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
Impression casting ft
Low
$0
Average
$207
Median
$121
High
$2.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 6.6× 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 | Molina facility · case rate · outpatient · +6 other terms | 29 | $125 | $129 | $41 | 32% | — | $67 – $282 |
| 2 | Humana other · outpatient · +9 other terms | 25 | $2.9k | $2.9k | $861 | 29% | — | $2.3k – $7.0k |
| 3 | Aetna fee schedule · outpatient · +12 other terms | 24 | $62 | $134 | $111 | 83% | — | $43 – $432 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 22 | $86 | $123 | $147 | 119% | — | $15 – $451 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 19 | $103 | $1.2k | $3.4k | 278% | — | $67 – $12.2k |
| 6 | Anthem facility · case rate · outpatient · +12 other terms | 15 | $95 | $104 | $24 | 23% | — | $65 – $162 |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $97 | $104 | $24 | 23% | — | $65 – $165 |
| 8 | Cigna facility · fee schedule · outpatient · +8 other terms | 13 | $26 | $46 | $21 | 46% | — | $26 – $98 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 13 | $92 | $101 | $21 | 21% | — | $81 – $146 |
| 10 | Wellmark fee schedule · both · +3 other terms | 13 | $114 | $113 | $5 | 5% | — | $80 – $114 |
| 11 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $48 | $36 | $20 | 57% | — | $15 – $60 |
| 12 | Highmark fee schedule · outpatient · +2 other terms | 11 | $28 | $41 | $86 | 213% | — | $28 – $824 |
| 13 | Medica fee schedule · both · +2 other terms | 9 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Ucare fee schedule · both · +2 other terms | 9 | $15 | $15 | $1 | 5% | — | $15 – $16 |
| 15 | Medcost facility · percent of total billed charges · bothfrom % of charges | 8 | $172 | $172 | — | — | — | $172 – $172 |
| 16 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges | 8 | $172 | $172 | — | — | — | $172 – $172 |
| 17 | Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges | 8 | $176 | $175 | $2 | 1% | — | $172 – $176 |
| 18 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $133 | $135 | $4 | 3% | — | $133 – $145 |
| 20 | Oscar facility · percent of total billed charges · bothfrom % of charges | 7 | $172 | $172 | — | — | — | $172 – $172 |
| 21 | First Health professional · fee schedule · both · +3 other terms | 3 | $55 | $55 | $8 | 14% | — | $48 – $63 |
| 22 | Medicaid facility · case rate · outpatient | 2 | $121 | $121 | — | — | — | $121 – $121 |
| 23 | Ambetter facility · fee schedule · both | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 24 | Bcbs Il professional · fee schedule · both | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 25 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
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