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
Tretinoin, topical, 5 g
Low
$3
Average
$81
Median
$26
High
$451
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 65.5× 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 | Cigna fee schedule · outpatient · +10 other terms | 183 | $7 | $12 | $9 | 73% | — | $3 – $56 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 156 | $12 | $17 | $18 | 106% | — | $3 – $361 |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 112 | $8 | $11 | $26 | 236% | — | $3 – $336 |
| 4 | Anthem fee schedule · outpatient · +8 other terms | 34 | $4 | $7 | $3 | 45% | — | $4 – $18 |
| 5 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $22 | $20 | $7 | 33% | — | $8 – $34 |
| 6 | UnitedHealthcare fee schedule · both · +12 other terms | 26 | $4 | $4 | $1 | 23% | — | $4 – $9 |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 8 | Molina facility · case rate · outpatient · +3 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 9 | Wellmark fee schedule · both · +2 other terms | 13 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $12 | $9 | $5 | 57% | — | $4 – $15 |
| 11 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Highmark fee schedule · outpatient · +4 other terms | 11 | $4 | $6 | $10 | 175% | — | $4 – $98 |
| 13 | Optum facility · case rate · outpatient · +1 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 14 | Medica fee schedule · outpatient · +4 other terms | 10 | $8 | $8 | $2 | 25% | — | $5 – $10 |
| 15 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 7 | $29 | $89 | $138 | 155% | — | $26 – $437 |
| 17 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $10 | $9 | $2 | 19% | — | $4 – $10 |
| 18 | Excellus facility · fee schedule · outpatient | 5 | $7 | $8 | $5 | 63% | — | $4 – $20 |
| 19 | Humana fee schedule · inpatient · +6 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | First Health facility · fee schedule · outpatient · +5 other terms | 4 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms | 3 | $379 | $284 | $135 | 47% | — | $94 – $379 |
| 22 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Ambetter percent of total billed charges · outpatientfrom % of charges | 2 | $299 | $299 | — | — | — | $299 – $299 |
| 24 | Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms | 2 | $13 | $13 | $0 | 1% | — | $13 – $13 |
| 25 | Oscar percent of total billed charges · outpatientfrom % of charges | 2 | $299 | $299 | — | — | — | $299 – $299 |
← Hospitals reporting HCPCS S0117 · Snapshot 20261112T181611Z-3fa9fb76