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
Disconnect insert locking wr
Low
$21
Average
$111
Median
$98
High
$361
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 · +12 other terms | 361 | $91 | $106 | $53 | 50% | — | $42 – $637 |
| 2 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 358 | $91 | $94 | $23 | 24% | — | $37 – $316 |
| 3 | Humana fee schedule · outpatient · +12 other terms | 319 | $90 | $141 | $163 | 116% | — | $42 – $777 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 219 | $99 | $116 | $61 | 53% | — | $0 – $495 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 208 | $98 | $101 | $17 | 17% | — | $77 – $181 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $87 | $95 | $9 | 9% | — | $76 – $108 |
| 7 | Molina fee schedule · outpatient · +5 other terms | 140 | $124 | $133 | $53 | 40% | — | $37 – $265 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $93 | $98 | $7 | 7% | — | $79 – $110 |
| 9 | Cigna fee schedule · outpatient · +12 other terms | 104 | $91 | $105 | $34 | 33% | — | $60 – $232 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $79 | $115 | $104 | 91% | — | $45 – $596 |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $81 | $144 | $114 | 79% | — | $76 – $700 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $106 | $106 | $1 | 0% | — | $99 – $106 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $91 | $94 | $7 | 7% | — | $87 – $106 |
| 14 | Ambetter facility · fee schedule · outpatient · +6 other terms | 36 | $143 | $157 | $43 | 27% | — | $58 – $217 |
| 15 | Oscar fee schedule · outpatient · +6 other terms | 36 | $99 | $105 | $18 | 17% | — | $87 – $146 |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $87 | $121 | $61 | 50% | — | $76 – $253 |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 29 | $87 | $87 | $24 | 28% | — | $45 – $123 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $81 | $75 | $20 | 26% | — | $26 – $132 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $83 | $84 | $3 | 4% | — | $79 – $91 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $104 | $104 | $2 | 2% | — | $99 – $108 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $76 | $77 | $1 | 1% | — | $76 – $78 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $79 | $92 | $23 | 25% | — | $43 – $125 |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $72 | $72 | $17 | 23% | — | $35 – $85 |
| 25 | Wellmark fee schedule · both · +4 other terms | 13 | $76 | $76 | $3 | 4% | — | $58 – $76 |
← Hospitals reporting HCPCS L6616 · Snapshot 20261112T181611Z-3fa9fb76