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
HC Mdi Spacer With Mask
Low
$0
Average
$54
Median
$39
High
$195
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
34 payers; the 90th percentile is 143.1× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 34 | $33 | $74 | $86 | 117% | — | $14 – $308 |
| 2 | Aetna fee schedule · outpatient · +9 other terms | 20 | $5 | $11 | $11 | 97% | — | $5 – $50 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +10 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Cigna facility · fee schedule · outpatient · +7 other terms | 13 | $8 | $14 | $15 | 109% | — | $8 – $78 |
| 8 | Wellmark fee schedule · both · +3 other terms | 13 | $42 | $43 | $4 | 9% | — | $42 – $65 |
| 9 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $96 | $73 | $41 | 55% | — | $32 – $121 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 11 | Highmark fee schedule · outpatient · +3 other terms | 10 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Bcbs Il professional · fee schedule · both | 8 | $16 | $20 | $30 | 151% | — | $0 – $65 |
| 13 | First Health professional · fee schedule · both · +2 other terms | 8 | $0 | $2 | $3 | 129% | — | $0 – $6 |
| 14 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Humana professional · fee schedule · both · +5 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Ambetter professional · fee schedule · both · +2 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $55 | $57 | $3 | 6% | — | $54 – $62 |
| 19 | Kaiser percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $201 | $135 | $66 | 49% | — | $59 – $201 |
| 20 | Regence percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $66 | $66 | $17 | 25% | — | $41 – $82 |
| 21 | Carefirst percent of total billed charges · bothfrom % of charges | 2 | $118 | $118 | — | — | — | $118 – $118 |
| 22 | Medicare percent of total billed charges · bothfrom % of charges | 2 | $73 | $73 | $21 | 29% | — | $52 – $94 |
| 23 | MultiPlan professional · fee schedule · both · +2 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Oscar percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $94 | $95 | $2 | 2% | — | $92 – $97 |
| 25 | Phcs professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
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