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
PROF WND PREP F/N/HF/G ADD 100
Low
$71
Average
$990
Median
$773
High
$7.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 10.5× 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 · +23 other terms | 132 | $479 | $2.1k | $3.2k | 150% | 1–10 | $0 – $18.0k |
| 2 | UnitedHealthcare case rate · outpatient · +28 other terms | 373 | $1.7k | $1.8k | $1.5k | 83% | — | $1 – $22.4k |
| 3 | Aetna case rate · outpatient · +26 other terms | 258 | $2.3k | $2.8k | $1.5k | 54% | — | $106 – $16.8k |
| 4 | Oscar case rate · outpatient · +19 other terms | 129 | $2.6k | $2.6k | $731 | 28% | — | $990 – $7.5k |
| 5 | Anthem fee schedule · outpatient · +19 other terms | 93 | $117 | $224 | $284 | 127% | — | $74 – $1.7k |
| 6 | Humana fee schedule · outpatient · +24 other terms | 93 | $108 | $547 | $1.4k | 252% | — | $1 – $12.8k |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 91 | $142 | $2.6k | $3.3k | 126% | — | $75 – $20.7k |
| 8 | Molina case rate · outpatient · +20 other terms | 88 | $2.9k | $2.9k | $1.4k | 47% | — | $104 – $5.7k |
| 9 | Kaiser fee schedule · outpatient · +15 other terms | 43 | $100 | $111 | $44 | 40% | — | $20 – $257 |
| 10 | Healthcare Highways case rate · outpatient · +2 other terms | 39 | $5.8k | $8.2k | $5.3k | 65% | — | $2.1k – $14.6k |
| 11 | WellCare fee schedule · both · +15 other terms | 35 | $78 | $97 | $39 | 40% | — | $66 – $261 |
| 12 | MultiPlan case rate · outpatient · +19 other terms | 33 | $2.8k | $4.9k | $3.2k | 66% | — | $1.8k – $11.5k |
| 13 | Superior Healthplan case rate · outpatient · +2 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 14 | Medica case rate · outpatient · +17 other terms | 26 | $1.3k | $1.3k | $1.2k | 88% | — | $320 – $4.5k |
| 15 | Regence professional · fee schedule · outpatient · +6 other terms | 26 | $99 | $169 | $87 | 51% | — | $87 – $364 |
| 16 | Optum professional · fee schedule · outpatient · +13 other terms | 25 | $118 | $100 | $26 | 26% | — | $44 – $126 |
| 17 | Ambetter case rate · outpatient · +17 other terms | 23 | $2.0k | $1.3k | $595 | 45% | — | $0 – $2.3k |
| 18 | Caresource facility · case rate · outpatient · +13 other terms | 21 | $230 | $228 | $62 | 27% | — | $104 – $374 |
| 19 | Devoted fee schedule · outpatient · +12 other terms | 21 | $114 | $102 | $14 | 14% | — | $85 – $114 |
| 20 | Phcs fee schedule · outpatient · +12 other terms | 21 | $1k | $2.1k | $1.6k | 77% | — | $644 – $4.1k |
| 21 | Bcbs La fee schedule · outpatient · +3 other terms | 19 | $1.4k | $1.4k | $360 | 27% | — | $0 – $1.9k |
| 22 | Aetna Better Health fee schedule · outpatient · +8 other terms | 18 | $106 | $159 | $69 | 43% | — | $79 – $227 |
| 23 | Medicare fee schedule · outpatient · +9 other terms | 18 | $85 | $83 | $2 | 2% | — | $78 – $86 |
| 24 | Medicaid fee schedule · outpatient · +9 other terms | 16 | $72 | $158 | $239 | 151% | — | $1 – $801 |
| 25 | Tricare fee schedule · outpatient · +12 other terms | 16 | $361 | $9.5k | $19.3k | 202% | — | $75 – $50k |
← Hospitals reporting CPT 15005 · Snapshot 20261112T181611Z-3fa9fb76