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
Postop applicat rigid dsg on
Low
$174
Average
$754
Median
$642
High
$2.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.1× 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 | Aetna fee schedule · outpatient · +13 other terms | 359 | $607 | $687 | $343 | 50% | — | $258 – $4.2k |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 356 | $600 | $581 | $160 | 27% | — | $214 – $2.1k |
| 3 | Humana fee schedule · outpatient · +10 other terms | 317 | $595 | $883 | $991 | 112% | — | $331 – $4.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 218 | $600 | $794 | $444 | 56% | — | $0 – $2.9k |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $630 | $628 | $87 | 14% | — | $528 – $1.1k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $607 | $598 | $32 | 5% | — | $538 – $732 |
| 7 | Molina fee schedule · outpatient · +7 other terms | 138 | $901 | $843 | $321 | 38% | — | $353 – $1.6k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $576 | $602 | $27 | 4% | — | $538 – $739 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 102 | $607 | $666 | $194 | 29% | — | $528 – $1.9k |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 81 | $607 | $842 | $843 | 100% | — | $333 – $4.8k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $631 | $1.0k | $726 | 71% | — | $595 – $4.6k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $642 | $642 | $3 | 0% | — | $600 – $642 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $538 | $566 | $49 | 9% | — | $528 – $718 |
| 14 | Oscar fee schedule · outpatient · +4 other terms | 36 | $599 | $695 | $186 | 27% | — | $565 – $1.1k |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 35 | $1.1k | $1.1k | $194 | 18% | — | $528 – $1.5k |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $595 | $781 | $336 | 43% | — | $538 – $1.5k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $538 | $619 | $205 | 33% | — | $333 – $980 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $648 | $591 | $149 | 25% | — | $211 – $965 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $644 | $623 | $40 | 6% | — | $518 – $656 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $646 | $630 | $31 | 5% | — | $549 – $646 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $600 | $600 | — | — | — | $600 – $600 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $595 | $597 | $5 | 1% | — | $595 – $607 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $634 | $729 | $181 | 25% | — | $345 – $1.0k |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $577 | $576 | $135 | 23% | — | $281 – $675 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $556 | $554 | $15 | 3% | — | $461 – $556 |
← Hospitals reporting HCPCS L6388 · Snapshot 20261112T181611Z-3fa9fb76