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
SACRL AUGMEN INJ IMAG UNI
Low
$565
Average
$7.9k
Median
$7.4k
High
$27.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 2.6× 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 | Anthem fee schedule · outpatient · +21 other terms | 103 | $7.3k | $6.5k | $9.7k | 150% | 1–10 | $499 – $53.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 437 | $7.2k | $9.0k | $9.0k | 100% | — | $1 – $209.9k |
| 3 | Aetna fee schedule · outpatient · +30 other terms | 436 | $7.7k | $8.9k | $4.9k | 55% | — | $79 – $48.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 327 | $10.1k | $12.2k | $7.2k | 59% | — | $0 – $76.9k |
| 5 | Humana fee schedule · outpatient · +24 other terms | 299 | $7.2k | $6.6k | $2.2k | 33% | — | $1.0k – $21.0k |
| 6 | Cigna case rate · outpatient · +26 other terms | 228 | $8.9k | $10.2k | $4.5k | 45% | — | $2.2k – $29.1k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 140 | $7.2k | $7.6k | $2.9k | 38% | — | $887 – $16.7k |
| 8 | Oscar case rate · outpatient · +11 other terms | 130 | $7.2k | $7.2k | $2.2k | 30% | — | $3.1k – $13.8k |
| 9 | Molina fee schedule · outpatient · +19 other terms | 121 | $8.5k | $9.3k | $4.2k | 46% | — | $1.6k – $30.8k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 85 | $10.4k | $13.2k | $8.0k | 60% | — | $2.1k – $52.0k |
| 11 | Healthcare Highways case rate · outpatient · +5 other terms | 73 | $5.3k | $5.5k | $545 | 10% | — | $4.3k – $6.3k |
| 12 | Devoted fee schedule · outpatient · +9 other terms | 67 | $7.4k | $7.4k | $389 | 5% | — | $6.7k – $8.1k |
| 13 | Ambetter facility · fee schedule · outpatient · +16 other terms | 66 | $12.9k | $13.2k | $2.6k | 20% | — | $6.7k – $17.2k |
| 14 | Caresource fee schedule · outpatient · +13 other terms | 56 | $4.3k | $4.7k | $3.4k | 74% | — | $159 – $15.8k |
| 15 | MultiPlan fee schedule · outpatient · +18 other terms | 50 | $11.5k | $10.7k | $3.9k | 37% | — | $2.9k – $23.0k |
| 16 | Optum fee schedule · outpatient · +15 other terms | 36 | $7.3k | $8.8k | $4.4k | 50% | — | $2.1k – $26.8k |
| 17 | Tricare fee schedule · outpatient · +11 other terms | 33 | $6.6k | $6.6k | $3.4k | 51% | — | $2.3k – $13.7k |
| 18 | Clover fee schedule · outpatient · +6 other terms | 30 | $7.8k | $7.7k | $445 | 6% | — | $6.5k – $8.4k |
| 19 | Bcbs Tx fee schedule · outpatient · +4 other terms | 29 | $8.8k | $8.6k | $2.4k | 28% | — | $4.7k – $20.8k |
| 20 | Highmark facility · fee schedule · outpatient · +8 other terms | 29 | $12.5k | $10.7k | $7.4k | 69% | — | $457 – $32.3k |
| 21 | Medicare fee schedule · outpatient · +8 other terms | 29 | $7.3k | $7.2k | $398 | 5% | — | $6.0k – $8.1k |
| 22 | First Health fee schedule · outpatient · +15 other terms | 28 | $7.6k | $10.8k | $4.3k | 40% | — | $6.1k – $22.6k |
| 23 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $9.2k | $9.2k | $1.8k | 20% | — | $6.9k – $12.0k |
| 24 | Bcbs La fee schedule · outpatient · +3 other terms | 24 | $7.1k | $7.9k | $3.2k | 41% | — | $3.9k – $17.7k |
| 25 | Medica fee schedule · outpatient · +17 other terms | 23 | $5.1k | $4.1k | $2.4k | 58% | — | $945 – $10.6k |
← Hospitals reporting CPT 0200T · Snapshot 20261113T090226Z-3ce6c0b8