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
facility
Low
$0
Average
$288
Median
$167
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
41 payers; the 90th percentile is 63.4× 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 · +11 other terms | 83 | $26 | $420 | $1.3k | 299% | — | $0 – $14.4k |
| 2 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $26 | $24 | $9 | 37% | — | $8 – $44 |
| 3 | Molina facility · case rate · outpatient · +10 other terms | 27 | $14 | $18 | $11 | 58% | — | $6 – $49 |
| 4 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 27 | $104 | $309 | $785 | 254% | — | $1 – $3.9k |
| 5 | Cigna fee schedule · outpatient · +13 other terms | 20 | $1.6k | $2.9k | $4.1k | 142% | — | $17 – $11.1k |
| 6 | WellCare fee schedule · both · +8 other terms | 17 | $42 | $35 | $11 | 31% | — | $22 – $51 |
| 7 | Anthem facility · case rate · outpatient · +13 other terms | 15 | $8 | $9 | $2 | 24% | — | $6 – $14 |
| 8 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $9 | $9 | $2 | 23% | — | $6 – $14 |
| 9 | Aetna professional · fee schedule · outpatient · +15 other terms | 13 | $58 | $56 | $16 | 28% | — | $33 – $75 |
| 10 | Optum facility · case rate · outpatient · +7 other terms | 13 | $8 | $11 | $5 | 45% | — | $7 – $21 |
| 11 | Bcbs Nj percent of total billed charges · outpatientfrom % of charges | 12 | $291 | $278 | $64 | 23% | — | $133 – $388 |
| 12 | Humana fee schedule · outpatient · +15 other terms | 10 | $91 | $86 | $48 | 56% | — | $1 – $132 |
| 13 | Amerihealth Caritas other · outpatient · +3 other terms | 9 | $45 | $136 | $238 | 174% | — | $17 – $741 |
| 14 | Ucare fee schedule · both · +1 other terms | 9 | $92 | $94 | $32 | 34% | — | $46 – $118 |
| 15 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Sanford Health Plan fee schedule · both · +1 other terms | 8 | $42 | $42 | — | — | — | $42 – $42 |
| 17 | Aetna Better Health facility · case rate · outpatient · +4 other terms | 7 | $26 | $26 | $0 | 1% | — | $25 – $26 |
| 18 | First Health fee schedule · outpatient · +7 other terms | 7 | $132 | $153 | $52 | 34% | — | $132 – $281 |
| 19 | Medicaid fee schedule · both · +6 other terms | 7 | $22 | $23 | $1 | 5% | — | $21 – $24 |
| 20 | MultiPlan fee schedule · inpatient · +10 other terms | 7 | $152 | $214 | $152 | 71% | — | $152 – $587 |
| 21 | Ambetter other · outpatient · +2 other terms | 6 | $45 | $155 | $259 | 167% | — | $17 – $734 |
| 22 | Highmark other · outpatient · +5 other terms | 6 | $45 | $155 | $259 | 167% | — | $17 – $734 |
| 23 | Oscar per diem · outpatient · +2 other terms | 6 | $604 | $604 | — | — | — | $604 – $604 |
| 24 | Tricare other · outpatient · +2 other terms | 6 | $45 | $155 | $259 | 167% | — | $17 – $734 |
| 25 | Bcbs La fee schedule · outpatient · +1 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting CPT 0663T · Snapshot 20261113T090226Z-3ce6c0b8