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
Spring-ass rot wrst w/ latch
Low
$204
Average
$1.1k
Median
$946
High
$2.2k
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 | 358 | $879 | $1.0k | $475 | 46% | — | $502 – $5.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 356 | $861 | $924 | $230 | 25% | — | $384 – $2.9k |
| 3 | Humana fee schedule · outpatient · +11 other terms | 317 | $926 | $1.3k | $1.3k | 99% | — | $459 – $6.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 217 | $1.0k | $1.2k | $589 | 50% | — | $0 – $4.2k |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 208 | $874 | $926 | $152 | 16% | — | $770 – $1.5k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $873 | $878 | $104 | 12% | — | $755 – $1.1k |
| 7 | Molina fee schedule · outpatient · +4 other terms | 138 | $1.2k | $1.2k | $426 | 37% | — | $523 – $2.2k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $939 | $899 | $123 | 14% | — | $785 – $1.1k |
| 9 | Cigna fee schedule · outpatient · +12 other terms | 102 | $1.0k | $1.0k | $293 | 28% | — | $755 – $2.6k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $851 | $1.2k | $1.2k | 99% | — | $493 – $6.6k |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 64 | $801 | $1.4k | $1.0k | 76% | — | $755 – $6.5k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $866 | $866 | $4 | 0% | — | $808 – $866 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $866 | $900 | $140 | 16% | — | $770 – $1.1k |
| 14 | Ambetter facility · fee schedule · outpatient · +6 other terms | 35 | $1.6k | $1.8k | $578 | 32% | — | $847 – $2.6k |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 35 | $1.1k | $1.0k | $217 | 21% | — | $808 – $1.8k |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $1.0k | $1.1k | $419 | 37% | — | $755 – $2.1k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $1.0k | $1.0k | $246 | 24% | — | $493 – $1.4k |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $898 | $818 | $217 | 26% | — | $293 – $1.5k |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $817 | $815 | $26 | 3% | — | $735 – $844 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $1.3k | $1.2k | $104 | 9% | — | $921 – $1.3k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $808 | $808 | — | — | — | $808 – $808 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $755 | $757 | $6 | 1% | — | $755 – $770 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $879 | $1.0k | $250 | 25% | — | $478 – $1.4k |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $799 | $799 | $186 | 23% | — | $389 – $936 |
| 25 | Wellmark fee schedule · both · +3 other terms | 13 | $854 | $849 | $34 | 4% | — | $639 – $854 |
← Hospitals reporting HCPCS L6623 · Snapshot 20261112T181611Z-3fa9fb76