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
Amnio tri-core, per sq cm
Low
$8
Average
$1.4k
Median
$1.1k
High
$5.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 23.6× 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 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 425 | $296 | $1.8k | $2.5k | 136% | — | $48 – $14.6k |
| 2 | Cigna fee schedule · outpatient · +7 other terms | 270 | $3.4k | $5.5k | $5.7k | 103% | — | $119 – $21.9k |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 225 | $147 | $1.0k | $2.4k | 233% | — | $69 – $22.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 187 | $127 | $585 | $1.3k | 221% | — | $1 – $8.9k |
| 5 | Humana fee schedule · outpatient · +8 other terms | 181 | $1.9k | $1.4k | $2.1k | 144% | — | $48 – $14.4k |
| 6 | Molina fee schedule · outpatient · +6 other terms | 57 | $192 | $251 | $394 | 157% | — | $51 – $3.4k |
| 7 | Anthem facility · fee schedule · outpatient · +5 other terms | 52 | $177 | $1.5k | $2.3k | 154% | — | $48 – $10.5k |
| 8 | Caresource fee schedule · outpatient · +3 other terms | 49 | $191 | $846 | $1.2k | 147% | — | $48 – $4.4k |
| 9 | WellCare fee schedule · outpatient · +5 other terms | 48 | $140 | $395 | $698 | 177% | — | $115 – $2.3k |
| 10 | Ambetter fee schedule · outpatient · +3 other terms | 42 | $234 | $948 | $1.7k | 176% | — | $162 – $5.6k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 42 | $207 | $343 | $597 | 174% | — | $125 – $4.7k |
| 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 | $8 | $8 | $3 | 31% | — | $6 – $30 |
| 15 | Healthpartners fee schedule · outpatient · +1 other terms | 19 | $2.5k | $2.4k | $383 | 16% | — | $131 – $2.5k |
| 16 | Oscar facility · fee schedule · outpatient · +2 other terms | 19 | $234 | $1.1k | $1.4k | 126% | — | $175 – $3.2k |
| 17 | Medicare fee schedule · outpatient · +1 other terms | 18 | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 17 | $142 | $4.0k | $3.7k | 93% | — | $64 – $10.9k |
| 19 | Highmark fee schedule · outpatient · +4 other terms | 16 | $2.9k | $2.7k | $692 | 26% | — | $127 – $3.6k |
| 20 | Wellmark fee schedule · both · +1 other terms | 14 | $2.2k | $2.2k | $153 | 7% | — | $1.3k – $2.6k |
| 21 | Bcbs Nj fee schedule · outpatient | 11 | $2.4k | $2.4k | $339 | 14% | — | $2.2k – $3.0k |
| 22 | Tricare fee schedule · outpatient · +1 other terms | 11 | $113 | $118 | $10 | 8% | — | $113 – $148 |
| 23 | Regence fee schedule · outpatient · +3 other terms | 10 | $146 | $146 | $4 | 3% | — | $140 – $156 |
| 24 | Clover fee schedule · outpatient · +2 other terms | 9 | $140 | $861 | $1.0k | 121% | — | $120 – $2.3k |
| 25 | Medica fee schedule · both · +3 other terms | 9 | $2.4k | $2.4k | $22 | 1% | — | $2.4k – $2.4k |
← Hospitals reporting HCPCS Q4295 · Snapshot 20261112T181611Z-3fa9fb76