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
Splint Roll Quick Step Dbl 4 In
Low
$0
Average
$135
Median
$44
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 38.2× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 31 | $13 | $14 | $6 | 39% | — | $5 – $23 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 27 | $51 | $51 | $38 | 76% | — | $1 – $150 |
| 3 | Excellus facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 26 | $10 | $12 | $6 | 51% | — | $5 – $28 |
| 4 | Carefirst facility · percent of total billed charges · bothfrom % of charges | 25 | $9 | $12 | $7 | 59% | — | $5 – $28 |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient · +20 other terms | 24 | $40 | $79 | $94 | 119% | — | $15 – $396 |
| 6 | Premera facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 24 | $9 | $12 | $7 | 62% | — | $5 – $28 |
| 7 | Regence facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 24 | $9 | $12 | $7 | 63% | — | $5 – $28 |
| 8 | Aetna fee schedule · outpatient · +14 other terms | 21 | $11 | $16 | $17 | 108% | — | $2 – $79 |
| 9 | Kaiser facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 17 | $9 | $11 | $5 | 41% | — | $5 – $22 |
| 10 | Anthem facility · case rate · outpatient · +10 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 11 | Caresource facility · case rate · outpatient · +6 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 12 | Molina facility · case rate · outpatient · +7 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 13 | Medcost facility · percent of total billed charges · bothfrom % of charges | 14 | $10 | $11 | $2 | 21% | — | $8 – $15 |
| 14 | Oscar facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 13 | $5 | $7 | $2 | 30% | — | $4 – $12 |
| 15 | Bcbs Mn fee schedule · outpatient · +7 other terms | 12 | $44 | $34 | $19 | 55% | — | $15 – $56 |
| 16 | Bcbs Nj fee schedule · outpatient | 12 | $19 | $24 | $9 | 37% | — | $16 – $45 |
| 17 | Optum facility · case rate · outpatient · +3 other terms | 11 | $10 | $10 | $2 | 22% | — | $9 – $15 |
| 18 | Cigna professional · fee schedule · outpatient · +17 other terms | 10 | $9 | $10 | $2 | 23% | — | $9 – $15 |
| 19 | Highmark fee schedule · outpatient · +5 other terms | 10 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Magellan facility · percent of total billed charges · bothfrom % of charges | 9 | $11 | $14 | $7 | 49% | — | $8 – $28 |
| 21 | Humana fee schedule · outpatient · +15 other terms | 7 | $10 | $24 | $23 | 95% | — | $10 – $68 |
| 22 | MultiPlan fee schedule · inpatient · +12 other terms | 6 | $14 | $41 | $61 | 148% | — | $14 – $179 |
| 23 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $45 | $43 | $10 | 24% | — | $28 – $58 |
| 24 | Amerihealth Caritas facility · percent of total billed charges · bothfrom % of charges | 5 | $11 | $11 | $3 | 23% | — | $8 – $15 |
| 25 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $55 | $58 | $66 | 115% | — | $2 – $205 |
← Hospitals reporting HCPCS Q4051 · Snapshot 20261111T120946Z-9134e7f7