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
71 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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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +43 other terms | 630 | $215.77 | $534.40 | $1.00 – $17,881 |
| 2 | Aetna fee schedule · outpatient · +41 other terms | 563 | $224.18 | $765.12 | $1.00 – $21,319 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 472 | $279.00 | $628.82 | $0.01 – $15,614 |
| 4 | Humana fee schedule · outpatient · +36 other terms | 414 | $199.02 | $276.15 | $1.00 – $12,772 |
| 5 | Cigna case rate · outpatient · +39 other terms | 349 | $2,729 | $4,343 | $0.62 – $40,673 |
| 6 | Molina fee schedule · outpatient · +35 other terms | 271 | $166.30 | $193.11 | $1.00 – $6,459 |
| 7 | WellCare fee schedule · outpatient · +27 other terms | 178 | $211.63 | $254.46 | $35.94 – $4,266 |
| 8 | Anthem fee schedule · outpatient · +36 other terms | 152 | $193.61 | $305.89 | $4.14 – $6,285 |
| 9 | Oscar case rate · outpatient · +22 other terms | 129 | $2,516 | $2,671 | $310.69 – $7,454 |
| 10 | MultiPlan fee schedule · outpatient · +23 other terms | 123 | $319.20 | $332.21 | $0.49 – $1,215 |
| 11 | Kaiser fee schedule · outpatient · +27 other terms | 109 | $272.99 | $360.60 | $31.65 – $4,266 |
| 12 | Devoted facility · fee schedule · outpatient · +17 other terms | 99 | $189.82 | $248.66 | $25.49 – $4,876 |
| 13 | Ambetter facility · fee schedule · outpatient · +22 other terms | 98 | $341.88 | $459.03 | $56.63 – $8,142 |
| 14 | Tricare facility · fee schedule · outpatient · +23 other terms | 91 | $201.55 | $537.06 | $23.51 – $6,106 |
| 15 | Aetna Better Health fee schedule · outpatient · +23 other terms | 90 | $55.93 | $94.37 | $41.22 – $720.29 |
| 16 | Highmark facility · fee schedule · outpatient · +22 other terms | 76 | $235.24 | $256.46 | $21.00 – $899.68 |
| 17 | Optum fee schedule · outpatient · +29 other terms | 73 | $181.82 | $180.20 | $45.40 – $740.60 |
| 18 | Caresource fee schedule · outpatient · +21 other terms | 64 | $226.62 | $322.15 | $1.05 – $4,266 |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 53 | $31.22 | $232.53 | $20.00 – $9,463 |
| 20 | First Health fee schedule · outpatient · +25 other terms | 52 | $211.78 | $718.33 | $44.31 – $7,246 |
| 21 | Medica fee schedule · outpatient · +26 other terms | 48 | $186.20 | $199.57 | $21.14 – $731.00 |
| 22 | Medicare facility · fee schedule · outpatient · +20 other terms | 46 | $206.47 | $635.71 | $39.32 – $22,000 |
| 23 | Medicaid facility · fee schedule · outpatient · +18 other terms | 44 | $121.72 | $194.13 | $20.00 – $647.56 |
| 24 | Regence professional · fee schedule · outpatient · +22 other terms | 43 | $67.59 | $104.75 | $24.36 – $268.67 |
| 25 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 41 | $195.73 | $158.89 | $46.53 – $213.95 |
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