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
PR SPACER WITHOUT MASK
Low
$0
Average
$26
Median
$28
High
$80
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
37 payers; the 90th percentile is 38.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 31 | $20 | $30 | $29 | 94% | — | $14 – $177 |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 20 | $5 | $11 | $11 | 97% | — | $5 – $50 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 4 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $34 | $36 | $8 | 23% | — | $23 – $57 |
| 5 | Molina facility · case rate · outpatient · +4 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 15 | $34 | $37 | $9 | 23% | — | $23 – $57 |
| 7 | Cigna facility · fee schedule · outpatient · +8 other terms | 13 | $79 | $130 | $49 | 37% | — | $76 – $279 |
| 8 | Wellmark fee schedule · both · +1 other terms | 13 | $28 | $28 | $1 | 2% | — | $25 – $28 |
| 9 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $55 | $42 | $23 | 55% | — | $18 – $69 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 11 | $31 | $34 | $8 | 22% | — | $28 – $51 |
| 11 | Highmark fee schedule · outpatient · +3 other terms | 10 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Medcost professional · percent of total billed charges · outpatientfrom % of charges | 9 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Medica professional · percent of total billed charges · outpatientfrom % of charges | 9 | $28 | $27 | $4 | 13% | — | $5 – $30 |
| 14 | Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 9 | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 9 | $29 | $29 | — | — | — | $29 – $29 |
| 16 | Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges | 9 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Bcbs Il professional · fee schedule · both | 8 | $6 | $8 | $12 | 151% | — | $0 – $25 |
| 18 | First Health professional · fee schedule · both · +3 other terms | 8 | $0 | $2 | $3 | 129% | — | $0 – $6 |
| 19 | Ucare professional · percent of total billed charges · outpatientfrom % of charges | 8 | $28 | $28 | $2 | 7% | — | $23 – $30 |
| 20 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Humana professional · fee schedule · both · +6 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Ambetter professional · fee schedule · both · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $53 | $55 | $3 | 6% | — | $53 – $60 |
| 25 | Regence percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $39 | $39 | $1 | 2% | — | $38 – $40 |
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