20 | Ucare fee schedule · both · +9 other terms | 9 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Ambetter other · outpatient · +3 other terms | 8 | $700 | $695 | $42 | 6% | — | $545 – $739 |
| 22 | Bcbs Il professional · fee schedule · both | 8 | $14 | $17 | $25 | 151% | — | $0 – $55 |
| 23 | First Health professional · fee schedule · both · +8 other terms | 8 | $0 | $3 | $3 | 129% | — | $0 – $7 |
| 24 | Medicaid facility · fee schedule · outpatient · +4 other terms | 8 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | WellCare professional · fee schedule · both · +4 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS L3485 · Snapshot 20261111T120946Z-9134e7f7