7 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $122.00 | $122.00 | $122.00 – $122.00 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $113.33 | $113.33 | $86.00 – $130.00 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $115.00 | $115.00 | $115.00 – $115.00 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $144.00 | $144.00 | $144.00 – $144.00 |
| 5 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $130.00 | $130.00 | $130.00 – $130.00 |
| 6 | Superior Healthplan fee schedule · outpatient | 1 | $122.50 | $122.50 | $102.00 – $143.00 |
| 7 | UnitedHealthcare facility · case rate · outpatient | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 13830 · Snapshot 20261108T055240Z-43b7dac7