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
Le - Total Contact Socket
Low
$207
Average
$806
Median
$736
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.2× 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 · +15 other terms | 362 | $688 | $682 | $211 | 31% | — | $292 – $2.3k |
| 2 | Aetna fee schedule · outpatient · +15 other terms | 361 | $704 | $786 | $402 | 51% | — | $286 – $4.7k |
| 3 | Humana fee schedule · outpatient · +13 other terms | 319 | $688 | $1.0k | $1.1k | 112% | — | $312 – $5.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 223 | $688 | $889 | $486 | 55% | — | $0 – $3.4k |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 208 | $722 | $726 | $163 | 22% | — | $577 – $1.6k |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $701 | $689 | $57 | 8% | — | $598 – $813 |
| 7 | Molina fee schedule · outpatient · +8 other terms | 144 | $934 | $945 | $375 | 40% | — | $370 – $1.8k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $640 | $690 | $46 | 7% | — | $598 – $820 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 108 | $722 | $813 | $311 | 38% | — | $513 – $2.0k |
| 10 | Anthem fee schedule · outpatient · +11 other terms | 84 | $781 | $901 | $739 | 82% | — | $292 – $4.5k |
| 11 | Kaiser fee schedule · outpatient · +7 other terms | 68 | $813 | $1.2k | $792 | 68% | — | $292 – $5.2k |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 47 | $1.1k | $1.1k | $245 | 22% | — | $434 – $1.5k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $736 | $736 | $4 | 0% | — | $688 – $736 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $781 | $721 | $73 | 10% | — | $598 – $797 |
| 15 | Oscar fee schedule · outpatient · +6 other terms | 36 | $687 | $782 | $228 | 29% | — | $628 – $1.4k |
| 16 | Optum fee schedule · outpatient · +4 other terms | 33 | $766 | $902 | $386 | 43% | — | $577 – $1.8k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 29 | $598 | $623 | $183 | 29% | — | $327 – $924 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $611 | $574 | $157 | 27% | — | $199 – $996 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $829 | $777 | $89 | 11% | — | $586 – $845 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $717 | $699 | $34 | 5% | — | $610 – $717 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $688 | $688 | — | — | — | $688 – $688 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $766 | $768 | $6 | 1% | — | $766 – $781 |
| 23 | Tricare facility · fee schedule · outpatient · +2 other terms | 16 | $598 | $663 | $91 | 14% | — | $586 – $797 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $598 | $692 | $172 | 25% | — | $325 – $944 |
| 25 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $1.1k | $1.1k | $486 | 43% | — | $574 – $2.1k |
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