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
QUAN CT TISS CHARAC W/CT
Low
$60
Average
$903
Median
$812
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 2.8× 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 · +22 other terms | 268 | $679 | $851 | $974 | 114% | — | $1 – $19.1k |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 229 | $654 | $775 | $382 | 49% | — | $45 – $2.6k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 189 | $654 | $692 | $190 | 27% | — | $93 – $1.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 181 | $618 | $797 | $898 | 113% | — | $1 – $14.4k |
| 5 | Cigna fee schedule · outpatient · +17 other terms | 162 | $795 | $1.1k | $592 | 56% | — | $607 – $3.5k |
| 6 | WellCare fee schedule · outpatient · +9 other terms | 105 | $652 | $766 | $252 | 33% | — | $607 – $1.5k |
| 7 | Molina fee schedule · outpatient · +12 other terms | 84 | $699 | $808 | $298 | 37% | — | $97 – $1.5k |
| 8 | Anthem fee schedule · outpatient · +10 other terms | 59 | $637 | $727 | $520 | 72% | — | $144 – $4.6k |
| 9 | Devoted fee schedule · outpatient · +4 other terms | 57 | $654 | $648 | $36 | 6% | — | $592 – $721 |
| 10 | Kaiser fee schedule · outpatient · +4 other terms | 52 | $906 | $1.2k | $899 | 72% | — | $637 – $5.1k |
| 11 | Ambetter facility · fee schedule · outpatient · +10 other terms | 44 | $1.1k | $1.2k | $310 | 25% | — | $604 – $1.7k |
| 12 | Optum fee schedule · outpatient · +8 other terms | 33 | $637 | $891 | $458 | 51% | — | $578 – $2.4k |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $548 | $558 | $152 | 27% | — | $223 – $1.0k |
| 14 | MultiPlan fee schedule · outpatient · +12 other terms | 26 | $1.1k | $1.2k | $305 | 26% | — | $611 – $2.2k |
| 15 | Clover fee schedule · outpatient · +5 other terms | 24 | $714 | $692 | $48 | 7% | — | $616 – $766 |
| 16 | Caresource facility · case rate · outpatient · +9 other terms | 23 | $193 | $496 | $416 | 84% | — | $113 – $1.3k |
| 17 | Oscar other · outpatient · +8 other terms | 20 | $872 | $899 | $144 | 16% | — | $695 – $1.1k |
| 18 | Regence facility · fee schedule · outpatient · +1 other terms | 20 | $670 | $961 | $621 | 65% | — | $602 – $2.6k |
| 19 | Medica fee schedule · outpatient · +7 other terms | 19 | $792 | $915 | $306 | 33% | — | $155 – $1.8k |
| 20 | Tricare fee schedule · outpatient · +6 other terms | 19 | $619 | $997 | $631 | 63% | — | $578 – $2.1k |
| 21 | Medicare fee schedule · outpatient · +2 other terms | 18 | $637 | $637 | — | — | — | $637 – $637 |
| 22 | Healthcare Highways other · outpatient · +1 other terms | 17 | $988 | $941 | $64 | 7% | — | $855 – $988 |
| 23 | Highmark fee schedule · outpatient · +2 other terms | 16 | $842 | $863 | $314 | 36% | — | $292 – $1.9k |
| 24 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 14 | $650 | $654 | $14 | 2% | — | $641 – $683 |
| 25 | Bcbs Mn fee schedule · outpatient · +2 other terms | 13 | $673 | $877 | $508 | 58% | — | $302 – $2.4k |
← Hospitals reporting CPT 0722T · Snapshot 20261113T090226Z-3ce6c0b8