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
Complete sl per sq cm
Low
$68
Average
$1.4k
Median
$905
High
$7.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 29.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 360 | $210 | $1.6k | $3.1k | 198% | — | $48 – $21.1k |
| 2 | Cigna fee schedule · outpatient · +5 other terms | 198 | $3.9k | $7.9k | $8.2k | 104% | — | $119 – $28.8k |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 177 | $139 | $1.2k | $3.1k | 257% | — | $69 – $16.4k |
| 4 | Humana fee schedule · outpatient · +6 other terms | 171 | $171 | $1.5k | $1.6k | 107% | — | $48 – $3.5k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 164 | $135 | $464 | $1.2k | 259% | — | $1 – $6.1k |
| 6 | Molina fee schedule · outpatient · +6 other terms | 54 | $192 | $252 | $393 | 156% | — | $51 – $3.4k |
| 7 | Anthem facility · fee schedule · outpatient · +5 other terms | 52 | $177 | $1.9k | $2.9k | 152% | — | $48 – $12.0k |
| 8 | Caresource fee schedule · outpatient · +3 other terms | 47 | $191 | $1.3k | $1.8k | 140% | — | $48 – $5.7k |
| 9 | WellCare fee schedule · outpatient · +5 other terms | 46 | $138 | $419 | $911 | 217% | — | $119 – $3.4k |
| 10 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $207 | $267 | $184 | 69% | — | $125 – $1000 |
| 11 | Ambetter fee schedule · outpatient · +3 other terms | 38 | $248 | $1.0k | $2.1k | 202% | — | $162 – $6.9k |
| 12 | Devoted fee schedule · outpatient · +3 other terms | 34 | $125 | $125 | $8 | 6% | — | $116 – $139 |
| 13 | Optum fee schedule · outpatient · +2 other terms | 32 | $125 | $173 | $91 | 53% | — | $113 – $459 |
| 14 | Bcbs Tx fee schedule · outpatient | 30 | $103 | $106 | $33 | 31% | — | $79 – $388 |
| 15 | Medicare fee schedule · outpatient · +1 other terms | 18 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 17 | $142 | $5.3k | $4.9k | 94% | — | $64 – $14.4k |
| 17 | Highmark fee schedule · outpatient · +4 other terms | 16 | $4.2k | $3.8k | $1.0k | 27% | — | $127 – $4.2k |
| 18 | Wellmark fee schedule · both · +1 other terms | 14 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Bcbs Nj fee schedule · outpatient | 11 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Oscar facility · fee schedule · outpatient · +1 other terms | 11 | $2.2k | $1.9k | $2.0k | 106% | — | $175 – $4.2k |
| 21 | Regence fee schedule · outpatient · +4 other terms | 10 | $146 | $146 | $4 | 3% | — | $140 – $156 |
| 22 | Tricare fee schedule · outpatient · +1 other terms | 10 | $113 | $115 | $4 | 3% | — | $113 – $121 |
| 23 | Clover fee schedule · outpatient · +1 other terms | 9 | $140 | $1.2k | $1.5k | 127% | — | $120 – $3.4k |
| 24 | Excellus fee schedule · outpatient · +2 other terms | 6 | $236 | $230 | $60 | 26% | — | $127 – $351 |
| 25 | Aetna Better Health facility · fee schedule · outpatient | 5 | $68 | $68 | $1 | 1% | — | $68 – $70 |
← Hospitals reporting HCPCS Q4270 · Snapshot 20261112T181611Z-3fa9fb76