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 PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
Low
$12
Average
$133
Median
$79
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 7.9× 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 | Aetna fee schedule · outpatient · +22 other terms | 304 | $40 | $56 | $54 | 96% | — | $1 – $574 |
| 2 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 275 | $38 | $159 | $523 | 328% | — | $1 – $5.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 233 | $87 | $229 | $761 | 332% | — | $1 – $14.4k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 221 | $37 | $55 | $51 | 93% | — | $1 – $292 |
| 5 | Cigna fee schedule · outpatient · +17 other terms | 124 | $38 | $55 | $34 | 63% | — | $35 – $193 |
| 6 | WellCare fee schedule · outpatient · +13 other terms | 105 | $38 | $47 | $18 | 37% | — | $35 – $92 |
| 7 | Molina fee schedule · outpatient · +18 other terms | 97 | $43 | $59 | $35 | 60% | — | $1 – $237 |
| 8 | Anthem fee schedule · outpatient · +19 other terms | 89 | $56 | $101 | $435 | 430% | — | $35 – $6.5k |
| 9 | Devoted fee schedule · outpatient · +6 other terms | 61 | $37 | $38 | $2 | 5% | — | $35 – $42 |
| 10 | Kaiser fee schedule · outpatient · +11 other terms | 59 | $54 | $72 | $46 | 64% | — | $37 – $275 |
| 11 | Ambetter facility · fee schedule · outpatient · +10 other terms | 48 | $67 | $70 | $13 | 19% | — | $40 – $90 |
| 12 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $141 | $148 | $62 | 42% | — | $35 – $312 |
| 13 | Optum fee schedule · outpatient · +11 other terms | 32 | $37 | $51 | $27 | 53% | — | $34 – $138 |
| 14 | Oscar facility · fee schedule · outpatient · +14 other terms | 27 | $55 | $56 | $6 | 11% | — | $43 – $70 |
| 15 | Clover fee schedule · outpatient · +6 other terms | 26 | $41 | $40 | $3 | 7% | — | $34 – $44 |
| 16 | Caresource facility · case rate · outpatient · +14 other terms | 24 | $25 | $37 | $19 | 51% | — | $14 – $76 |
| 17 | Medicare fee schedule · outpatient · +5 other terms | 24 | $37 | $38 | $1 | 3% | — | $34 – $42 |
| 18 | MultiPlan fee schedule · outpatient · +13 other terms | 17 | $60 | $188 | $693 | 368% | — | $35 – $4.0k |
| 19 | Highmark fee schedule · outpatient · +9 other terms | 16 | $50 | $52 | $23 | 44% | — | $17 – $237 |
| 20 | Regence facility · case rate · outpatient · +9 other terms | 16 | $39 | $46 | $22 | 47% | — | $35 – $117 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 15 | $47 | $47 | $9 | 20% | — | $36 – $62 |
| 22 | Medica fee schedule · outpatient · +13 other terms | 15 | $138 | $268 | $373 | 139% | — | $38 – $1.4k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +7 other terms | 15 | $35 | $44 | $28 | 63% | — | $19 – $140 |
| 24 | Bcbs Mn fee schedule · outpatient · +5 other terms | 13 | $39 | $49 | $28 | 57% | — | $17 – $133 |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 13 | $39 | $39 | $0 | 0% | — | $39 – $39 |
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