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
HB Intmd Rpr N-Hf/Genit 2.5cm/<
Low
$211
Average
$954
Median
$540
High
$8.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
70 payers; the 90th percentile is 4.0× 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 · +42 other terms | 668 | $402 | $793 | $1.5k | 192% | 10–100 | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +40 other terms | 595 | $442 | $1.1k | $2.0k | 184% | 5–50 | $1 – $21.3k |
| 3 | Humana fee schedule · outpatient · +34 other terms | 449 | $395 | $450 | $675 | 150% | 5–50 | $1 – $12.8k |
| 4 | Bcbs Al facility · other · outpatient · +5 other terms | 5 | $519 | $482 | $151 | 31% | 4–40 | $198 – $648 |
| 5 | Molina fee schedule · outpatient · +37 other terms | 265 | $333 | $328 | $304 | 93% | 3–30 | $1 – $3.5k |
| 6 | Cigna case rate · outpatient · +35 other terms | 285 | $1.9k | $4.4k | $6.8k | 154% | 2–20 | $0 – $40.7k |
| 7 | Kaiser fee schedule · outpatient · +26 other terms | 106 | $525 | $656 | $678 | 103% | 2–20 | $22 – $4.3k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 484 | $520 | $1.3k | $1.8k | 140% | 1–10 | $0 – $18.0k |
| 9 | Anthem fee schedule · outpatient · +35 other terms | 148 | $402 | $530 | $785 | 148% | 1–10 | $27 – $6.3k |
| 10 | Regence professional · fee schedule · outpatient · +23 other terms | 41 | $158 | $297 | $216 | 73% | 1–10 | $21 – $834 |
| 11 | Ucare professional · fee schedule · outpatient · +22 other terms | 30 | $92 | $93 | $39 | 42% | 1–10 | $12 – $240 |
| 12 | WellCare fee schedule · outpatient · +25 other terms | 212 | $427 | $466 | $449 | 96% | — | $84 – $4.3k |
| 13 | Oscar case rate · outpatient · +25 other terms | 136 | $2.6k | $2.6k | $727 | 28% | — | $625 – $7.5k |
| 14 | Ambetter fee schedule · outpatient · +23 other terms | 107 | $632 | $615 | $327 | 53% | — | $118 – $2.3k |
| 15 | MultiPlan fee schedule · outpatient · +22 other terms | 107 | $625 | $614 | $197 | 32% | — | $91 – $1.4k |
| 16 | Devoted facility · fee schedule · outpatient · +22 other terms | 93 | $385 | $427 | $517 | 121% | — | $83 – $4.9k |
| 17 | Aetna Better Health fee schedule · outpatient · +24 other terms | 90 | $181 | $221 | $150 | 68% | — | $83 – $1.4k |
| 18 | Caresource fee schedule · outpatient · +25 other terms | 82 | $394 | $474 | $514 | 108% | — | $1 – $4.3k |
| 19 | Tricare facility · fee schedule · outpatient · +22 other terms | 81 | $411 | $1.4k | $4.6k | 340% | — | $77 – $50k |
| 20 | Optum fee schedule · outpatient · +28 other terms | 76 | $366 | $342 | $234 | 69% | — | $104 – $1.5k |
| 21 | Highmark facility · fee schedule · outpatient · +23 other terms | 75 | $465 | $505 | $412 | 82% | — | $26 – $1.8k |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms | 53 | $38 | $287 | $920 | 321% | — | $25 – $9.5k |
| 23 | First Health fee schedule · outpatient · +23 other terms | 51 | $425 | $895 | $1.8k | 201% | — | $130 – $7.2k |
| 24 | Medicaid facility · fee schedule · outpatient · +21 other terms | 51 | $304 | $392 | $310 | 79% | — | $25 – $1.4k |
| 25 | Medica fee schedule · outpatient · +25 other terms | 47 | $346 | $414 | $183 | 44% | — | $65 – $847 |
← Hospitals reporting CPT 12041 · Snapshot 20261111T120946Z-9134e7f7