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 INTER ICD SBSTRNL PROF EA 90DAYS
Low
$0
Average
$228
Median
$114
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 11.5× 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 fee schedule · outpatient · +15 other terms | 135 | $103 | $316 | $937 | 296% | — | $0 – $14.4k |
| 2 | UnitedHealthcare fee schedule · both · +20 other terms | 63 | $67 | $179 | $320 | 178% | — | $38 – $4.9k |
| 3 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $125 | $114 | $42 | 37% | — | $37 – $211 |
| 4 | Molina facility · case rate · outpatient · +11 other terms | 29 | $26 | $26 | $7 | 27% | — | $15 – $51 |
| 5 | Aetna fee schedule · outpatient · +17 other terms | 27 | $34 | $69 | $74 | 106% | — | $18 – $304 |
| 6 | Anthem fee schedule · outpatient · +16 other terms | 24 | $29 | $38 | $33 | 86% | — | $29 – $202 |
| 7 | Humana fee schedule · outpatient · +14 other terms | 23 | $71 | $85 | $32 | 38% | — | $33 – $137 |
| 8 | Optum professional · fee schedule · outpatient · +7 other terms | 18 | $40 | $40 | $1 | 2% | — | $39 – $42 |
| 9 | Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 17 | $354 | $341 | $29 | 8% | — | $233 – $354 |
| 10 | Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 17 | $354 | $337 | $29 | 8% | — | $233 – $354 |
| 11 | Medica professional · fee schedule · outpatient · +7 other terms | 16 | $41 | $41 | $2 | 5% | — | $37 – $46 |
| 12 | Caresource facility · case rate · outpatient · +7 other terms | 15 | $21 | $23 | $5 | 23% | — | $14 – $36 |
| 13 | Cigna fee schedule · both · +14 other terms | 14 | $43 | $45 | $4 | 8% | — | $43 – $58 |
| 14 | Ucare professional · fee schedule · outpatient · +4 other terms | 13 | $38 | $36 | $5 | 15% | — | $32 – $46 |
| 15 | WellCare professional · fee schedule · both · +10 other terms | 12 | $0 | $4 | $12 | 282% | — | $0 – $40 |
| 16 | MultiPlan fee schedule · both · +11 other terms | 11 | $76 | $83 | $21 | 25% | — | $60 – $128 |
| 17 | Bcbs Il professional · fee schedule · both · +2 other terms | 8 | $0 | $3 | $10 | 333% | — | $0 – $40 |
| 18 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges | 8 | $184 | $196 | $109 | 56% | — | $74 – $502 |
| 20 | First Health professional · fee schedule · both · +9 other terms | 8 | $0 | $13 | $17 | 129% | — | $0 – $36 |
| 21 | Sanford Health Plan fee schedule · both · +2 other terms | 8 | $39 | $39 | — | — | — | $39 – $39 |
| 22 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Amerihealth Caritas facility · case rate · outpatient · +4 other terms | 7 | $24 | $25 | $1 | 3% | — | $24 – $27 |
| 24 | Healthpartners professional · fee schedule · outpatient · +3 other terms | 5 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | Medicaid case rate · both · +5 other terms | 5 | $161 | $144 | $23 | 16% | — | $113 – $163 |
← Hospitals reporting CPT 0578T · Snapshot 20261113T090226Z-3ce6c0b8