HCPCS L3805
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
PR WHFO LONG OPPONENS NO ATTACH
Low
$170
Average
$354
Median
$390
High
$542
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 3.1× 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 | Anthem facility · fee schedule · outpatient · +2 other terms | 3 | $269 | $393 | $175 | 45% | — | $269 – $641 |
| 2 | Cigna percent of total billed charges · outpatientfrom % of charges | 2 | $339 | $413 | $136 | 33% | — | $191 – $549 |
| 3 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $170 | $170 | — | — | — | $170 – $170 |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $460 | $50 | 11% | — | $397 – $518 |
| 6 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $433 | $433 | $47 | 11% | — | $374 – $488 |
| 7 | Caresource fee schedule · outpatient | 1 | $542 | $542 | $58 | 11% | — | $467 – $610 |
| 8 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 9 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | $19 | 11% | — | $150 – $196 |
| 10 | Medicare fee schedule · outpatient | 1 | $542 | $542 | $58 | 11% | — | $467 – $610 |
| 11 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 1 | $477 | $477 | $51 | 11% | — | $411 – $536 |
| 12 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | $19 | 11% | — | $155 – $202 |
← Hospitals reporting HCPCS L3805 · Snapshot 20261113T090226Z-3ce6c0b8