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
Above elbow prosth tiss shap
Low
$1.1k
Average
$4.9k
Median
$4.5k
High
$9.1k
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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +12 other terms | 361 | $4.1k | $4.8k | $2.4k | 49% | — | $1.9k – $29.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 358 | $4.0k | $4.1k | $1.1k | 27% | — | $1.6k – $14.4k |
| 3 | Humana fee schedule · outpatient · +12 other terms | 319 | $4.1k | $5.9k | $6.1k | 102% | — | $2.2k – $29.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 230 | $4.0k | $5.4k | $2.9k | 54% | — | $0 – $18.4k |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 208 | $4.1k | $4.2k | $697 | 17% | — | $3.7k – $7.6k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $4.0k | $4.0k | $350 | 9% | — | $3.8k – $5.1k |
| 7 | Molina fee schedule · outpatient · +5 other terms | 140 | $5.6k | $5.5k | $2.1k | 38% | — | $2.0k – $10.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $4.1k | $4.0k | $333 | 8% | — | $3.8k – $5.2k |
| 9 | Cigna fee schedule · outpatient · +11 other terms | 102 | $4.7k | $4.8k | $1.3k | 27% | — | $3.7k – $12.6k |
| 10 | Anthem fee schedule · outpatient · +5 other terms | 80 | $4.9k | $6.0k | $5.7k | 95% | — | $2.5k – $32.3k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $5.0k | $7.3k | $4.9k | 67% | — | $4.4k – $31.9k |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 47 | $6.0k | $7.2k | $1.8k | 24% | — | $3.1k – $9.9k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $4.0k | $4.0k | $19 | 0% | — | $3.7k – $4.0k |
| 14 | Clover fee schedule · outpatient · +3 other terms | 37 | $4.0k | $4.0k | $210 | 5% | — | $3.8k – $5.0k |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $4.2k | $4.6k | $1.2k | 26% | — | $3.7k – $7.8k |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $4.8k | $5.4k | $1.8k | 33% | — | $3.8k – $9.5k |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 28 | $4.0k | $4.4k | $1.3k | 29% | — | $2.5k – $6.6k |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $4.4k | $4.1k | $1.1k | 27% | — | $1.4k – $7.7k |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $5.1k | $4.8k | $556 | 12% | — | $3.6k – $5.2k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $4.8k | $4.6k | $286 | 6% | — | $3.9k – $4.8k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $4.8k | $4.8k | $37 | 1% | — | $4.8k – $4.9k |
| 23 | Tricare facility · fee schedule · outpatient · +2 other terms | 16 | $3.8k | $3.9k | $365 | 9% | — | $3.5k – $4.9k |
| 24 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $4.3k | $5.0k | $1.2k | 25% | — | $2.3k – $6.8k |
| 25 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $6.8k | $6.5k | $2.7k | 41% | — | $3.6k – $10.8k |
← Hospitals reporting HCPCS L6500 · Snapshot 20261112T181611Z-3fa9fb76