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
Below elbow prosth tiss shap
Low
$983
Average
$3.8k
Median
$3.4k
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.3× 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 · +12 other terms | 359 | $3.1k | $3.7k | $1.9k | 51% | — | $1.4k – $21.8k |
| 2 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 356 | $3.1k | $3.1k | $824 | 27% | — | $1.3k – $10.5k |
| 3 | Humana fee schedule · outpatient · +12 other terms | 317 | $3.1k | $4.6k | $5.0k | 108% | — | $1.8k – $23.6k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 229 | $3.1k | $4.2k | $2.4k | 57% | — | $0 – $14.8k |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $3.2k | $3.3k | $621 | 19% | — | $2.8k – $6.5k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $3.1k | $3.1k | $247 | 8% | — | $2.8k – $3.9k |
| 7 | Molina fee schedule · outpatient · +5 other terms | 138 | $4.5k | $4.3k | $1.7k | 38% | — | $2.0k – $8.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $3.0k | $3.1k | $209 | 7% | — | $2.8k – $3.9k |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 102 | $3.2k | $3.6k | $1.0k | 29% | — | $2.8k – $9.8k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $3.7k | $4.6k | $4.4k | 98% | — | $1.9k – $25.1k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $3.9k | $5.6k | $3.6k | 64% | — | $3.2k – $23.3k |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 46 | $5.4k | $5.5k | $1.2k | 21% | — | $2.4k – $7.1k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $3.2k | $3.2k | $15 | 0% | — | $3.0k – $3.2k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 37 | $3.2k | $3.2k | $173 | 5% | — | $2.8k – $3.8k |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $3.0k | $3.6k | $1.1k | 31% | — | $3.0k – $6.4k |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $3.6k | $4.2k | $1.6k | 37% | — | $2.8k – $7.7k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $2.8k | $3.3k | $1.1k | 32% | — | $1.9k – $5.2k |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $3.4k | $3.2k | $795 | 25% | — | $1.1k – $5.1k |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $3.9k | $3.7k | $490 | 13% | — | $2.6k – $4.0k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $3.4k | $3.3k | $161 | 5% | — | $2.9k – $3.4k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $3.6k | $3.7k | $28 | 1% | — | $3.6k – $3.7k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $3.4k | $3.9k | $954 | 25% | — | $1.8k – $5.3k |
| 24 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $5.2k | $5.0k | $2.1k | 42% | — | $2.7k – $8.7k |
| 25 | Tricare facility · fee schedule · outpatient · +2 other terms | 14 | $2.8k | $3.1k | $326 | 11% | — | $2.8k – $3.7k |
← Hospitals reporting HCPCS L6400 · Snapshot 20261112T181611Z-3fa9fb76