APC 9189
Low
$41
Average
$136
Median
$81
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2.3× 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 · +3 other terms | 174 | $78 | $79 | $1 | 1% | — | $75 – $81 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $78 | $81 | $22 | 27% | — | $75 – $310 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $78 | $80 | $10 | 12% | — | $75 – $135 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $80 | $81 | $3 | 4% | — | $77 – $102 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $79 | $79 | $3 | 4% | — | $76 – $116 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $78 | $78 | $1 | 1% | — | $78 – $81 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $81 | $80 | $2 | 3% | — | $78 – $86 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $114 | $111 | $42 | 38% | — | $77 – $203 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $81 | $82 | $0 | 1% | — | $81 – $83 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $78 | $78 | $1 | 1% | — | $77 – $80 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $76 | $85 | $18 | 21% | — | $76 – $135 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $93 | $93 | $1 | 1% | — | $91 – $93 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $79 | $81 | $4 | 5% | — | $77 – $94 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $82 | $82 | $1 | 1% | — | $81 – $83 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $79 | $79 | $0 | 0% | — | $78 – $79 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $143 | $157 | $17 | 11% | — | $143 – $177 |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $79 | $117 | $55 | 47% | — | $78 – $199 |
| 19 | Highmark case rate · outpatient · +1 other terms | 5 | $79 | $107 | $38 | 35% | — | $79 – $174 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $79 | $79 | — | — | — | $79 – $79 |
| 21 | Excellus case rate · outpatient | 4 | $108 | $111 | $40 | 37% | — | $79 – $178 |
| 22 | Bcbs Nj facility · other · outpatient | 3 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $115 | $116 | $12 | 10% | — | $96 – $132 |
| 24 | Aetna Better Health facility · case rate · outpatient | 1 | $61 | $61 | $20 | 32% | — | $41 – $81 |
| 25 | Magellan fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Hospitals reporting APC 9189 · Snapshot 20261111T120946Z-9134e7f7